Finding education: Stories of how young former refugees constituted strategic identities in order to access school

Educators in resettlement countries are grappling with ways to adequately engage and meet the needs of newly arrived refugee students. In this article we argue that to fully meet the needs of refugee students a deeper understanding of their educational experience as ‘a refugee’ prior to resettlement is vital. In particular we foreground the stories of three young former refugees and explore the ways in which they actively constructed new identities in order to access school in their host countries, prior to resettlement. This article discusses how the negative discursive positioning of ‘the refugee’ in the world today has limited the resources and access to education for young refugees. It concludes by arguing that as these students move into education in Australia there is a danger to quickly relabel young former refugees with deficit terms rather than opening up a discourse to include the intricate complexities of each refugee experience.     

Ergonomic considerations for a systemic approach: the millenium maize mills project in northern Mozambique

Malnutrition is a major problem for rural areas of Sub-Saharan Africa. Technology such as the maize mill, which alleviates the burden of pounding grain, also introduces opportunities and new challenges for improved nutrition. While there have been many technical studies of grain mills, and maize mills are in operation in hundreds of locations throughout Sub-Saharan Africa, the maize mill has not been studied from a socio-technical system perspective. This paper reports on the first phase of a study grounded on the hypothesis that mills can improve nutrition by exploiting their function as a social gathering point and providing both instruction and enjoyable healthful products. The objective was to identify those products that could be made available that customers at the mill would be willing to buy. Following observation of food availability, preparation, and consumption preferences within daily work routines, sample products were prepared and presented for cooking and consumption, along with some discussion at a district center mill owned by a local woman. The responses of customers and the mill owner were positive. Strategies for local manufacture and distribution of these products for sale and roles of the mill owner and the mothers are questions for future study.     

The cost effectiveness of hepatitis immunization for US college students

Hepatitis B immunization is recommended for all American children, and hepatitis A immunization is recommended for children who live in areas with elevated disease rates. Because hepatitis A and B occur most commonly in young adults, the authors examined the cost effectiveness of college-based vaccination. They developed epidemiologic models to consider infection risks and disease progression and then compared the cost of vaccination with economic, longevity, and quality of life benefits. Immunization of 100,000 students would prevent 1,403 acute cases of hepatitis A, 929 cases of hepatitis B, and 144 cases of chronic hepatitis B. Hepatitis B vaccination would cost the health system $7,600 per quality-adjusted life year (QALY) gained but would reduce societal costs by 6%. Hepatitis A/B vaccination would cost the health system dollar 8,500 per QALY but would reduce societal costs by 12%. Until childhood and adolescent vaccination can produce immune cohorts of young adults, college-based hepatitis immunization can reduce disease transmission in a cost-effective manner.     

Sampling hidden populations: lessons learned from a telephone-based study of persons recently diagnosed with HIV (PRDH)

This paper describes a flexible, multi-stage, nonprobability sampling process used in a study of persons recently diagnosed as HIV-positive (PRDH). From July 2007 to June 2008, we used venue and chain-referral sampling strategies to recruit PRDH in the US. We sought equal distributions (n = 20) of eligible PRDH from four self-identified subgroups: gay or bisexual men (GBM), heterosexual men (HM), heterosexual women (HW), and male-tofemale transgender women (TGW). We categorized 30 sampling venues as websites, health clinics, or other networks. For 359 volunteer respondents, website venues proved more productive compared to health clinics and other sources. Website venues were most efficient for sampling recently diagnosed GBM and HW. Passive sampling methods were less effective in recruiting HM and TGW. Sampling approaches should be flexible and tailored to reach sub-categories within hidden populations. The sampling process itself produced valuable knowledge about social networks of hidden HIV populations.