Reciprocity between older adults and their care-givers in emigrant households of Kerala, India

The felt obligation to return a benefit, termed reciprocity, has been identified as motivating care exchanges between older adults and their younger family members. Within the context of large-scale emigration of young adults from the Indian state of Kerala, this study examines how left-behind older adults and their family care-givers recognise, interpret and give meaning to reciprocal exchanges, expectations and obligations in their care relationship. Employing a social exchange perspective, we qualitatively explore the norm of reciprocity through in-depth interviews of 48 participants (older adults and their care-givers) from emigrant households. Older adults and their care-givers identified reciprocal notions in their care exchange relationship that provided an interpretive framework for describing expectations, motivations, obligations and experiences across care-giving relationships. Spousal care-givers derived reciprocal motives and mutual care obligations through the institution of marriage. Adult children recognised filial duties and responsibilities and were in principle prepared to provide care to their parents. Reciprocating the support received and the likelihood of intergenerational transfers motivated care exchanges from adult children to their older parents. Daughters-in-law executed transferred filial roles from their emigrant husbands and bore a larger burden of care. Primary adult care-givers relied on the ‘demonstration effect’, hoping that children observe the care-giving process and emulate it later. Imbalances and non-reciprocity in the care exchange led to frustrations and threatened the care relationships

Defect Formation and Kinetics of Atomic Terrace Merging

Pairs of atomic scale terraces on a single crystal metal surface can be made to merge controllably under suitable conditions to yield steps of double height and width. We study the effect of various physical parameters on the formation of defects in a kinetic model of step doubling. We treat this manifestly non- equilibrium problem by mapping the model onto a 1-D random sequential adsorption problem and solving this analytically. We also do simulations to check the validity of our treatment. We find that our treatment effectively captures the dynamic evolution and the final state of the surface morphology. We show that the number and nature of the defects formed is controlled by a single dimensionless parameter $q$. For $q$ close to one we show that the fraction of defects rises linearly with $\epsilon \equiv 1-q$ as $0.284 \times \epsilon$. We also show that one can arrive at the final state faster and with fewer defects by changing the parameter with time.Comment: 17 pages, 8 figures. To be submitted to Phys. Rev.

“A child may be tall but also stunted.":Conceptualization of and meanings attached to childhood height and short stature in rural Tanzania

Stunting affects large numbers of under-fives in Tanzania. But do caretakers of under-fives recognize height as a marker of child growth? What meanings do they attach to linear growth? An ethnographic study using cultural schemas theory was conducted in a rural community in Southeastern Tanzania to investigate caregivers’ conceptualizations of child height in relation to growth and the meanings attached to short stature. Data for the study was collected through 19 focus group discussions, 30 in-depth interviews, and five key informant interviews with caregivers of under-fives, including mothers, fathers, elderly women, and community health workers. Principles of grounded theory guided the data management and analysis. Although caregivers could recognize height increments in children and were pleased to see improvements, many held that height is not related to nutrition, health, or overall growth. They referred to short stature as a normal condition that caregivers cannot influence; i.e., as a function of God’s will and/or heredity. While acknowledging short stature as an indicator of stunting, most participants said it is not reliable. Other signs of childhood stunting cited by caregivers include a mature-looking face, wrinkled skin, weak or copper-colored hair, abnormal shortness and thinness, delayed ability to crawl/stand/walk, stunted IQ, and frequent illness. Culturally, a child could be tall but also stunted. Traditional rather than biomedical care was used to remedy growth problems in children. Public health programmers should seek to understand the local knowledge and schemas of child stature employed by people in their own context before designing and implementing interventions

Shrinking labour geographies: Transport access for paid work in later ages

Background and objectives In developing countries, a substantial share of the older population is employed (WHO, 2007), which is anticipated to triple between 2020 and 2050, bolstered by the rise of bridge employment in later life. Bridge jobs are part-time, informal work arrangements that serve as a transitional phase between full-time employment and retirement. While transport access for older adults is a primary policy concern in the age-friendly cities framework, their experiences of encountering and negotiating labour geographies, particularly transport systems to access bridge employment, are understudied. Research design and methods This paper used a qualitative and interpretative approach to analyse how older adults engage in nonlinear work patterns and commute to workspaces. We use a combination of visual mapping, observations, and in-depth interviews with older adults in Bengaluru, an urban metropolis in southern India. Results Older workers engage in regular mobility routines to access informal bridge jobs. Our results suggest that the precarity of their bridge jobs permeates into their mobilities. Class, gender, and spatialities create additional layers of barriers to their already constrained transport resources. Economically disadvantaged older individuals encountered shrinking labour geographies due to unaffordable public transportation and first-and-last-mile journeys. For reasons of safety, older women were forced to depend on shared and public transport options, which were often unreliable. Lastly, older workers residing in geographically marginalised areas find more difficulty in organising transport to bridge jobs. Discussion and implications Bridge jobs in informal arrangements are important means of livelihood for older persons in countries like India. Apart from the already precarious working conditions, the weak systemic transport support induces strain on the working conditions of older workers. From the purview of labour geography, adding to the natural limits of ageing, induced limits such as ageism and precarity at workplaces and non-age-friendly transport infrastructure create situations of vulnerable employment among older adults in the cities of the Global South

"When I Breastfeed, It Feels as if my Soul Leaves the Body":Maternal Capabilities for Healthy Child Growth in Rural Southeastern Tanzania

The burden of childhood stunting in Tanzania is persistently high, even in high food-producing regions. This calls for a paradigm shift in Child Growth Monitoring (CGM) to a multi-dimensional approach that also includes the contextual information of an individual child and her/his caregivers. To contribute to the further development of CGM to reflect local contexts, we engaged the Capability Framework for Child Growth (CFCG) to identify maternal capabilities for ensuring healthy child growth. Ethnographic fieldwork was conducted in Southeastern Tanzania using in-depth interviews, key informant interviews, participant observation, and focus group discussions with caregivers for under-fives. Three maternal capabilities for healthy child growth emerged: (1) being able to feed children, (2) being able to control and make decisions on farm products and income, and (3) being able to ensure access to medical care. Mothers' capability to feed children was challenged by being overburdened by farm and domestic work, and gendered patterns in childcare. Patriarchal cultural norms restricted women's control of farm products and decision-making on household purchases. The CFCG could give direction to the paradigm shift needed for child growth monitoring, as it goes beyond biometric measures, and considers mothers' real opportunities for achieving healthy child growth

Perceptions and Experiences of Informal Caregivers of Breast Cancer Patients in South India:A Qualitative Study

BACKGROUND: This study was conducted to explore the prevailing perceptions and experiences of caregiving burden among informal caregivers of women living with breast cancer in South India.METHODS: In-depth interviews were conducted among breast cancer care-receivers (n=35) and their informal caregivers (n=39) and a thematic analysis was used to analyze the data. Informal caregiver in the context of this study was defined as one who takes up the responsibility of an informal caregiving role, and were either self-identified or acknowledged by the care-receivers.RESULTS: Four main inductive themes in the domains of: emotional culpability, financial and workplace liability, psychosocial affliction, physical strain and health system demand were identified, that were associated with caregiver burden.CONCLUSION: Informal caregivers form an integral part of the cancer care continuum in India. It is recommended to factor in the identified themes while developing a caregiver needs assessment model in the context of caring for breast cancer patients in the Indian setting.</p

What happens next? Exploring women's transport motility through the story completion method

This paper explores the three elements of motility (access, competence, appropriation) through women's perceptions of travel using the metro rail in Delhi, India. Studies on metro rails are a recent phenomenon in developing countries where this is a relatively new transport mode. The concept of motility to explore gendered use of metro is useful in context of this South Asian city where women's movements (potential and actual) are contingent upon their ability to travel safely. Data was collected using story completion methods. Participants were asked to complete an online semi-structured form that presented five fictional story stems/openings. Data in this paper is based on stories finished by 84 female participants across Delhi with varying demographic profiles. This paper advances qualitative research on women's mobility and transport use by highlighting situation-specific metro access; necessary skills to optimize access; and how women actually use the metro system. Feelings of un/safety related to fear of sexual harassment, getting lost, and risk of contracting diseases in unhygienic conditions results in specific access of the metro to feel safe. Diverse skills to manage the access include: coping (e.g., adapting to delay in services), performative (e.g., mannerisms to feel safe from threat of violence), spatial (e.g., location of coach), cultural (e.g., awareness of norms), and sanitary skills (e.g., bodily modifications to feel safe from unhygienic conditions). Based on travel priorities and past mobility experiences (personal/shared), the skills and access shape how women travel and what they decide to do to travel safely. This paper advocates for gender inclusive guidelines and collecting disaggregate data in transport, especially for newer metro systems being planned or constructed. It presents an opportunity to consider the barriers to women's potential mobility; how/where transport systems can play a part; and the use of qualitative research methods to appreciate the diversity of women's travel experiences across different segments of their journeys

Framing safety of women in public transport: A media discourse analysis of sexual harassment cases in Bangladesh

This paper analyzes the role of print media in framing incidences of sexual harassment in public transport; particularly in the context of Bangladesh, where gender-based violence is highly prevalent in the public sphere. This article uses Douglas’ cultural theory to reflect on media practices and its institutional power to reframe the social problem through risk and blame attribution. We conducted a discourse analysis of 71 news articles extracted from four of the widely circulated and influential newspapers of Bangladesh. Our findings reveal that the hegemonic discourse of gender-based violence in public transport is systemic and/or primarily reliant on legal recourse. By contrast, discourses presenting sexual harassment as symptomatic of broader gender inequality is less frequent. Moreover, these media platforms belong to an assemblage of patriarchal social-power holders that collaborate with established law and order to facilitate a blame game, thereby relieving the same stakeholders of ownership and accountability. Given the power of news media in constructing meta-narratives of safety (and nudging policymakers), journalists must tread responsibly on issues of blame, women’s safety, and their rights to the city