47,352 research outputs found

    'Mum never loved me.' How structural factors influence adolescent sexual and reproductive health through parent–child connectedness: a qualitative study in rural Tanzania

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    Research in high income countries shows parent–child connectedness to be protective against undesirable sexual and reproductive health (SRH) outcomes among young people. Little has been done to understand the nature of parent–child connectedness, the structural factors that impact on connectedness and parents’ understanding of how connectedness affects their children's sexual behaviour in sub-Saharan Africa and Tanzania in particular. Ethnographic research involved 30 days of observation in 10 households, 9 focus group discussions and 60 in-depth interviews. Thematic analysis was conducted using NVIVO qualitative data analysis software.<p></p> The structural factors with greatest influence on connectedness were economic circumstances, gender, social status, state education, and globalisation. Economic circumstances impacted on parent–child connectedness through parents’ ability to provide for their children's material needs, and the time their occupation allowed for them to spend with their children and monitor their activities. Appropriate parent–child interactions were shaped by gender norms and by social status in the form of respectability, adolescents’ adherence to norms of respect/ obedience shaping their parents’ affection. State education affected parents’ preferences between children but also undermined parental authority, as did broader globalisation. Connectedness was related to SRH in a bi-directional way: lack of connectedness was linked to young people's low self-esteem and risky sexual behaviour while unplanned pregnancies seriously undermined young women's connectedness with their parents. Since material provision was perceived to be a central element of parent–child connectedness, structural factors limiting provision made transactional sex more likely both through direct material pathways and emotional ones. Motives for transactional sex were said to be material needs and to feel loved and cared for.<p></p> An important pathway by which structural factors shape adolescent SRH outcomes is through parent–child connectedness, especially parents’ ability to spend time with their children and provide for their economic needs. Modifying these structural factors should facilitate parent–child connectedness, which may help delay early sexual intercourse, protect young people against unplanned pregnancy through encouraging communication on contraception use and, overall, promote healthy adolescent development

    Gender and innovation processes in wheat-based systems

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    This WHEAT report is based on 43 village case studies from eight countries set in diverse wheat-based farming regions of the Global South

    Imagined Hierarchies as Conditionals of Gender in Aesthetics

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    The attributes of gender in the media are disputable. This can be explained by a conflict generated by culturally acquired alternative imagined hierarchies which are not compatible or may be even contradictory. This article is a philosophical enquiry that examines the representation of gender and the environment in which it is conditioned

    Breadwinners and Homemakers: Migration and Changing Conjugal Expectations in Rural Bangladesh

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    The literature on marriage norms and aspirations across societies largely sees the institution as static – a tool for the assertion of masculinities and subordination of women. The changing meanings of marriage and conjugality in the contemporary context of globalisation have received scant attention. Based on research in rural Bangladesh, this article questions the usefulness of notions of autonomy and dependence in understanding conjugal relations and expectations in a context of widespread migration for extended periods, especially to overseas destinations, where mutuality is crucial for social reproduction, though in clearly genderdemarcated domains

    Gender and innovation processes in maize-based systems

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    This MAIZE report offers a panorama of the gender dimensions of local agricultural innovation processes in the context of maize-based farming systems and livelihoods

    From Function to Competence: Engaging with the New Politics of Family

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    This paper argues for a critical reclaiming of family and highlights the risks associated with decentring such a powerful and pervasive concept. Influential critiques of family as an organising category are considered in the context of a contemporary trend towards reorienting it within broader studies foregrounding personal and intimate realms of human connectedness. It is suggested that while concepts of personal lives and intimacy have much to offer they can not capture the full range and nature of relations raised through the lens of family. In particular the political consequences of subsuming family within wider approaches are set out through reference to a new public politics of family in which emphasis is placed less on structure and function, and more on knowledge and competence. Through an exploration of the key changes characterising this shift a case is made for retaining family (alongside intimacy and personal life) as a flexible, enduring and necessary sociological framework.Family, Politics, Intimacy and Personal Lives, Policy

    Constraints faced by urban poor in managing diabetes care: patients' perspectives from South India

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    Background: Four out of five adults with diabetes live in low- and middle-income countries (LMIC). India has the second highest number of diabetes patients in the world. Despite a huge burden, diabetes care remains suboptimal. While patients (and families) play an important role in managing chronic conditions, there is a dearth of studies in LMIC and virtually none in India capturing perspectives and experiences of patients in regard to diabetes care. Objective: The objective of this study was to better understand constraints faced by patients from urban slums in managing care for type 2 diabetes in India. Design: We conducted in-depth interviews, using a phenomenological approach, with 16 type 2- diabetes patients from a poor urban neighbourhood in South India. These patients were selected with the help of four community health workers (CHWs) and were interviewed by two trained researchers exploring patients’ experiences of living with and seeking care for diabetes. The sampling followed the principle of saturation. Data were initially coded using the NVivo software. Emerging themes were periodically discussed among the researchers and were refined over time through an iterative process using a mind-mapping tool. Results: Despite an abundance of healthcare facilities in the vicinity, diabetes patients faced several constraints in accessing healthcare such as financial hardship, negative attitudes and inadequate communication by healthcare providers and a fragmented healthcare service system offering inadequate care. Strongly defined gender-based family roles disadvantaged women by restricting their mobility and autonomy to access healthcare. The prevailing nuclear family structure and inter-generational conflicts limited support and care for elderly adults. Conclusions: There is a need to strengthen primary care services with a special focus on improving the availability and integration of health services for diabetes at the community level, enhancing patient centredness and continuity in delivery of care. Our findings also point to the need to provide social services in conjunction with health services aiming at improving status of women and elderly in families and society

    Marriage, Violence, and Choice:Understanding Dalit women's agency in rural Tamil Nadu

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    Literature on Dalit women largely deals with issues of violence and oppression based on intersections of class, caste and gender. Women’s bodies, sexuality and reproductive choices are linked to the ideological hegemony of the caste-gender nexus in India, with marriage and sexual relations critical in maintaining caste boundaries. Often the ways in which women manipulate their multiple, interlinked identities as women, Dalits, workers and home-makers to resist control over their bodies (labour and sexuality), negotiate conjugal loyalty and love, and construct a sense of selfhood is missed in the analyses. Based on research in rural Tamil Nadu, I analyse in this paper Dalit women’s narratives that reflect multiple concerns and dilemmas about marital choice and violence, generating in the process a deeper understanding of agency, voice and gender relations, as fluid, dynamic, and intersecting in response to changing experiences, positionalities and subjectivities

    Grandparental effects on reproductive strategizing

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    This paper analyzes data from the household registers for two villages in the Nôbi region of central Japan in the late Edo period (1717-1869) to assess how grandparents may have affected reproductive strategizing in stem families. The particulars of the family system fostered a culturally favored set of reproductive goals, in particular, a daughter as eldest child, followed by a son (and heir), coupled with gender alternation in subsequent reproduction and overall gender balance. This reproductive strategy was generally followed during the stem phase of the domestic cycle, when one or both grandparents were present, especially when the family head was in the senior generation. By contrast, a son-first strategy was favored when childbearing began in the conjugal phase of the cycle. This suggests grandparental influence on the junior couple’s reproductive decisions in favor of the cultural ideal. I find that the senior couple’s decision to marry the heir early or late strongly affects the reproductive strategies followed by him after marriage. I show that when a grandmother is present at the onset of childbearing, especially if she is relatively young, the junior couple ends up with more offspring on average. A controlled analysis of infanticiding behavior is interpreted in terms of conjugal power and coalition formation. It appears that a grandmother gets her way only when she and her son gang up on the daughter-in-law, but such a coalition is likely only when her son dominates the conjugal relationship (which in turn reflects the grandmother’s success in binding the son tightly to her emotionally and in delaying his marriage). Otherwise, the grandmother may be shut out from reproductive decision-making by the solidary conjugal coalition.family, historical household studies, infanticide, Japan, reproductive strategies
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