Training Camp on Safe Motherhood in Rural India: A Research Note

ABSTRACT

The Center for Women Studies at the Birla Institute of Technology & Science, Pilani (Rajasthan), India made an effort to combine theory and practice by implementing some of the discussions of an international conference that the center had organized on safe motherhood. A clinic was set up as a medical training camp in a village near Pilani. Measures to ensure safe motherhood included check-ups, interventions, advocacy, and counseling at the grassroots level. As a follow-up, the center has adopted the 12 by 12 initiative of the Government of India to ensure that each child has a percentage hemoglobin of 12 grams by the age of 12 years with special focus on adolescent girls.     

PUBLIC–PRIVATE PARTNERSHIPS FOR MATERNAL HEALTH IN AFRICA: CHALLENGES AND PROSPECTS

ABSTRACT

The concept of public and private partnerships raises growing interest and hope from international development agencies, governments, and communities as an alternative strategy in social welfare delivery. Conceptualized as a strategy to build and capitalize on the tangible and intangible assets and resources endogenous to social organizations and communities, individually and collectively, this article embraces an asset-based approach to analyze the potency of such a framework in enhancing maternal health care delivery in developing countries such as Senegal and Mali. These countries face growing retrenchment of the state from social service delivery and scarcity of human and financial resources, which call for innovative approaches and sustainable solutions in addressing pervasive deficits in health service delivery. Drawing from empirical field research conducted in Senegal and Mali, this article examines the trend toward public–private partnerships and its gender impacts and critically analyzes the challenges and opportunities it offers conceptually and practically to address and improve equity in health care delivery, particularly safe motherhood and maternal health care delivery in developing countries.     

Strategies for Measuring and Promoting Mothers' Social Support Networks

ABSTRACT

This chapter recommends respondent-driven sampling (RDS) and peer-driven intervention (PDI) as new strategies for improving safe motherhood and women's health in countries where women have limited access to information and communication technology. Strategies for measuring and promoting mothers' social support networks could be applied to enrich communication about reproductive health and safe motherhood, especially in countries where women's low social status leads to child marriage, low educational attainment/illiteracy, and limited access to modern information and communication technology. By using RDS to study communities and social network structures, outreach workers can educate women via women's social support groups, enhancing and broadening the use of modern information and communication technologies. RDS is a strategy that allows researchers to identify and focus on distinct groups within a community. PDI uses a two-step intervention where respondents are educated by outreach workers and previous participants (members of social support groups). Limitations of these approaches are also discussed.     

GEOGRAPHICAL PERSPECTIVES ON SAFE MOTHERHOOD IN THE HILL COUNTRY OF SRI LANKA: A CASE STUDY OF THE DORAGALA TEA PLANTATION IN PUSSELLAWA

ABSTRACT

In comparison with other South Asian countries, Sri Lanka maintains well-developed health care systems. Nonetheless, limited health care services are provided to mothers and children in the hill country. This research raises a series of questions concerning current challenges for safe motherhood, such as health care services already present, spatial distribution of health care professionals, and health policy in the hill counties of Sri Lanka. The authors argue that to understand the existing infrastructure of health care systems and future challenges to provision of health care services, it is important to depict the spatial location of health care units and to recognize the complexity of interactions between these units and the social, economic, and health environment. Such assessment provides a human geography approach that investigates health care systems in spatial dimensions. This study uses the geographical techniques of Geographic Information Systems and Global Positioning Systems to answer the fundamental questions of “what is where,” “why is it there,” and “why do we care.” The questions underline the importance of spatial methodology in assessment of safe motherhood and the importance of accurate and precise knowledge about the status of maternal health.     

Impact of Psychological Disorders on Postpartum Mothers and Child: Current Issue in Remediation in India

ABSTRACT

India is a multicultural, multiethnic, pluralistic society with enormous socioeconomic disparities, and it is a formidable task to provide affordable and effective mental health care, especially to the remote rural corners of the country. The unfortunate aspect of the Indian mental health scenario is that there exists very poor awareness of the maternal health risks of the postpartum period. It is during this period that serious psychological disturbances can manifest and seriously jeopardize safe and normal motherhood. Currently, there is neither a national agenda for mental health care among pregnant and postnatal women nor a viable training program to equip health workers to recognize and manage postpartum psychological disorders. This article attempts to provide a viable module for training future health providers to gain an understanding of the illness pattern that constitutes postpartum disorders through experiential learning and problem solving.     

Maternal Health in Post-Soviet Georgia

ABSTRACT

During the post-Soviet economic and political transformation, underprivileged social groups frequently experienced economic instability, financial insecurity, and lack of political representation. During the transition from communism to democracy Georgian women with low social status experienced not only economic hardship but also deterioration of health. Among the negative outcomes of post-Soviet transition were unsafe motherhood, increased cigarette and alcohol consumption, unsafe sex, increased gender violence, and a decline of maternal health. This article analyzes maternal health conditions of Georgian women after the collapse of the Soviet Union.     

“Anchoring” white community: White women activists and the politics of public schools

This article discusses the political clout wielded by a group of white women who participate in “Presidents’ Committee,” an organization of Parents Association presidents in a New York City Community School District. The school district, like many urban areas, is experiencing an exodus of white families to the suburbs, which are seen as offering better resources and a safe social distance from blacks and other non‐whites. In this context of social change, white mothers who participate in Presidents’ Committee push at gender boundaries in the public sphere by professionalizing motherhood and watching over potentially corrupt political practices. At the same time, their activism can be understood as a key component of local efforts to reproduce “white” community. Through this ethnographic analysis, “whiteness” is unpacked as a construct that is fractured by gender, class, and place of origin, while remaining a resilient idealized resource with which to reproduce a black/white racial binary.     

GotFlu Channel: An Online Syndromic Surveillance Tool Supporting College Health Practice and Public Health Work

Abstract

Objective: Develop a tool to ease the burden of H1N1 influenza on a campus clinic by promoting self-care, generating medical notes, and identifying vulnerable students. Participants: Students at Brock University, a mid-sized urban campus; Brock's Student Health Services; and Niagara Public Health. Methods: Students accessed a controlled portal of Brock's Web site and self-identified onset/offset of influenza-like symptoms. Daily sign-in numbers were monitored and nonidentifiable aggregate data transferred to the local public health unit. Results: There was concordance among the number of college students signing in, local school absenteeism rates, and local rates of laboratory-confirmed influenza. Many visits to the campus health clinic were averted, 1,432 students used the tool. Conclusion: The online, real-time surveillance tool was effective in monitoring influenza activity on campus, providing timely health advice, decreasing unnecessary visits to the campus medical clinic, and assisting local public health in surveillance activities.     

Conceptual Framework for Integrating Holistic Perspectives and Approaches to Problems of Safe Motherhood

ABSTRACT

This article provides a conceptual framework for incorporating the array of variables defined in maternal health research in order to explicate their influence on problems of safe motherhood. Focusing an overview of the articles in this collection, in addition to strategies and policies needed from practitioners' perspectives and finding from case studies, research findings from a variety of countries are provided. Factors influencing positive outcomes such as age of mother, skilled attendants at delivery, and prenatal care are considered. The importance of the political and economic structure and stability of the country which plays an important role is discussed.     

Donor-Insemination Motherhood: How Three Types of Mothers Make Sense of Genes and Donors

ABSTRACT

This article analyzes how the variables of partnership type and gestational status that differentiate among partnered women who achieve motherhood through their own (or a partner's) donor insemination are relevant to shaping that experience. The article demonstrates that the three groups of mothers defined by these two variables differ on a variety of attitudes concerning whom the child resembles, the influence of genes, the position of the sperm donor, and reflections on the experience of motherhood. The gestational mothers in heterosexual partnerships experience contradictions in denying the influence of the donor and expressing interest in him. They view the children as resembling themselves more than either the donor or their partners. The gestational mothers in lesbian partnerships both deny the influence of the donor and express disinterest in him. Like the gestational mothers in heterosexual partnerships, they also see the children as resembling themselves more than either the donor or their partners. The nongestational mothers in lesbian partnerships offer an alternative form of mothering within the family in the form of collaborative influence on the child. The data for this study come from an online survey of parents; the survey was distributed through a number of national organizations in the United States.     

Adoption of an Outdoor Residential Hall Smoking Policy in a California Public University: A Case Study

Abstract

Objective: Because secondhand smoke is a public health concern, many colleges have adopted bans to ensure healthier environments. This study demonstrates how outdoor smoking policy change can be accomplished at a large public university. Participants: The participants were 1,537 students housed in residential communities at the University of California, Berkeley, who completed an online survey. Methods: A proposal for smoke-free residential communities that included student resident survey data was prepared. Results: The survey data indicated that most students (77%) were bothered by secondhand smoke, and most (66%) favored smoke-free environments. The data were used to advocate for a change in the residential community smoking policy. Conclusion: The survey data and institutional comparisons played a key role in administrators’ decision-making about campus smoking policy. Despite administrators’ concerns about students’ safety and freedom of choice, student-led advocacy was able to influence policy change.     

Uptake of HPV vaccine in traditional-age undergraduate students: Knowledge,behaviors, and barriers

Abstract

Objective: This study investigated potential factors associated with HPV vaccine uptake in a diverse population of traditional-age undergraduate students. Participants: One hundred and twenty-nine undergraduate students aged 18–24 attending a small southeastern university completed surveys in January to March of 2013. Methods: Questionnaires included demographic information, basic HPV knowledge, HPV vaccine uptake, and factors influencing uptake decision. Survey results were analyzed with chi-square and t-test analyses. Results: Vaccine uptake was significantly higher in students who reported that health care provider, public health information, parents, and access to vaccine were important factors in their decision to get vaccinated. Female students had a significantly higher vaccine uptake in comparison to males and the HPV knowledge scores differed significantly by race but not gender. Conclusions: It is especially important to consider how public health campaigns and communication with parents and health care providers help promote HPV vaccine uptake in this high-risk group.     

Ensuring Safe Motherhood by Using Information and Communication Technology Tools in Behavioral Change Communication

ABSTRACT

Mothers are the primary caregivers, nurturers, and providers of family care and stability. Therefore maternal death isnot only a personal tragedy but isdevastating for the entirefamily and frequently extends to a community. Considering the societal roles that mothers play, it is particularly important that countries undertake all possible measures to reduce maternal death. This article focuses on information and communication technology as an available tool when aiming at the reduction of maternal death. This tool can play a decisive role in behavioral change communication and safe motherhood and raise awareness among people, contribute to training and capacity building, and help in advocacy at the grassroots level.     

Sexual Decision Making for the “Better Than Average” College Student

Abstract

Objectives: To examine the impact of downward social comparison and the “known partner is a safe partner” heuristic on college students’ sexual decisions. Participants: One hundred-eighty heterosexual or bisexual undergraduate college students. Methods: Participants read dating vignettes that varied on perspective and familiarity and then rated the likelihood the couple would engage in sexual intercourse and use a condom. Results: There were no differences in rated likelihood based on familiarity, suggesting that the students did not view the 2 partner types as significantly different. Students rated the likelihood of sexual intercourse lower and condom use higher when the vignette was presented from the second person perspective. Conclusions: The students’ use of downward social comparison is consistent with the “better than average effect,” suggesting that the students perceive their own behavior as safe. The implication is that safer sex messages might be most effective if they focus on what students will gain by practicing safer sex behaviors, not just avoidance of a risk behavior.     

“Telling our stories”: Print media interpretations of Moscow lesbians' life stories in 2004 and 2005

ABSTRACT

This article analyzes print media interviews of Moscow lesbians in Moskovsky Komsomolets in 2004 and 2005 using qualitative content analysis. The qualitative content analysis shows recurring and consistent themes: (1) the stereotypes lesbians face; (2) public negativity toward same-sex relations and the impact on their families; (3) the expectations of heterosexuality and all that that entails; (4) the existence of lesbian-only spaces in Russia and the importance of those spaces; and (5) the complexities of navigating motherhood, previous heterosexual relationships, and current partnerships. Analysis of print media representations of female same-sex sexuality in a period of economic prosperity, popular culture visibility, and before restrictive laws were passed that suppress homosexuality adds to the previous literature on lesbianism in Russia.     

The use of political motherhood in Egypt’s Arab Spring uprising and aftermath

ABSTRACT

Political motherhood, which uses traditional motherhood to mobilize and sustain women’s political participation, is understudied in political science. Women played a significant role in Egypt’s Arab Spring and its aftermath by “bargaining with patriarchy” and strategically using traditional motherhood to access the political sphere. In this article, we develop a theoretical argument based on the work of Gentry, Carreon and Moghadam and Amar. We illustrate it with examples drawn from news articles on women’s political activism and social media posts by Egyptian activists. Our argument explores how women’s agency and the larger political context in which women operate reveals how political motherhood takes the particular shape that it does. In the context of Egypt, we examine how the state’s choice to highlight women as “hypervisible” citizens, worthy of protection, backfired. Through a bottom-up political motherhood, women used their respectability as mothers in need of state protection against the state, thereby legitimizing anti-Mubarak and anti-Muslim Brotherhood demonstrations and challenging these governments.     

Power of Teen Motherhood in Predicting Later Educational Attainment

Abstract

This article investigates the power of teen motherhood in predicting later educational attainment. Data for mothers are extracted from the National Longitudinal Survey of Youth (NLSY79). Findings show that teen motherhood is inversely related to later educational attainment. Poverty, welfare receipt and the number of children have a direct influence on later educational attainment. Employment, the age of the woman at the time of her first marriage, and being married currently, had a direct positive influence on educational attainment. The implications for social work practice are discussed.     

Undergraduate students survey their peers on mental health: Perspectives and strategies for improving college counseling center outreach

Abstract

Objective: The purpose of the study was to examine student perspectives about college mental health including the primary mental health issues affecting students, common college student stressors, student awareness of campus mental health resources, and mental health topics students want more information about. Participants: Participants were 822 undergraduate and graduate students enrolled in a private university. The study was conducted during September 2016. Methods: As part of a public health course in program planning, undergraduate students surveyed their peers about their experience with mental health and mental health resources. Results: Stress was perceived as the largest mental health issue. Students most wanted more information about school/work/life balance followed by stress management. Electronic newsletters, social media, and on-campus seminars were the top strategies that students suggested as ways to reach them. Conclusions: The results provide student perspectives on mental health that may be useful in developing effective outreach efforts.     

Teen mothers who are daughters of teen mothers: Psychological intergenerational dimensions of early motherhood

IntroductionResearchers have shown that being a daughter of a teenage mother is a risk factor regarding the possibility of having early, unprotected sexual intercourse and of falling pregnant. The experiences of young mothers in such situations and the aspects of intergenerational transmission in the mother–daughter relationship have not been well investigated.ObjectivesThis study analyses the experience of motherhood in young mothers (18–20 years at the time of the interview/15–16 at the time of their pregnancy) who are daughters of teen mothers themselves from the psychodynamic perspective of intergenerational transmission.MethodsSix young mothers from Southern Italy were selected and interviewed. A semi-structured interview was used to explore the early experience of pregnancy and motherhood and their relationship with their own mothers. The interviews were analysed through Interpretative Phenomenological Analysis (IPA).ResultsFive superordinate themes emerged: I didn't want, I didn't see and I didn't feel; Adolescence? I suddenly became a mother; History repeats itself again and again; Confused Spaces and How difficult is coming into the world?ConclusionAdolescent mothers, who themselves are daughters of teen mothers, seem to have difficulty in representing the meanings associated with their experience of pregnancy and motherhood. A lack of narrative transmission of the experience of pregnancy from mothers to daughters emerged. The implications for research and social policies will be discussed.     

The Within‐Job Motherhood Wage Penalty in Norway, 1979–1996

The motherhood wage penalty is a substantial obstacle to progress in gender equality at work. Using matched employer–employee data from Norway (1979–1996, N = 236,857 individuals, N = 1,027,462 individual‐years), a country with public policies that promote combining family and career, we investigate (a) whether the penalty arises from differential pay by employers or from the sorting of employees on occupations and establishments and (b) changes in the penalties during a period with major changes in family policies. We find that (a) the penalty to motherhood was mostly due to sorting on occupations and occupation‐establishment units (mothers and nonmothers working in the same occupation and establishment received similar pay), and (b) the wage penalties to motherhood declined substantially over the 18‐year period.