A World of Confusion and Fog

Author(s):  
Lisa Yarger

This chapter explores how, unknown to Lovie, an underground home birth movement has quietly thrived in North Carolina in the several decades since the passage of the 1983 midwifery bill outlawing the practice of lay midwifery. This chapter also chronicles the founding in 1992 of a master’s level midwifery training program at East Carolina University in Greenville, a program that brought certified nurse-midwives (CNMs) into the eastern part of the state to train, teach and work. Two CNMs, Laurie Irwin-Pinkley and Maj-Liz Downey, befriend Lovie and facilitate her connection to the North Carolina chapter of the American College of Nurse-Midwives (ACNM). Lovie is flattered by their recognition of her as a pioneer but befuddled by the changes in her profession that make it difficult for her to identify completely with the younger nurse-midwives. Lovie tries and fails to understand her place in the new midwifery landscape.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lindsey Haynes-Maslow ◽  
Stephanie B. Jilcott Pitts ◽  
Kathryn A. Boys ◽  
Jared T. McGuirt ◽  
Sheila Fleischhacker ◽  
...  

Abstract Background The North Carolina Healthy Food Small Retailer Program (NC HFSRP) was established through a policy passed by the state legislature to provide funding for small food retailers located in food deserts with the goal of increasing access to and sales of healthy foods and beverages among local residents. The purpose of this study was to qualitatively examine perceptions of the NC HFSRP among store customers. Methods Qualitative interviews were conducted with 29 customers from five NC HFSRP stores in food deserts across eastern NC. Interview questions were related to shoppers’ food and beverage purchases at NC HFSRP stores, whether they had noticed any in-store efforts to promote healthier foods and beverages, their suggestions for promoting healthier foods and beverages, their familiarity with and support of the NC HFSRP, and how their shopping and consumption habits had changed since implementation of the NC HFSRP. A codebook was developed based on deductive (from the interview guide questions) and inductive (emerged from the data) codes and operational definitions. Verbatim transcripts were double-coded and a thematic analysis was conducted based on code frequency, and depth of participant responses for each code. Results Although very few participants were aware of the NC HFSRP legislation, they recognized changes within the store. Customers noted that the provision of healthier foods and beverages in the store had encouraged them to make healthier purchase and consumption choices. When a description of the NC HFSRP was provided to them, all participants were supportive of the state-funded program. Participants discussed program benefits including improving food access in low-income and/or rural areas and making healthy choices easier for youth and for those most at risk of diet-related chronic diseases. Conclusions Findings can inform future healthy corner store initiatives in terms of framing a rationale for funding or policies by focusing on increased food access among vulnerable populations.


Author(s):  
Joanne G. Carman

This article explores the accountability relationship between the state auditor’s office and non-profit organisations by examining the audit reports prepared by the North Carolina State Auditor’s Office for non-profit organisations from 2009 to 2018. The data collected for this study show that the extent to which the state auditor conducts audits of non-profit organisations is fairly limited. Yet, when it does audit them, it is doing so to police their behaviours, monitor their expenditures and ensure that they are being good stewards with the resources they have been given. The findings from this study have important implications, in that they suggest that other accountability mechanisms continue to be important, including: training and education for board members about their legal and fiduciary responsibilities; the importance of adhering to best practices and standards; and the important role that third-party watchdog organisations and accreditors can play in ensuring non-profit accountability.


Author(s):  
Jami L. Jones

Understanding a generation’s “peer personality” provides librarians a unique opportunity to develop services and programs tailored to the needs and unique attributes of a group of individuals. Master of Library Science students enrolled in a graduate research class at East Carolina University in Greenville, North Carolina, surveyed 245 18-to 24-year old members of the Millennial generation at various locations throughout the state to ascertain their use and perception of libraries and bookstores. Most important to Millennials are helpful library staff, good collections, and convenient hours. Least important are bargain items for sale, coffee, and the library or bookstore as a place to be with others.


Author(s):  
Sandy Smith-Nonini

Labor relations are a paramount consideration in crop agriculture, a labor-intensive industry that is dependent on land. The U.S. government has long regulated the supply of foreign farm labor on behalf of agribusiness, and that role became more critical as the industry restructured itself in the competitive neoliberal climate since the early 1990s. The H2A program, which permits quasi-private labor brokers to import Mexican “guest workers” for seasonal work on U.S. farms, expanded after 1990 into states in the mid-South, which was also experiencing new flows of undocumented immigrants. North Carolina emerged as the state importing the most H2A workers. This chapter draws on the case of the North Carolina Growers Association, the state's large H2A brokerage, to examine the relationship between the neoliberal state and guest workers during the 1990s. It shows that during the 1990s, the North Carolina H2A program morphed into a model of contractual labor relations that represented a case of “government by proxy,” not unlike other public-private partnerships formed in the neoliberal era. In this case, the state delegated responsibility for labor supply manipulation, control of workers, and regulatory oversight directly to private brokers who publicly represented and shared revenue streams with agribusiness growers.


1999 ◽  
Vol 4 (4) ◽  
pp. 256-262
Author(s):  
Art Johnson

AN OLD SAYING GOES SOMETHING LIKE THIS, “ARTISTS ARE born, not made.” For Billie Ruth Sudduth, this statement is not quite true. Billie Ruth, who lives in the North Carolina mountains, makes baskets that are prized by collectors from all across North America and have been displayed in the Renwick Gallery of the Smithsonian Institution in Washington, D.C. She is internationally known for her basket artistry and was the first woman to be designated a Living Treasure by the state of North Carolina. But she was not always a basket maker.


2014 ◽  

This chapter discusses the circumstances of Ramseur's promotion to the state militia after his resignation from the U.S. Army. It reports that Ramseur applied for a commission in the new Confederate army. The chapter notes that on the way south, Ramseur stopped to see his mentor, Daniel Harvey Hill, who was concluding his tenure as superintendent at the North Carolina Military Institute in Charlotte, and quickly received an appointment as first lieutenant. The chapter further notes that Ramseur was offered a more attractive opportunity on the way to his posting in the Department of Mississippi. It reports that he was immediately elected as captain of the eponymous light battery (Company A, Tenth North Carolina State Troops), and that, within a month's time, he was promoted to the rank of major in the state militia.


Author(s):  
Lisa Yarger

Lovie’s marriage takes her to the North Carolina town of Washington, where she takes a job with the Beaufort County Health Department and starts attending home births on the side. Lovie describes working under the granny law, given that North Carolina had no law at the time to regulate the practice of nurse-midwifery. At her job, she faces opposition from nursing colleagues prejudiced against midwifery who claim she is taking their profession “back to the dark ages.” Her prejudices against hospital births deepen after she has two babies at home and two in the hospital. This chapter also discusses Lovie’s departure from the health department in 1957 to embark on a solo home birth practice and chronicles the death of her husband, Marshall Shelton.


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