“People come and go but we don’t see anything”: How Might Social Research Contribute to Social Change?

In different fields of study, scholars interested in making a positive difference in the lives of their research communities insist on engaging policy makers and activists in their work. Paulo Freire, one of the most widely known public intellectuals, asserts that praxis enables critical thought, awareness and collaborative action for emancipation for oppressed groups. Within this framework, our contribution aims to provoke thinking on the need for accountability to research subjects in development research through an emphasis on producing policy-focused and change-driven, as opposed to purely theoretically oriented, knowledge. The overarching argument is that research should, in fact, be conscious and proactive about its contribution to positive social change. Drawing on primary data gathered through field research in Ghana between 2010 and 2016, the paper highlights respondent fatigue/distrust, cross-cultural translation, and the peculiarities of the diasporic researcher as some of the methodological challenges faced in the attempt to align one’s research towards the pursuit of positive social change. Some modest suggestions are provided regarding how to enhance the impact of research for social transformation

Advocating recognition and redistribution in poverty alleviation programs in Ghana : an examination of state and NGO programs and policies

Abstract This thesis argues that poverty alleviation strategies and programs carried out by the government and Non Governmental Organizations in Ghana provide affirmative solutions to poverty. This is because, these intervention strategies have been influenced by conventional discourses on poverty that fail to adequately address non-economic issues of poverty such as powerlessness, marginalization and tmder-representation. The study is carried out in a two-pronged manner; first, it analyses state policies and strategies, particularly the Ghana Poverty Reduction Strategy (GPRS), on poverty alleviation and compares these to NGO programs, implemented with funds and support from external donor organizations. Specifically, I focus on how NGOs and the governnlent of Ghana negotiate autonomy and financial dependency with their funding donor-partners and how these affect their policies and programs. Findings from this study reveal that while external influences dominate poverty alleviation policies and strategies, NGOs and the government of Ghana exercise varying degrees of agency in navigating these issues. In particular, NGOs have been able to adapt their programs to the changing needs of donor markets, and are also actively engaged in re-orienting poverty back to the political domain through advocacy campaigns. Overall, rural communities in Ghana depend on charitable NGOs for the provision of essential social services, while the Ghanaian government depends on international donor assistance for its development projects

Agency, Social Status and Performing Marriage in Postcolonial Societies

This article examines contextually-grounded perspectives on the socio-political significance of marriage in contemporary Ghanaian society. Drawing on qualitative interviews among men and women in northwestern Ghana, this article argues that, beyond historicizing the institution of monogamous marriage, women’s agency in desiring, and navigating marriages are performatively agentic and tied to attaining a myriad of socio-cultural, economic and political capital. Situated within the constrained articulations of participants, our findings alert us to complex negotiations and manoeuvres through which men and women aspire for specific forms of masculinities and femininities within the larger gender hierarchies.Institute for Social and Health Studies (ISHS

Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial

SummaryBackground Azithromycin has been proposed as a treatment for COVID-19 on the basis of its immunomodulatoryactions. We aimed to evaluate the safety and efficacy of azithromycin in patients admitted to hospital with COVID-19.Methods In this randomised, controlled, open-label, adaptive platform trial (Randomised Evaluation of COVID-19Therapy [RECOVERY]), several possible treatments were compared with usual care in patients admitted to hospitalwith COVID-19 in the UK. The trial is underway at 176 hospitals in the UK. Eligible and consenting patients wererandomly allocated to either usual standard of care alone or usual standard of care plus azithromycin 500 mg once perday by mouth or intravenously for 10 days or until discharge (or allocation to one of the other RECOVERY treatmentgroups). Patients were assigned via web-based simple (unstratified) randomisation with allocation concealment andwere twice as likely to be randomly assigned to usual care than to any of the active treatment groups. Participants andlocal study staff were not masked to the allocated treatment, but all others involved in the trial were masked to theoutcome data during the trial. The primary outcome was 28-day all-cause mortality, assessed in the intention-to-treatpopulation. The trial is registered with ISRCTN, 50189673, and ClinicalTrials.gov, NCT04381936.Findings Between April 7 and Nov 27, 2020, of 16 442 patients enrolled in the RECOVERY trial, 9433 (57%) wereeligible and 7763 were included in the assessment of azithromycin. The mean age of these study participants was65·3 years (SD 15·7) and approximately a third were women (2944 [38%] of 7763). 2582 patients were randomlyallocated to receive azithromycin and 5181 patients were randomly allocated to usual care alone. Overall,561 (22%) patients allocated to azithromycin and 1162 (22%) patients allocated to usual care died within 28 days(rate ratio 0·97, 95% CI 0·87–1·07; p=0·50). No significant difference was seen in duration of hospital stay (median10 days [IQR 5 to >28] vs 11 days [5 to >28]) or the proportion of patients discharged from hospital alive within 28 days(rate ratio 1·04, 95% CI 0·98–1·10; p=0·19). Among those not on invasive mechanical ventilation at baseline, nosignificant difference was seen in the proportion meeting the composite endpoint of invasive mechanical ventilationor death (risk ratio 0·95, 95% CI 0·87–1·03; p=0·24).Interpretation In patients admitted to hospital with COVID-19, azithromycin did not improve survival or otherprespecified clinical outcomes. Azithromycin use in patients admitted to hospital with COVID-19 should be restrictedto patients in whom there is a clear antimicrobial indication

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Assessing Universalism and The Rhetoric of Development Assistance in Human Rights Research: Canadian-Ghanaian Human Rights Engagements

This article is a contribution to the question of how Canada engages human rights in Ghana and Anglophone sub-Saharan Africa in general. In order to critically assess human rights engagement between Ghana and Canada, I situate the discussion within the broader global human rights milieu to deconstruct the myriad ways in which power dynamics in the global arena shape human rights practice and discourse. Using the rights concerns of women and minorities in Ghana as an entry point, I discuss the interconnected nature of first- and second-generation rights and cultural relativism in universal rights discourses. This discussion aims to propose a research agenda that will approach human rights in a more progressively transformative fashion

(Un)African women: identity, class and moral geographies in postcolonial times

The concrete and abstract geographies of difference on the African continent not only arise from environmental, socio-cultural and religious factors but also from the historical and differential impacts and experiences of colonization and its legacies. In this paper, we use the web series, An African City, as a reference point, to examine the troubling nature of binary depictions of a colonial/traditional Africa and a new/modern/global Africa. Relying on Postcolonial feminist methodologies of critique and deconstruction, we propose that in countering such simplistic narratives, Africa ought to be seen as constructed, abstract, material, plural and confusing in order to account for its complexities. In particular, we focus on the centrality of women to African identity discourses. We argue that while Afropolitan and Africa rising discourses simultaneously challenge and interrupt problematic colonial constructions of Africa as backward and in need of salvation, they also (perhaps more problematically) still re-centre the West as the progenitor of progress, thereby reiterating the colonial tale

2-12 From the streets to Twitter: Changing landscapes of protests and liberation in 21st century Africa and Possibilities

Organizers/Chairs: Grace Adeniyi-Ogunyankin (Queen\u27s University) & Sylvia Bawa (York University) Participants: Wumi Asubiaro-Dada (University of Toronto), Jake O. Effuduh (Osgoode Law, York University), Kemi Obando (Carleton University), Debbie Owusu-Akyeeah (Oxfam) and Kunle Oluwawehinmi (Queen\u27s University

Placental transfusion during neonatal resuscitation in an asphyxiated preterm model

BackgroundNeonatal Resuscitation Program does not recommend placental transfusion in depressed preterm neonates.MethodsOur objectives were to study the effect of delayed cord clamping (DCC) with ventilation for 5 min (DCCV, n-5), umbilical cord milking (UCM) without ventilation (n-6), UCM with ventilation (UCMV, n-6), early cord clamping followed by ventilation (ECCV, n-6) on red cell volume (RCV), and hemodynamic changes in asphyxiated preterm lambs. Twenty-three preterm lambs at 127-128 days gestation were randomized to DCCV, UCM, UCMV, and ECCV. We defined asphyxia as heart rate <100/min.ResultsThe UCMV had the highest neonatal RCV as a percentage of fetoplacental volume compared to the other groups (UCMV 85.5 ± 10%, UCM 72 ± 10%, ECCV 65 ± 14%, DCCV 61 ± 10%, p < 0.01). The DCCV led to better ventilation (66 ± 1 mmHg) and higher pulmonary blood flow (75 ± 24 ml/kg/min). The carotid flow was significantly higher in UCM without ventilation. The fluctuations in carotid flow with milking were 25 ± 6% higher from baseline during UCM, compared to 6 ± 3% in UCMV (p < 0.01).ConclusionsCord milking with ventilation led to higher RCV than other interventions. Ventilation during cord milking reduced fluctuation in carotid flow compared to UCM alone. DCCV led to better ventilation and pulmonary blood flow but did not increase RCV.ImpactThe best practice of placental transfusion in a depressed preterm neonate remains unknown. Ventilation with an intact cord improves gas exchange and hemodynamics in an asphyxiated preterm model. Cord milking without ventilation led to lower red cell volume but higher carotid blood flow fluctuations compared to milking with ventilation. Our data can be translated to bedside and could impact preterm resuscitation