scholarly journals Parents’ Attitudes About Gender Roles In Caregiving And Practices: Perspectives From A Community-Led Parenting Empowerment Program In Rural Kenya And Zambia

2021 ◽  
Author(s):  
Kenneth Okelo ◽  
Silas Onyango ◽  
Dawn Murdock ◽  
Kaylie Cordingley ◽  
Kelvin Munsongo ◽  
...  
Keyword(s):  
Rural Communities ◽  
Gender Roles ◽  
Young Children ◽  
Program Implementation ◽  
Qualitative Interviews ◽  
Primary Caregivers ◽  
Sub Saharan Africa ◽  
Attitudes And Practices ◽  
Equal Parenting ◽  
Empowerment Program

Abstract Background: This study was part of a project funded by the Hilton Foundation in partnership with Episcopal Relief and Development to conduct implementation research in rural communities in Kenya and Zambia. This involves testing the feasibility and effectiveness of community-based parenting empowerment in improving nurturing care of young children in rural communities in Zambia and Kenya. Few studies have investigated fathers’ roles in nurturing care of young children (birth-age to 3), particularly responsive care and stimulation (i.e. providing opportunities for early learning) in sub-Saharan Africa (SSA). Fathers are often perceived to be mainly responsible for the provision of the family's economic needs. However, past studies have demonstrated that fathers’ involvement in parenting has great significance for the child’s holistic growth and development.Methods: Qualitative interviews and discussions with caregivers (primary caregivers and secondary caregivers) with children below three years, program volunteers (ECD Promoters and faith leaders), Moments That Matter Program implementers and government officials involved in the program implementation. The study reported in this paper aimed to establish the effects of the parenting empowerment program on more gender-equal attitudes about gender roles in parenting and actual caregiving practices by fathers (who are not the primary caregivers), after participating in the Moments That Matter (MTM) Program in Kenya and Zambia for 24 months. Qualitative data were collected at three-time points (baseline, midline and endline). Results: The findings show that the MTM Program resulted in improved gender-equal parenting attitudes and practices among mothers/other primary caregivers and fathers. Study participants reported that most fathers were actively involved in parenting and caregiving due to their participation in the MTM Program. Conclusion: The study findings provide evidence that targeted parenting programs can influence changes in perceived gender roles in parenting.

scholarly journals Intimate Partner Violence and Structural Violence in the Lives of Incarcerated Women: A Mixed-Method Study in Rural New Mexico

2021 ◽  
Vol 18 (12) ◽  
pp. 6185
Author(s):  
Shilo St. Cyr ◽  
Elise Trott Jaramillo ◽  
Laura Garrison ◽  
Lorraine Halinka Malcoe ◽  
Stephen R. Shamblen ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Substance Use ◽  
New Mexico ◽  
Rural Communities ◽  
Interpersonal Relationships ◽  
Rural Women ◽  
Partner Violence ◽  
Qualitative Interviews ◽  
Incarcerated Women ◽  
Intimate Partner

Intimate partner violence (IPV) is a common feature in the lives of incarcerated women returning to rural communities, enhancing their risk of mental ill-health, substance use, and recidivism. Women’s experiences of IPV intersect with challenges across multiple social–ecological levels, including risky or criminalizing interpersonal relationships, geographic isolation, and persistent gender, racial, and economic inequities. We conducted quantitative surveys and qualitative interviews with 99 incarcerated women in New Mexico who were scheduled to return to micropolitan or non-core areas within 6 months. Quantitative and qualitative data were analyzed separately and then triangulated to identify convergences and divergences in data. The findings underscore how individual and interpersonal experiences of IPV, substance use, and psychological distress intersect with broad social inequities, such as poverty, lack of supportive resources, and reluctance to seek help due to experiences of discrimination. These results point to the need for a more proactive response to the mutually constitutive cycle of IPV, mental distress, incarceration, and structures of violence to improve reentry for women returning to rural communities. Policy and treatment must prioritize socioeconomic marginalization and expand community resources with attention to the needs of rural women of color.

scholarly journals Unravelling the Perspectives of Day and Night Traders in Selected Markets within a Sub-Saharan African City with a Malaria Knowledge, Attitude and Practice Survey

2021 ◽  
Vol 18 (7) ◽  
pp. 3468
Author(s):  
Patience B. Tetteh-Quarcoo ◽  
Nicholas T. K. D. Dayie ◽  
Kevin Kofi Adutwum-Ofosu ◽  
John Ahenkorah ◽  
Emmanuel Afutu ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Malaria Treatment ◽  
Sub Saharan Africa ◽  
African City ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Treatment Type ◽  
Significant Difference ◽  
High Knowledge ◽  
Sub Saharan

Background: Malaria is still endemic in sub-Saharan Africa, with a high disease burden. Misconceptions about malaria contribute to poor attitudes and practices, further increasing the burden in endemic countries. Studies have examined the knowledge, attitudes, and practices (KAP) of malaria among different populations. However, there seems to be no available literature reporting on the perspectives of day and night market traders. To the best of our knowledge, this is the first report on malaria KAP with a focus on day and night market traders. Methods: A descriptive cross-sectional study involving day and night market traders in 10 selected markets within the Greater Accra Region of Ghana was carried out. Data were collected from consenting respondents using a structured questionnaire. Results: Of the 760 respondents (33.3% (n = 253) night and 66.7% (n = 507) day traders) interviewed, there was no significant difference between the day and night market traders in terms of malaria KAP. Although the market traders had an overall moderate knowledge (54.0% of the day traders and 56.5% of the night traders), misconceptions about malaria (especially that it could be caused by exposure to the sun) still existed among the traders. Moreover, the majority of the traders who demonstrated high knowledge (43.98%, n = 250) did not always take laboratory tests to confirm their suspicion, indicating poor attitude. Furthermore, the market traders’ choice of drug for malaria treatment (p = 0.001) and preferred malaria treatment type (orthodox or herbal) (p = 0.005) were significantly associated with their knowledge level. Conclusions: Despite the observation that no significant difference in KAP exists between day and night market traders, appropriate health education programs and interventions still need to be directed at misconceptions, poor attitudes, and poor practices revealed by this study. This will ultimately help in the prevention and control of malaria in Ghana, and globally.

scholarly journals Uncovering Burdens, Examining Needs, and Shedding Assumptions of Evidence-Based Social Support Programs for Mothers: A Descriptive Qualitative Study in a Remote Community

2021 ◽  
Vol 8 ◽  
pp. 233339362110357
Author(s):  
Johanna R. Jahnke ◽  
Julee Waldrop ◽  
Alasia Ledford ◽  
Beatriz Martinez
Keyword(s):  
Social Support ◽  
Young Children ◽  
Healthcare Workers ◽  
Qualitative Interviews ◽  
Well Being ◽  
Evidence Based ◽  
Community Stakeholders ◽  
Significant Burden ◽  
Many Sources ◽  
Evidence Based Programs

Many studies have demonstrated a significant burden of maternal stress and depression for women living on the Galápagos Islands. Here, we aim to uncover burdens and needs of women with young children on San Cristóbal Island and then explore options for implementing evidence-based programs of social support to meet these needs. We conducted 17 semi-structured qualitative interviews with mothers of young children, healthcare workers, and community stakeholders. We then used Summary Oral Reflective Analysis (SORA), an interactive methodology, for qualitative analysis. Despite initial reports of a low-stress environment, women described many sources of stress and concerns for their own and their children’s health and well-being. We uncovered three broad areas of need for mothers of young children: (1) the need for information and services, (2) the need for trust, and (3) the need for space. In response to these concerns, mothers, healthcare workers, and community leaders overwhelmingly agreed that a social support program would be beneficial for the health of mothers and young children. Still, they expressed concern over the feasibility of such a program. To address these feasibility concerns, we propose that a web-based education and social support intervention led by nurses would best meet mothers’ needs. Women could learn about child health and development, develop strong, trusting friendships with other mothers, and have their own space to speak freely among experts and peers.

scholarly journals Competing interests, clashing ideas and institutionalizing influence: insights into the political economy of malaria control from seven African countries

2020 ◽  
Author(s):  
Justin Parkhurst ◽  
Ludovica Ghilardi ◽  
Jayne Webster ◽  
Robert W Snow ◽  
Caroline A Lynch
Keyword(s):  
Decision Making ◽  
Malaria Control ◽  
Qualitative Interviews ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Health Community ◽  
Control Programmes ◽  
Control Decision ◽  
Sub Saharan ◽  
Economic Considerations

Abstract This article explores how malaria control in sub-Saharan Africa is shaped in important ways by political and economic considerations within the contexts of aid-recipient nations and the global health community. Malaria control is often assumed to be a technically driven exercise: the remit of public health experts and epidemiologists who utilize available data to select the most effective package of activities given available resources. Yet research conducted with national and international stakeholders shows how the realities of malaria control decision-making are often more nuanced. Hegemonic ideas and interests of global actors, as well as the national and global institutional arrangements through which malaria control is funded and implemented, can all influence how national actors respond to malaria. Results from qualitative interviews in seven malaria-endemic countries indicate that malaria decision-making is constrained or directed by multiple competing objectives, including a need to balance overarching global goals with local realities, as well as a need for National Malaria Control Programmes to manage and coordinate a range of non-state stakeholders who may divide up regions and tasks within countries. Finally, beyond the influence that political and economic concerns have over programmatic decisions and action, our analysis further finds that malaria control efforts have institutionalized systems, structures and processes that may have implications for local capacity development.

scholarly journals Spatial and Temporal Spread of Acute Viral Respiratory Infections in Young Children Living in High-altitude Rural Communities

2016 ◽  
Vol 35 (10) ◽  
pp. 1057-1061 ◽  
Author(s):  
Charlotte Buehler Cherry ◽  
Marie R. Griffin ◽  
Kathryn M. Edwards ◽  
John V. Williams ◽  
Ana I. Gil ◽  
...  
Keyword(s):  
Rural Communities ◽  
Young Children ◽  
High Altitude ◽  
Respiratory Infections ◽  
Viral Respiratory Infections ◽  
Viral Respiratory ◽  
Temporal Spread

scholarly journals Knowledge, attitudes and practices towards spotted fever group rickettsioses and Q fever in Laikipia and Maasai Mara, Kenya

2016 ◽  
Author(s):  
David Ndeereh ◽  
Gerald Muchemi ◽  
Andrew Thaiyah
Keyword(s):  
Q Fever ◽  
Spotted Fever ◽  
Medical Personnel ◽  
Raw Milk ◽  
Sub Saharan Africa ◽  
Spotted Fever Group ◽  
Health Providers ◽  
Attitudes And Practices ◽  
Local Residents ◽  
Sub Saharan

Many factors contribute to misdiagnosis and underreporting of infectious zoonotic diseases in most sub-Saharan Africa including limited diagnostic capacity and poor knowledge. We assessed the knowledge, practices and attitudes towards spotted fever group rickettsioses (SFGR) and Q fever amongst local residents in Laikipia and Maasai Mara in Kenya. A semistructured questionnaire was administered to a total of 101 respondents including 51 pastoralists, 17 human health providers, 28 wildlife sector personnel and 5 veterinarians. The pastoralists expressed no knowledge about SFGR and Q fever. About 26.7% of the wildlife sector personnel in Laikipia expressed some knowledge about SFGR and none in Maasai Mara. None of these respondents had knowledge about Q fever. About 45.5 and 33.3% of the health providers in Laikipia and Maasai Mara respectively expressed knowledge about SFGR and 9.1% in Laikipia expressed good knowledge on Q fever and none in Maasai Mara. The diseases are not considered amongst potential causes of febrile illnesses in most medical facilities except in one facility in Laikipia. Majority of pastoralists practiced at least one predisposing activity for transmission of the diseases including consumption of raw milk, attending to parturition and sharing living accommodations with livestock. Education efforts to update knowledge on medical personnel and One-Health collaborations should be undertaken for more effective mitigation of zoonotic disease threats. The local communities should be sensitized through a multidisciplinary approach to avoid practices that can predispose them to the diseases.

scholarly journals Efficacy Trial of Contrasting Approaches to the Response-Contingent Learning of Young Children with Significant Developmental Delays and Multiple Disabilities

2016 ◽  
Vol 7 (1) ◽  
pp. 12 ◽  
Author(s):  
Melinda Raab ◽  
Carl J. Dunst ◽  
Deborah W. Hamby
Keyword(s):  
Young Children ◽  
Developmental Delays ◽  
Primary Caregivers ◽  
Multiple Disabilities ◽  
Learning Opportunities ◽  
Efficacy Trial ◽  
Response Contingent ◽  
Very Young Children ◽  
Randomized Control ◽  
Efficient Learning

Findings from a randomized control design efficacy trial of an asset-based vs. needs-based approach to the response-contingent learning of infants and toddlers with significant developmental delays and disabilities who did not use instrumental behavior to produce or elicit reinforcing consequences are reported. The investigation included 71 children randomly assigned to the two contrasting types of interventions. The asset-based intervention and needs-based intervention differed in terms of how child behavior were identified and used to elicit reinforcing consequences as part of response-contingent learning games implemented by the children’s parents or other primary caregivers. Children in the asset-based group were provided more learning opportunities, acquired more response-contingent behavior, and demonstrated more efficient learning compared to children in the needs-based group. Implications for improving practices for very young children with significant developmental delays and multiple disabilities are described.

scholarly journals The Community Empowerment Program to Reduction Poverty in Banjar

TRIKONOMIKA ◽  
2016 ◽  
Vol 15 (1) ◽  
pp. 8
Author(s):  
Tete Saepudin ◽  
Acuviarta A
Keyword(s):  
Human Resources ◽  
Urban Communities ◽  
Program Implementation ◽  
Urban Poverty ◽  
Development Program ◽  
Community Empowerment ◽  
Environmental Threats ◽  
Poverty Program ◽  
Swot Matrix ◽  
Empowerment Program

This study aims to generate key strategies of sector development community empowerment to reduction poverty in Banjar. The analysis uses SWOT presented in three parts: SAP (Strategic Advantages Profile), ETOP (Environmental Threats and Opportunity Profile), and SWOT Matrix. The analysis showed the government’s attention to the program that was launched (district development program and the urban poverty program) where is by provision of Counterpart Funds from APBD has been increasing steadily every year. The mechanism has been implemented according to some regulations. The urban empowerment program should further focus and involve on the interests and needs of urban communities. The obstacles faced on the research to determine the program are, the execution (based onmain interest), the lack of human resources who understand and the plan ownership in preparing programs of community development and the lack of human resources with reliability in manufacturing reporting on the program implementation. 

scholarly journals A metric-based assessment of flood risk and vulnerability of rural communities in the Lower Shire Valley, Malawi

2015 ◽  
Vol 370 ◽  
pp. 139-145 ◽  
Author(s):  
A. J. Adeloye ◽  
F. D. Mwale ◽  
Z. Dulanya
Keyword(s):  
Rural Communities ◽  
Spatial Variability ◽  
Flood Risk ◽  
Flood Hazard ◽  
Sub Saharan Africa ◽  
Structured Interviews ◽  
Adaptation Measures ◽  
Flood Depth ◽  
Inundation Area ◽  
Sub Saharan

Abstract. In response to the increasing frequency and economic damages of natural disasters globally, disaster risk management has evolved to incorporate risk assessments that are multi-dimensional, integrated and metric-based. This is to support knowledge-based decision making and hence sustainable risk reduction. In Malawi and most of Sub-Saharan Africa (SSA), however, flood risk studies remain focussed on understanding causation, impacts, perceptions and coping and adaptation measures. Using the IPCC Framework, this study has quantified and profiled risk to flooding of rural, subsistent communities in the Lower Shire Valley, Malawi. Flood risk was obtained by integrating hazard and vulnerability. Flood hazard was characterised in terms of flood depth and inundation area obtained through hydraulic modelling in the valley with Lisflood-FP, while the vulnerability was indexed through analysis of exposure, susceptibility and capacity that were linked to social, economic, environmental and physical perspectives. Data on these were collected through structured interviews of the communities. The implementation of the entire analysis within GIS enabled the visualisation of spatial variability in flood risk in the valley. The results show predominantly medium levels in hazardousness, vulnerability and risk. The vulnerability is dominated by a high to very high susceptibility. Economic and physical capacities tend to be predominantly low but social capacity is significantly high, resulting in overall medium levels of capacity-induced vulnerability. Exposure manifests as medium. The vulnerability and risk showed marginal spatial variability. The paper concludes with recommendations on how these outcomes could inform policy interventions in the Valley.

scholarly journals Ever more parents in polyamorous families: A new materialist typology of parenting practices and division of work

Sexualities ◽  
2021 ◽  
pp. 136346072110374
Author(s):  
Cornelia Schadler
Keyword(s):  
Gender Roles ◽  
Parenting Practices ◽  
Qualitative Interviews ◽  
Gender Norms ◽  
Care Work ◽  
Family Structures ◽  
Traditional Family ◽  
Standard Family ◽  
And Gender ◽  
Family Models

An analysis of parents that are a part of polyamorous networks—networks of three, four, or even more residential or highly available parents—shows three types of parenting practices: poly-nuclear, hierarchical, and egalitarian parenting. Especially, the hierarchical and egalitarian parenting practices show novel divisions of care work and a transgression of gender norms. However, in-depth new materialist analysis of qualitative interviews also shows how parents are, in specific situations, pushed toward standard family models and thus unintentionally maintain traditional family structures and gender roles.

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