scholarly journals (Mis)measuring Men’s Involvement in Global Health: The Case of Expectant Fathers in Dakar, Senegal

Author(s):  
Richard Powis

Abstract Background In 2018, USAID published a report based on Demographic and Health Surveys data on the relationship between men’s involvement and women and children’s health outcomes. Based on the data collected, USAID’s analysis implies that Senegalese men are not involved in women and children’s health. Methods Twenty-two months of ethnographic research from 2012 to 2018. Research participants included 32 pregnant women and 27 expectant partners recruited from three maternity wards by convenience sampling, plus chief physicians, nurses, midwives, employees of the Ministry of Health and Social Action, and employees of nongovernmental organizations in the health sector. Research methods included participant observation, semi-structured interviews, free-list and pile sort exercises, and various visual ethnographic methods. Data were evaluated using rhetorical, textual, and cultural domain analysis. Results This research demonstrates that expectant fathers are involved in prenatal care in ways that USAID does not track through DHS. Conclusion Context independent reporting on men’s involvement is potentially harmful and obstructive to improving maternal and child health when the problem that is targeted is not a problem at all. State and non-state organizations investing in men’s involvement campaigns would save money and resources by amplifying men’s strengths (an asset-based model) rather than seek to educate them toward Eurocentric conceptions of fatherhood and masculine care (a deficit-based model).

Author(s):  
Brenda D. Koester ◽  
Stephanie Sloane ◽  
Elinor M. Fujimoto ◽  
Barbara H. Fiese ◽  
Leona Yi-Fan Su

Children are uniquely vulnerable to toxicant exposures in their environment, which can have long-lasting impacts on their health. Childcare providers are an important population to target for environmental health literacy, as most children in the United States under five years of age spend a significant number of waking hours in non-parental care. There is an increasing body of evidence that children are exposed to toxicants in the childcare environment, and yet little is known about what childcare providers know about environmental influences on the health of children in their care. We conducted semi-structured interviews with 36 home- and center-based Illinois childcare providers to better understand their knowledge, attitudes, and behaviors as they relate to environmental influences on children’s health. We found that the majority of providers had a low level of understanding of potential sources of exposure in the childcare environment, and they did not feel that environmental exposures posed a significant risk to children. Future efforts to increase environmental health literacy should focus on raising awareness and knowledge of environmental health issues for childcare providers before addressing ways that providers can reduce or prevent toxicant exposures to children in their care.


2017 ◽  
Vol 10 (4) ◽  
pp. 219-224 ◽  
Author(s):  
Kanae Watanabe ◽  
Annette Dickinson

In New Zealand and Japan, despite health education on food, exercise, and hygiene, children’s health is an important concern in preschools. This study investigated the relationship between children’s health and health education in New Zealand and Japan using a qualitative interpretative descriptive design method and semi-structured interviews with preschool teachers. Major children’s health issues identified by preschool teachers in New Zealand were asthma, allergies, and dental hygiene. Although few preschool children are overweight in New Zealand, it becomes a serious concern in primary school. Identified as a suspected cause of children’s health problems was parents providing their children with sweet and/or unhealthy foods. Preschool teachers want parents to understand and implement health education, and they stated that parents’ education was necessary. In Japan, children’s health problems identified by teachers were allergies, food preferences, and sleep deprivation. The suspected causes included too much convenience, parents’ irregular lifestyles because they were busy, and parents’ depending on preschools to discipline children in ways that should be done at home. The goals for preschool health education were similar in New Zealand and Japan. The goals should be to obtain lifelong health knowledge, an ability to make wise health-related decisions in adulthood, and healthy lifestyle choices for themselves and their families. Some children’s health issues were beyond the scope of the abilities of individual preschools. Therefore, the entire nation and government should work together to cope with children’s health issues and health education.


2021 ◽  
Vol 9 (T4) ◽  
pp. 141-145
Author(s):  
Umi Solikhah ◽  
Sulkhan Chakim ◽  
Diyah Yulistika Handayani

BACKGROUND: Public understanding of immunization problems, pneumonia cases, and nutrition in children is important to improve children’s health status. Provision of attractive and illustrated media is one option to increase public knowledge in supporting the success of government programs in the health sector. AIM: The purpose of this study is as a form of promotion effort to support an increase in the immunization movement in infants, a decrease in cases of malnutrition and malnutrition, and a decrease in pneumonia cases in infants. METHODS: The research method used is qualitative and quantitative study. Researchers analyzed the promoting media and the value of benefits in the community. Qualitative analyze used content analysis to get an assessment of media from cadres and parents of children. Quantitative study used univariable analysis to see understanding of illness prevention effort. Interesting picture books for immunization, pneumonia, and malnutrition are used as the promoting media. The number of samples was 20 cadres and 20 parents of children under five, done by simple random sampling technique. RESULTS: The results showed that the media used for learning nutrition, immunization, and pneumonia material was effective for cadres and the community about easy to understand, completeness, attractive, assistance, easy to use, and practically. This is evidenced by a positive assessment of the media and increased understanding of the material from 50% to 90%. CONCLUSION: Thus, it can be said that it is necessary to provide educational media to increase public knowledge and understanding of cases that often arise in the community as a problem.


Author(s):  
Carolina Remorini ◽  
María Laura Palermo

We characterized and analyzed women’s narrative around the idea of becoming asustado (scared)as a cultural way of understanding why children get sick repeatedly or develop illnesses that become increasingly severe, as part of a study carried out in rural communities from the Molinos District, in the North-West of Argentina. We analyze and discuss the implications of becoming asustado for everyday child-rearing and children's health, sociability, and performance in different community endeavors from ethnographic data. We intentionally selected 15 cases elaborated based on 55 semi-structured interviews with 15 women, between 25 and 55 years old, all caregivers of children under 6 years old. Our results show that susto (fright) serves as an explanation for those people who do not fit with cultural expectations about their phenotype and social performance. Also, it is a culturally acceptable way of dealing with both physical and mental stress.


2016 ◽  
Vol 27 (7) ◽  
pp. 1077-1089 ◽  
Author(s):  
Gabriel Alejandro Torres Colón ◽  
Sharia Smith ◽  
Jenny Fucillo

Concussions are a type of traumatic injury caused by a jolting of the brain that disrupts normal brain function, and multiple concussions can lead to serious long-term health consequences. In this article, we examine the relationship between college students’ understanding of concussions and their willingness to continue playing despite the possibility of sustaining multiple head injuries. We use a mixed-methods approach that includes participant observation, cultural domain analysis, and structured interviews. Our research finds that students hold a robust cognitive understanding of concussion yet discursively frame concussions as skeletomuscular injuries. More importantly, students affirm the importance of playing sports for themselves and others, so their decisions to risk multiple concussions must be understood within cultural and biocultural contexts of meaningful social play. We suggest that peoples’ decision to risk multiple head injuries should be understood as a desire for meaningful social play rather than an uninformed health risk.


Author(s):  
Fernandos K. Ongolly ◽  
Salome A. Bukachi

Background: Men have a lot of influence on their partners’ and children’s health. However, studies have shown their involvement in antenatal care (ANC) and postnatal care (PNC) is relatively low owing to several factors.Aim: To explore the barriers to men’s involvement in ANC and PNC in Butula sub-county, western Kenya.Setting: Butula sub-county, Busia county, western Kenya.Methods: A mixed methods study design, descriptive in nature, was used to collect both quantitative and qualitative data. A total of 96 men were selected to participate in the surveys. Also, four focus group discussions and four key informant interviews were conducted.Results: We found out that some men still participate in ANC and PNC despite the barriers. The perception that maternal health is a women’s domain and existence of alternative traditional maternal services were key cultural barriers. The men’s nature of work, low income and expenses incurred at ANC/PNC clinics were significant economic barriers. The lack of services targeting men, provider attitude, non-invitation to the clinic, time spent at the clinic and lack of privacy at the clinics were key facility-based barriers.Conclusion: A myriad of cultural, economic and health-facility barriers hinder men from active involvement in ANC and PNC. Awareness creation among men on ANC and PNC services and creating a client-friendly environment at the clinics is key in enhancing their involvement. This should be a concerted effort of all stake holders in maternal health services, as male involvement is a strong influencer to their partners’ and children’s health outcomes.


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