scholarly journals Self-Directed Female Migration in Ghana: Health and Wellness of Elderly Family Caregivers Left Behind. An Ethnographic Study

Author(s):  
Solina Richter ◽  
Kimberly Jarvis ◽  
Vida N. Yakong ◽  
Patience Aniteye ◽  
Helen Vallianatos

Driven by the global economic crisis, families are developing strategies for survival, including self-directed female migration. Female migration has negative and positive impacts on families in rural areas. The purpose of the project was to explore the health and wellness experiences of elderly family caregivers who have female family members who have migrated to improve the status of their families. In this focused ethnographic study, we interviewed elderly family members who had a female family member who migrated outside their community for employment. Participants were enrolled from northern Ghanaian communities known to be economically disadvantaged in comparison to their southern counterparts. All interviews were audio-recorded, transcribed verbatim, and translated into English. Data were analyzed based on thematic content. Majors themes that emerged were reasons for children leaving their families; physical, emotional, and spiritual health; and social and economic struggles. Challenges of family care work undertaken by the elderly in families with emigrated female kin strongly also emerged as a theme. New contextual knowledge was developed about the impact of self-directed female migration on the health and wellness of elderly family caregivers. The information is valuable for the development of culturally appropriate social support and health practices for female migrants and their families.

2017 ◽  
Vol 4 ◽  
pp. 233339361771492 ◽  
Author(s):  
Kimberly Jarvis ◽  
Solina Richter ◽  
Helen Vallianatos ◽  
Lois Thornton

In northern Ghana, families traditionally function as the main provider of care. The role of family, however, is becoming increasingly challenged with the social shifts in Ghanaian culture moving from extended kinship to nuclear households. This has implications for the care of women post obstetric fistula (OF) repair and their family members who assist them to integrate back into their lives prior to developing the condition. This research is part of a larger critical ethnographic study which explores a culture of reintegration. For this article, we draw attention to the findings related to the experience of family caregivers who care for women post OF repair in northern Ghana. It is suggested that although family caregivers are pleased to have their family member return home, there are many unanticipated physical, emotional, and economic challenges. Findings lead to recommendations for enhancing the reintegration process and the need for adequate caregiving support.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S135-S135
Author(s):  
Stipica Mudrazija

Abstract Older Americans living in the community who need help with basic activities of daily living overwhelmingly rely on unpaid care provided most commonly by working-age family members. Because unpaid family care limits the demand for nursing facilities and reduces expenses paid by Medicaid and other government programs, previous estimates of its economic value have mostly focused on estimating the benefits of unpaid family care. However, to assess accurately the overall economic value of unpaid family care and define better the scope for policy intervention, it is also important to account for the costs of such care, yet our knowledge of their magnitude remains limited. This study assesses the impact of unpaid family caregiving on the likelihood of working and hours worked for caregivers, and calculates the related cost of forgone earnings today and in 2050. To do so, it matches family caregivers from the National Study of Caregiving with non-caregivers from the Panel Study of Income Dynamics, and uses projections from the Urban Institute’s DYNASIM microsimulation model to inform calculations of future costs of foregone earnings. Results suggest that the cost of foregone earnings attributable to caregiving is currently about $67 billion. By mid-century, it will likely more than double, outpacing the growth of disabled older population as the share of better-educated caregivers with higher earning capacity increases. Policymakers can use these results to inform their current and future policy efforts aimed at assisting family caregivers who are facing the challenge of balancing work and caregiving responsibilities.


Author(s):  
Lotte Marcus ◽  
Valerie Jaeger

ABSTRACTThe experiences of elderly persons caring for elderly family members at home were examined by means of in-depth interviews with fourty-seven subjects in Montreal and seven in England. The analysis of the Montreal sample revealed that denial of fears and unwillingness to think about the future, as well as negative assessments of cared-for-person's health were more prevalent in women than in men. Women also mentioned more frequently that religious beliefs influenced their caregiving and seemed to feel more strongly the impact and burden caregiving placed on them. Experiences with old people in earlier life was associated with low burden scores; few visitors and a belief that cared-for-person was critical of them were associated with high burden scores. Suggestions for further research and recommendations for supportive services to caregivers are made.


2021 ◽  
Vol 17 (20) ◽  
pp. 163
Author(s):  
Ousmane Barry ◽  
Honoré Mimche ◽  
Patrice Tanang Tchouala ◽  
Hamidou Kone

Le statut social de la femme est un critère de différenciation dans le domaine de la migration internationale féminine. Cependant la littérature reste peu prolixe sur la relation entre celui-ci et la pratique migratoire. Cette étude vise à documenter les liens entre le statut des femmes et leurs comportements migratoires dans le contexte burkinabè. Elle s’appuie sur des données secondaires, 3 880 femmes âgées de 15 ans et plus, issues de l’enquête sur l’Interaction entre Politiques Publiques, Migrations et Développement (IPPMD) au Burkina Faso en 2014 collectées auprès de 2 200 ménages. L’analyse a été à la fois descriptive (bivariée et multivariée) et explicative (régression logistique). Les résultats montrent que le statut social de la femme est négativement associé à l’émigration internationale des femmes. Les émigrées sont celles qui ont un statut faible. Elles résident en milieu rural, dans des ménages ayant une expérience migratoire et un niveau de vie faible. Le statut social de la femme explique le départ vers l’étranger chez les femmes Burkinabè et contribue à l’exacerbation des flux migratoires au Burkina Faso. Le sexe du chef de ménage et la taille du ménage constituent un autre groupe de variables qui influencent directement l’émigration des femmes mais aussi de façon indirecte via le statut de celles-ci. En conclusion, cette étude aurait contribué à une compréhension plus large sur les migrations féminines au Burkina Faso. Au regard de ces résultats, l’amélioration des conditions de vie des femmes et l’analyse de l’impact de l’émigration internationale de cellesci sur certains secteurs de développement local telles que la santé et l’éducation constituent des pistes à explorer afin de contribuer à l’autonomisation des femmes d’une part et de tirer les avantages qu’offre la migration d’autre part.   The social status of women is a criterion of differentiation in the field of international female migration. However, the literature is not very prolific on the relationship between this and the practice of migration. This study aims to document the links between the status of women and their migratory behavior in the Burkina Faso context. The study is based on secondary data, 3,880 women aged 15 and over, from the survey on the Interaction between Public Policies, Migration and Development (IPPMD) in Burkina Faso in 2014 collected from 2,200 households. The analysis was both descriptive (bivariate and multivariate) and explanatory. Results show that the social status of women is negatively associated with the international emigration of women. The emigrants are those who have a weak status. They live in rural areas, in households with migratory experience and a low standard of living. The social status of women explains the departure abroad among Burkinabè women and contributes to the exacerbation of migratory flows in Burkina Faso. The sex of the head of the household and the size of the household constitute another group of variables that directly influence the emigration of women but also indirectly via their status. In conclusion, this study would have contributed to a broader understanding of female migration in Burkina Faso. Based on these results, improving the living conditions of women and analyzing the impact of their international emigration on sectors of local development such as health and education are avenues for consideration to explore in order to contribute to the empowerment of women on the one hand and to reap the benefits of migration on the other.


2021 ◽  
Vol 2 (1) ◽  
pp. 30
Author(s):  
M Husen MR ◽  
Maulin Maulina

Consumptive behavior does not only affect modern urban society. The reality is that farmers who generally live in rural areas are also influenced by the consumptive culture. Post-harvest agricultural products are used as a momentum for shopping. The commodities purchased are not limited to necessities but also other needs that are the fulfillment of desires. This study focuses on farmers who do not own land in farming rice and have post-harvest consumptive behavior. Besides, this study also looks at the impact of consumer behavior on their lives. This research uses qualitative methods with a descriptive approach. The results showed that the motives of the families in Gampong Matang Maneh for post-harvest consumptive behavior were the availability of costs and the desire to behave consumptively. The impact of consumptive behavior on post-harvest farmers in Gampong Matang Maneh includes being unable to pay rent for land and difficulty meeting basic needs. Meanwhile, the efforts in meeting their daily needs are (a) involving family members to working, (b) and owes for basic needs.AbstrakPerilaku konsumtif tidak hanya menjangkiti masyarakat modern perkotaan. Realitasnya para petani yang umumnya hidup di wilayah pedesaan juga terpengaruh budaya konsumtif. Pasca panen hasil pertanian dijadikan momentum untuk berbelanja. Komoditas yang dibeli tidak terbatas pada kebutuhan pokok melainkan juga kebutuhan lain yang bersifat pemenuhan hasrat dan keinginan. Penelitian ini memfokuskan pada petani yang tidak memiliki lahan sendiri dalam bertani padi dan berperilaku konsumtif pasca panen. Selain itu, studi ini juga melihat dampak yang ditimbulkan dari perilaku konsumtif terhadap kehidupan keluarga petani. Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif. Hasil penelitian menunjukkan bahwa motif keluarga petani di Gampong Matang Maneh berperilaku konsumtif pasca panen adalah tersedianya biaya dan keinginan berperilaku konsumtif. Adapun dampak perilaku konsumtif terhadap petani pasca panen di Gampong Matang Maneh diantaranya tidak sanggup membayar sewa tanah dan kesulitan memenuhi kebutuhan pokok. Sementara upaya yang dilakukan dalam memenuhi kebutuhan sehari-hari adalah (a) melibatkan anggota keluarga dalam bekerja, (b) dan mengutang kebutuhan pokok.


2019 ◽  
pp. 1-4
Author(s):  
E. Wool ◽  
J.L. Shotwell ◽  
J. Slaboda ◽  
A. Kozikowski ◽  
K.L. Smith ◽  
...  

Background: Home-based primary care (HBPC) provides team-based clinical care for homebound patients who have difficulty accessing typical outpatient care. Interdisciplinary team members also provide social and emotional support and serve as a resource for family caregivers, who often experience significant emotional stress. Objectives: This qualitative study explores the impact of HBPC on family caregivers to identify aspects of the program that caregivers find most helpful and meaningful as well as areas for improvement. Design: Semi structured recorded interviews were conducted with family caregivers of frail, elderly homebound patients. Interviews included the following topics: overall program satisfaction and suggestions for improvement. Setting: A HBPC program serving patients in Queens, Nassau and Suffolk counties in New York. Participants: Nineteen family caregivers: 13 women, 6 men; 10 were adult children; 6 were spouses, and 3 were other family members of patients in a HBPC program. Measurements: Thematic coding of all recorded transcribed interviews was prepared by 3 qualitative coders. Interrater reliability was conducted to ensure reliability across coders before themes were disseminated and discussed until consensus was achieved with the larger group of investigators. Results: Three main themes were identified: the importance of staff emotional support; the burden of caring for homebound patients; and the need for a broader range of home-based services. Multiple family members noted that the program not only had saved their loved one’s life, but had also metaphorically saved their own. Conclusions: Family caregivers value the communication and accessibility of HBPC and report that the program has a positive impact on their stress and mental health. Results can inform key aspects that need to be retained or enhanced with the expansion in HBPC programs.


Author(s):  
Jorge Bravo-Benítez ◽  
María Nieves Pérez-Marfil ◽  
Belén Román-Alegre ◽  
Francisco Cruz-Quintana

The main objective of this study was to analyse the experience of grief and feelings of loss in family caregivers of children diagnosed with autism spectrum disorder (ASD), as well as the perceived overload from taking on the primary caregiver role. Twenty family caregivers of children with ASD participated. The family members were assessed using an ad-hoc semi-structured interview that addressed the families’ reactions to the diagnosis, implications for daily functioning, and concerns for the immediate and long-term future of their relatives with ASD. The results indicate that family caregivers of children with ASD endure intense and continuous sorrow and grief due to the impact that having and caring for a child with these characteristics has on all aspects of their lives. These data highlight the importance of creating support and intervention programmes and services focused on the feelings and manifestations of ambiguous grief that occur in these family members, in order to improve their well-being and quality of life and reduce caregiver role overload.


2021 ◽  
Author(s):  
Mengyun Chen ◽  
Xiubin Zhang

Abstract Background: China has the largest older population in the world. With the increasing trend of ageing, the problem of suicide among old people is increasing rapidly, especially in rural areas. The pressures and challenges faced by family members of loved ones who have committed suicide has been studied closely around the world. However, the impact of suicide on the lives of family members have not received enough attention in China. Therefore, it is very important to understand the lived experience of the family members of older people who have committed suicide. The study aims to understand the lived experiences of family members who have experienced their older family member’s suicide in a rural area based in Shaanxi Province, China.Methods: Interpretative phenomenological analysis (IPA) was used for this study. Semi-structured individual interviews with five family members of older people who have committed suicide recruited from a rural area of Shaanxi Province, China.Results: Three main themes emerged from the study: (a) Initial reactions; (b) Continual effects; (c) Social attitudes.Conclusions: With the development of China’s economic, social and cultural changes, the suicide of the older people in rural China poses a challenge to the future living quality of their family members. It shows that it is necessary to pay attention to families of older people who have committed suicide. It also shows that more support is required to improve the quality of life of families of older people who have committed suicide in rural China.


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