The changing nature of population education for workers

The efforts of the International Labour Office (ILO) to educate workers in developing countries about population issues and family planning are discussed. "The author traces the evolution of ILO thinking from population control to family planning to family and community welfare and discusses the rationale for concentrating on the industrial sector, the programmes' orientation, content and methods, and the need to involve personnel managers and trade union leaders in particular."     

Traditional birth attendant training and local birthing practices in India

Training birth attendants (TBAs) provide essential maternal and infant health care services during delivery and ongoing community care in developing countries. Despite inadequate evidence of relevance and effectiveness of TBA training programmes, there has been a policy shift since the 1990s in that many donor agencies funding TBA training programmes redirected funds to providing skilled attendants during delivery. This study aimed to assess the ways in which a TBA training programme in India has been successful in disseminating evidence-based knowledge on birthing practices. TBAs practicing within 16 villages targeted by training programme initiatives were administered with structured questionnaires. The post training birthing practices of trained (24) and untrained (14) TBAs was compared and birthing practices adopted by women assisted by trained (16) and untrained (9) TBAs was analysed. Positive post training practices were hand washing, use of a clean blade for cutting the cord, immediate breastfeeding and weighing of babies. Nevertheless, the training could be further improved with up to date and evidence-based information and more comprehensive instructions. The findings suggest an integration of local and evidence-based knowledge is needed to improve the training. Raising community awareness of public health measures related to maternal and child health is also recommended.     

Population and family planning in developing countries: the employer's role

The overall population problem of the world is discussed briefly. The author asserts that rapid population growth has serious social and political implications and imposes serious restraints on economic progress. It is also linked to problems of urbanization. Family planning is a way out. The state alone is not enough to make family planning successful, it must be supported by the different segments of society. Employers have a major social responsibility in this respect. After this general introduction, and the assertion of the basic role of the employer in family planning programs, the author deals with the specific situation in India in terms of 1) its population problem, 2) progress and impact of the Indian family planning program, and 3) the role of employers in the promotion of family planning in India; a detailed section is devoted to the family planning centers of the Tata group of companies (Tata textile units, chemicals, iron and steel, engineering and locomotive, etc.). The author enumerates the measures to promote effective participation by employers, which include 1) an organized framework, 2) assistance to employers, and 3) removal of disincentives. The author concludes by saying that the efforts of employers to limit population growth need to be supplemented by international cooperation and action.     

A comparative study of health delivery systems of India and China

The medical systems which most of the developing countries have, are ad hoc adoptions inherited from their colonial masters and have met with little success in making health planning as part of their national planning. Very few countries have been able to overcome the resistance of the medical profession and the bureaucratic inertia which is a major obstacle in the transformation of this system to a broad based social service and integrating it with the process of socio-economic development planning. The adoption of this system by developing countries is a typical example of technological misfit. A cheap and labour intensive model for developing countries shall be a proper solution for the development of a health care delivery system for the masses. A solution to this problem is a mix or hybrid of the traditional and modern medicines which very recently have been exploited both in India and China. How far India and China have been successful and what is needed to be done is the subject matter of this paper.     

'I've Seen Changes'

Abstract

This article examines the political efficacy and effectiveness of American Indian and Hispanic women leaders in New Mexico. Using qualitative data from personal interviews with 50 grassroots activists and public officials involved in state, local, and/or tribal politics, I address the following research questions: Do American Indian and Hispanic grassroots activists and public officials perceive themselves as politically efficacious? How do their perceptions of efficacy differ? How effective are these activists and officials at influencing public policy and politics in New Mexico? The findings indicate that there are greater similarities among grassroots activists and public officials, as well as among Native and Hispanic women leaders, than might be expected from readings of classic political science literature. More importantly, while the majority of the leaders feel personally efficacious, there is substantial evidence of their impact both at the organizational level and in the larger political arena of state, local, and tribal politics.     

Implementation and evaluation of an HIV/STD intervention in Peru

This paper presents the lessons learned through a process evaluation (PE) after 1 year of implementation of a 2-year community intervention in Lima, Peru. The intervention consisted of training and motivating community popular opinion leaders (CPOLs) for three marginal population segments to disseminate prevention messages among their peers. PE data included: observations, qualitative interviews with CPOLS, conversations and messages delivered by CPOLs, training facilitators' perceptions about implementation, and a survey of CPOLs. The PE helped to document and enhance the intervention. CPOLs were motivated to talk to their peers. CPOLs perceived that their participation had an effect on their own risk behaviors and saw their role as beneficial to their community. The PE was helpful in examining training delivery and the feasibility and acceptability of the intervention in order to assess the elements related to program success necessary to replicate the CPOL model.     

Toward an assessment of the social role of rural midwives and its implication for the family planning program: an Iranian case study

An axiom of family planning programming is the importance of culturally-appropriate communicators and motivators. Traditional midwives seem ideal for this task but few studies have been done to verify this assumption by analyzing the midwife's social role as perceived by the community. 325 married women and 81 unmarried girls from a "model village" near Shiraz were interviewed by female undergraduates. 82.5% of the women are of childbearing age; 66% married before 14 years; 33% use contraception, mostly the pill, but most want large families because they expect high child mortality rates. Most of the older women are able to assist in childbirth but none, except the village's one recognized midwife, who is considered to have divine backing, will do so except in an emergency. The midwife's activities cause her to be held in low esteem by the community because 1) she has contact with a woman's sexual parts and this fact is public; 2) she has contact with vaginal excretia which are, in Islam, polluting; and 3) she is paid for her services, which labels her as a woman "without shame". The midwife is, however, widely used since women and their husbands fear the trip to the hospital and treatment by a male doctor much more than a midwife-supervised birth. The midwife in the study village had been there only 2 years and feels that she is not fully trusted. She is not consulted on birth control at all, because women expect the pill to be dispensed by doctors and consider other methods as a matter strictly between husband and wife. The midwife's role seems to complement that of the government health authorities rather than compete. The midwife's low status and circumscribed sphere of activity, the weak respect in which her advice is held and the pattern of having only 1 recognized midwife in a village at a time make the midwife a poor agent for family planning services. Her effectiveness as an agent of social change could be improved by training her in hygienic practices of childbirth and by redefining her role-relationship with the community. Studies should be done to identify the areas where traditional birth attendants are the best family planning communicators and those where that role is best left to others.     

Answering the Call: Virtual Migration in Indian Call Centres

This paper explores the daily, psychic journeys Indian call center agents undergo as they ‘virtually migrate’ between India and the US. A thin cable that runs half way around the globe bridges the ‘here’ and the ‘there’, connecting agents to faraway customers in real time. The new time-space relations generated by this virtual contact create conditions for these workers to undergo a global ‘migration’ from India and to America, even as their bodies remain bounded within the national homeland. To accommodate the US American workday, Indian agents often work the nightshift and sleep during the day, leaving them little time for family, friends, and cultural events. This temporal arrangement displaces them from the daily rhythms of Indian life, generating a sense of loss, longing, and nostalgia for ‘India’. Further, while agents experience a sense of distance from India, they also experience a movement toward ‘America’. Agents’ accounts suggest a feeling of living between worlds, yet their movement is decoupled from physical migration.     

Settler colonial power and the American Indian sovereignty movement: forms of domination, strategies of transformation

The article extends the multi-institutional model of power and change through an analysis of the American Indian Sovereignty Movement. Drawing upon cultural models of the state, and articulating institutionalist conceptions of political opportunities and resources, the analysis demonstrates that this framework can be applied to challenges addressing the state as well as nonstate fields. The rational-legal diminishment of tribal rights, bureaucratic paternalism, commonsense views of tribes as racial/ethnic minorities, and the binary construction of American and Indian as oppositional identities diminished the appeal of "contentious" political action. Instead, to establish tribes' status as sovereign nations, tribal leaders aggressively enacted infrastructural power, transposed favorable legal rulings across social fields to legitimize sovereignty discourses, and promoted a pragmatic coexistence with state and local governments. Identifying the United States as a settler colonial society, the study suggests that a decolonizing framework is more apt than racial/ethnicity approaches in conceptualizing the struggle of American Indians.     

Divine Development: Transnational Indian Religious Organizations in the United States and India

This article examines how Indian Americans’ religious organizations send not only financial remittances to India, but also social remittances that shape development ideologies. Comparing Indian‐American Hindu and Muslim organizations, I find both groups draw from their socioeconomic experiences in India and use their position as elite immigrants in the United States to identify and empower their respective religious constituencies in India and overturn different social relations (not just religious practices). Hindu Americans draw from their majority status in India to overturn India's lower position in the world system and support poverty alleviation efforts within a neoliberal development framework. Indian‐American Muslims draw from their poor status in India to overturn economic inequities within India by shifting India's development rhetoric from identity to class. Collective religious identities (expressed through organizations) not only affect the intensity of immigrants’ development efforts, but also their content and ideology. These findings urge us to fold transnational religious organizations into contemporary discussions on migration and development.     

Migrant-nonmigrant differentials in socioeconomic status,fertility and family planning in Nepal

This study identifies the socioeconomic characterisitics of immigrants in Nepal, their fertility, and the incidence of family planning. These characterisitics are contrasted with the receiving or nonmigrant population and inferences drawn regarding the probable social and demographic impact immigrants may have on the "receiving" population. Demographic surveys were conducted annually from 1975 through 1978 in the Hills and Terai by the research and evaluation unit of the Family Planning/Maternal Child Health (FR/MCH) Project. In each of these geographic areas, all districts were matched on a set of social and demographic characteristics. 2 districts were then selected from each area on the basis of their similarity to each other. The sample design for all districts involved selection of panchayats (a political unit roughly equivalent to a country) and their wards (villages) on the basis of a procedure which refers to a selection of units based upon probabilities proportional to size of the population of the units. Currently married women aged 15-44 in all households of the secondary sampling units, i.e., wards, were interviewed. Both migrant women and their husbands had a higher level of educational attainment than nonmigrant women and their husbands. Indian migrants had higher proportions in the largest landholding groups than nonmigrant and lower proportions who are landless. The differential was maintained among Indians who had lived in the Terai for 10 years or less as well as 11 years or more. This finding was particularly striking since Indian migrants make up 25% of the sample. Current marital fertility (as measured by age specific and total fertility rates) was highest among Indian migrants, but cumulative fertility or past reproductive performance (as measured by the mean number of children ever-born) was highest among migrants from "other districts." With the exception of the youngest age group, migrants from "other districts" have higher proportion of "ever users" and "current users" of family planning than nonmigrants or migrants from India throughout the age structure. The highest proportion for both "ever users" and "current users" was reached at ages 35-39 years. Indian migrants in contrast had the lowest proportions of "ever users" and "current users" throughout the age structure (with the exception of the age group 35-39).     

Giving Good Sermons in Therapy

SUMMARY

Social workers and other therapists often deliver “sermons” which are not heard by their clients. Like some preachers who lose their congregations with dull monologues, therapists can lose their audiences through ineffective preparation or poor delivery. The effective preparation and delivery of messages are addressed in the body of literature known as homiletics. This article begins a conversation between practitioners of homiletics and of family therapy. A discussion of the vital elements of an effective sermon as well as its preparation and delivery that makes sense to clients is offered. Vignettes to illustrate various uses of sermons in therapy are included.     

关于发展社区养老模式的研究

我国已进入老龄化社会,老年人如何养老已成为我国社会生活中的一个突出问题。由于家庭结构和人口政策的变化,传统的家庭养老和社会养老己不能适应我国社会的现实需要,而社区养老模式以其独特的优势正引起广泛的关注,集中建设的专业化老年社区能更好地行使社区的养老职能,发挥出更大的社会和经济效益。构建和发展社区养老模式,须统筹协调,完善相关扶持政策;注重社区养老产品的差别化,拓宽养老目标群体的覆盖面;强化专业培训,实行养老服务人才资格认证制度;引用社会多种资源,完善社区助老服务设施;开发拓展,加快社区养老服务产业化进程;联合各方力量,加强对公众的宣传、引导。     

Adolescent Gambling on a Great Lakes Indian Reservation

SUMMARY

The gambling habits of adolescents and the relationship between gambling, other high-risk behaviors and self-esteem were investigated. One hundred eighty-five American Indian and non-Indian students in grades 7–12 in two schools (one tribal and one public) were surveyed on a Great Lakes Indian Reservation. The seventy-eight item survey replicated a previous study on another reservation. The instrument reported data by age, gender, school, ethnicity, socio-economic status, incidence of high-risk behaviors, self-esteem indicators, and incidence(s) of individual and family gambling. The results indicated statistically significant relationships between gambling habits, parental gambling, other high-risk behaviors, and self-esteem. These findings have implications for American Indian youth and their families, for tribal leaders making policy decisions, and for social workers who provide services to these communities.     

Transnational ties and ethnic identities in the parental homeland: second-generation Indian Americans in India

ABSTRACT

This article explores the ‘return’ migration of high-skilled, second-generation Indian-Americans from the United States to India. Based on interviews with fifty-six respondents, it asks: What transnational ties do second-generation Indian Americans maintain with India prior to return? Upon return, what are their ‘reverse’ transnational linkages to the United States? How do these linkages shape their ethnic identities, if at all? Findings suggest that respondents’ transnational ties to India prior to return reinforce their identities as Indian Americans. Once in India, they maintain affective and civic ties to the United States, the country where they were born or raised. Further, American-inflected social ideas and norms shape returnees’ interactions with domestic workers in India. As they grapple with the disparities between Western and Indian norms on the treatment of domestic help, respondents privilege ‘American’ identities. These findings highlight the transnational ties and identity construction and negotiation of second-generation returnees.     

Professional Women, Good Families: Respectable Femininity and the Cultural Politics of a “New” India

This study of professional software women in urban India examines practices of respectable femininity and discourses of the Indian family to understand the changing and abiding aspects of a seemingly new national culture. Colonial and nationalist constructs of the Indian home, and the middle-class women who protected that home, continue to powerfully shape everyday articulations of national belonging, even as they are transformed through individual negotiations and a global economy. Drawing from extensive interviews and ethnographic work, this paper analyzes the interplay of gender, class, and nation in contemporary urban India as individualized, gendered efforts to accumulate symbolic capital.

Education and changing reproductive behavior in Ghana

It has recently been posited by several researchers that a fertility transition is under way in Ghana. Such fertility decline would be the first instance on the west coast of Africa. Data from the 1988 Ghana Demographic and Health Survey allows closer assessment of this earlier speculation. Review of the data suggests that earlier assertions of the existence of fertility transition were premature and hastily drawn from fragmented evidence. Little evidence exists to support any hypothesis of a fertility turnaround in ghana. The findings are, however, cautiously optimistic with some indication that continued increases in the proportion of women with some secondary education may yet induce a fertility transition in the country. The author notes the lack of individual motivation to reduce fertility in Ghana and questions the merit of continuing family planning programs in such an atmosphere. Measures to reach men in family planning messages and to expand the level of women's education are recommended. Success in reducing fertility in Kenya as a result of increasing women's education is noted.     

The Undisciplined Youth and a Moral Panic in Independent India,Circa 1947-1964

The undisciplined youth is one figure that is key to understanding the 1950s and 1960s in India. Politicians, officials, academics, youth leaders, and journalists developed and spread a discourse that imagined the collective behaviour of Indian youths as falling well below adult expectations of them in independent India. The imagery of the youth lacking in discipline was tied up with cycles of student unrest and the idea that the methods of protest used during the pre-independence period had wrongly continued into the post-independence period, but this discursive formation was often extended to include all Indian youths and it became translated into a long-term anxiety about the future of the newly established nation-state. These tropes about the undisciplined Indian youth became a symbol of the country's unresolved future. Unless the crisis of youth could be remedied, the narrative went, then the potentiality of Indian independence and its first generation of citizens could never be realised. This discourse took on a novel and distinctive shape during the initial years following Indian independence in 1947, it crystallised during the early 1950s, and there was a continued build-up of public concern that lasted throughout the 1960s.     

Fertility,education, and social change

Level of education in India affects the age at marriage, the role of women, the desire to maintain and raise the standard of living, mobility , and cultural values all of which contribute to a couple's motivation to practice birth control. A review of differential fertility studies carried out in different parts of India indicates that generally the level of education and fertility are inversely related. However, the conclusions showing mean fertility at different levels of education are not uniform and this suggests that there is a critical level of education above which self-motivation, the conscious effort at family limitation on the part of the couple, determines the fertility level. Couples with less education may be inspired to practice birth control after reaching a certain parity. In India, level of education, by raising the age of marriage, widening the non-familial role of women, raising the desired standard of living, increasing geographical mobility and inculcating the small family norm, either directly affects fertility or induces the need for a small family. These variables are a direct result of education and operate most effectively upon couples educated at the level of professional and post-graduate degrees. The small family norm can also be instilled in couples with secondary and college levels of education and family planning will be practiced after the desired number of children is reached. Both self-motivation and sustained motivation are almost absent in couples with only primary or less education. Studies indicate that this section of the population will practice birth control only at high parity levels with outside encouragement.