Developing a best practice model of refugee maternity care

BackgroundAbout one third of refugee and humanitarian entrants to Australia are women age 12–44 years. Pregnant women from refugee backgrounds may have been exposed to a range of medical and psychosocial issues that can impact maternal, fetal and neonatal health.Research questionWhat are the key elements that characterise a best practice model of maternity care for women from refugee backgrounds? This paper outlines the findings of a project which aimed at developing such a model at a major maternity hospital in Brisbane, Australia.Participants and methodsThis multifaceted project included a literature review, consultations with key stakeholders, a chart audit of hospital use by African-born women in 2006 that included their obstetric outcomes, a survey of 23 African-born women who gave birth at the hospital in 2007–08, and a survey of 168 hospital staff members.ResultsThe maternity chart audit identified complex medical and social histories among the women, including anaemia, female circumcision, hepatitis B, thrombocytopenia, and barriers to access antenatal care. The rates of caesarean sections and obstetric complications increased over time. Women and hospital staff surveys indicated the need for adequate interpreting services, education programs for women regarding antenatal and postnatal care, and professional development for health care staff to enhance cultural responsiveness.Discussion and conclusionsThe findings point towards the need for a model of refugee maternity care that comprises continuity of carer, quality interpreter services, educational strategies for both women and healthcare professionals, and the provision of psychosocial support to women from refugee backgrounds.     

Small mammal assemblages in fragmented shrublands of urban areas of Central Chile

Mediterranean-type ecosystems are one of the most affected environments by habitat loss and fragmentation due to urban development, however only few studies have evaluated the effects of urbanization on the biodiversity of remnant fragments in these ecosystems. This study aims to evaluate the effects of urban development over small mammal assemblages inhabiting isolated forest fragments of an urban area of Chilean Mediterranean zone. We compared abundance and richness of small mammal assemblages of six remnant fragments within an urban matrix, and six fragments similar in area and habitat characteristics with those of urban area, but surrounded by a rural matrix. We found that small mammal assemblages differ considerably among fragments types (urban vs rural), with lack of endemic species from urban fragments and with high proportion of introduced rodents in urban fragments. Furthermore abundance of small mammals was higher in rural than in urban fragments. In urban areas small mammal abundance and richness were not correlated with any of the explanatory variables assessed (woody cover, flora heterogeneity, fragment area, perimeter/area ratio). However in rural fragments small mammal richness was negatively correlated with flora heterogeneity and the abundance of small mammals was positively correlated with perimeter/area ratio. These results reveal important differences within the effects of fragmentation over small mammal assemblages among the two types of fragments assessed. Our findings suggest that in forest fragments isolated by urbanization, larger areas with good quality habitats are not sufficient to maintain native small mammal population.     

SPORTING EVENTS,EMOTIONAL CUES,AND CRIME: SPATIAL AND TEMPORAL EVIDENCE FROM BRAZILIAN SOCCER GAMES

Utilizing a novel data set of police reports that provides granular street‐ and vehicle‐level information on vehicle thefts and robberies in the city of São Paulo, Brazil, we explore the impact of soccer games and their outcomes on crime and study its spatial heterogeneity. Estimates from a regression discontinuity design suggest that crime increases immediately after home games in streets that are within a tight radius from the stadiums. The effect is driven by vehicle thefts with popular car models being more likely to be targeted and is particularly salient after upset losses and derby games.(JEL D91, R12, Z2)     

Mapping the Field of Donation-Based Crowdfunding for Charitable Causes: Systematic Review and Conceptual Framework

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - This study compiles the main findings in the field of academic research on pure donation-based crowdfunding (DCF)...     

The performance of the income protection system for older adults in Ecuador and future challenges

The objective of this article is to analyse the performance of Ecuador’s pension system and the challenges it will face in the future. Over the last 13 years, the pension system has made significant advances in terms of coverage and adequacy. However, demographic ageing is straining the financial sustainability of the contributory scheme. In this context, a number of public policy areas are identified, in terms of parameters and structures, which, together with the expansion of non-contributory coverage, could provide a more equitable and sustainable scheme.     

Intergenerational cooperation within the household: a Public Good game with three generations

We analyze cooperation of individuals in a family context, using a Public Good game. In a lab experiment, 165 individuals from 55 three-generation families (youth, parent, and grandparent) play a repeated Public Good game in three different treatments: one in which three members of the same family play each other (family), a second with the youth and two non-family members, while preserving the previous generational structure (inter-generational), and a third in which three randomly-selected players play each other (random). We find that all the age groups cooperate more when playing with relatives, indicating that family ties may have a positive relationship to contributions to the Public Good. We also find that this trend is more evident for the youths and the parents than for the grandparents. Furthermore, young individuals tend to cooperate less than older generations, especially in non-family treatments. Our results serve as evidence of the relationship between family ties and inter-generational cooperative behaviors.

     

Sexual Practices Among a Sample of Young Lesbian and Bisexual Women from Mexico: An Exploratory Study

Objective: To describe sexual practices in Mexican lesbian and bisexual women. Materials and method: An online survey was conducted with a nonprobabilistic sample of self-identified lesbian (n?=?768) and bisexual (n?=?371) women from the 32 states of Mexico. Results: Lesbians less frequently reported having had sex with a man than bisexual women. Preferred sexual practices with other women were external genital stimulation with fingers, internal genital stimulation with fingers, and oral genital stimulation. Most (～80%) participants did not use protection to prevent sexually transmitted infections. Conclusions: Our results can inform the design of promotion and prevention programs in sexual health aimed at sexual minority women.     

A spatial model of political competition and proportional representation

 A spatial model of party competition is studied in which: (i) Parties are supposed to have ideology. By this we mean that their goal is to maximize the welfare of their constituencies. (ii) The policy implemented after the election does not need to coincide with the one proposed by the winner. The policy implemented should be a compromise that considers the proposals made by the different parties. In the case of proportional representation this compromise is modeled as a convex combination of the proposed policies with weights proportional to the number of votes obtained by each party. We provide some existence theorems and compare the equilibrium in our model with the equilibrium that exists under some probabilistic models. It is also shown that proportional representation will create incentives for the parties to announce radical platforms. Received: 17 May 1994/Accepted: 5 March 1996     

Deaths at the borders database: evidence of deceased migrants’ bodies found along the southern external borders of the European Union

Irregular migrants and asylum seekers have died and continue to die attempting to cross the external borders of the EU without authorisation, seeking to enter the territories of its Member States. Yet, remarkably little is known about these ‘border deaths’. In 2015, the Human Costs of Border Control project published the Deaths at the Borders Database for the Southern EU, an open-source ‘evidence base’ of individualised information about people who have died border deaths between 1990 and 2013, sourced from the death management systems of Spain, Gibraltar, Italy, Malta and Greece. It is the first database on border deaths in the EU to be based on official sources as opposed to the news media. The project involved searching 563 state-run death registry archives and deductively selecting the death certificates of persons who died border deaths. This paper describes, in detail, the making of the Deaths at the Borders Database: from the systematic, multi-sited, quantitative data collection and qualitative case studies, to the construction and final results of the Database itself.