Lost in translation? Communication challenges in minority families’ and healthcare workers’ interactions

A fundamental principal in the Norwegian welfare system is to provide equal access to healthcare services for all residents, regardless of their ethnicity, language, knowledge, function, or belief. However, many service recipients experience a gap between these ideals and everyday realities. In this article I investigate how this gap affects minority families of disabled children who do not master the majority language and healthcare workers. The data I use in my investigation draw on a qualitative study of minority families of disabled children and healthcare workers. The findings that emerge out of these data are categorized into: linguistic difficulties, expectations and assumptions, and culture-bound services. I use these findings to illuminate how language difficulties and stereotypical assumptions within the Norwegian healthcare system make it difficult for minority families to access healthcare services, and how healthcare services lack an effective way to meet minority families’ needs.     

Making Southern universities web-enabled: From leapfrogging to antelope jumping

Information and communication technology (ICT) has become a very important factor for national economic growth in Southern (or developing) nations, where a societal history in technology and industrial innovation is missing. Online learning implies a redefinition of traditional education, it connects teachers and students in a less formal way, and it affects the structure as well as the culture of education. In this article we highlight the specific requirements and possible solutions needed to make Southern universities web-enabled. We look at the transinstitutional context, portability of content, the threat of global monoculturalism, and teacher training.     

Up and on or down and out? Gender, immigration and the consequences of temporary employment in Canada

What happens to temporary workers when their jobs end? Is temporary employment a fleeting way station to a better job, or does it herald an ongoing cycle of precariousness? What are the implications of temporary employment dynamics for broader patterns of inequality in labour markets? European researchers have focused increasing attention on these issues in the context of concern about the relationship between inequality and insecurity in labour markets with strong regulatory protections for insiders. However, research on the outcomes of temporary employment in the less regulated labour markets of North America remains limited. This paper draws on rich representative panel data from Statistics Canada's Survey of Labour and Income Dynamics (SLID) and competing risks Cox regression to assess the outcomes and dynamics of temporary employment in this understudied context. Key contributions include more precise estimates of transitions, consideration of multiple theoretically relevant outcomes (permanent jobs; new temporary jobs; and periods of unemployment and labour force withdrawal), and situation of the effect of gender and immigration status on temporary employment transitions in the context of the dynamics of permanent jobs. Findings present a more pessimistic picture of overall temporary job outcomes than prior research but suggest that the dynamics of temporary work do not magnify inequalities of gender and immigration status.     

Population-level adult mortality following the expansion of antiretroviral therapy in Rakai,Uganda

There are limited data on the impact of antiretroviral therapy (ART) on population-level adult mortality in sub-Saharan Africa. We analysed data for 2000–14 from the Rakai Community Cohort Study (RCCS) in Uganda, where free ART was scaled up after 2004. Using non-parametric and parametric (Weibull) survival analysis, we estimated trends in average person-years lived between exact ages 15 and 50, per capita life-years lost to HIV, and the mortality hazards of people living with HIV (PLHIV). Between 2000 and 2014, average adult life-years lived before age 50 increased significantly, from 26.4 to 33.5?years for all women and from 28.6 to 33.8?years for all men. As of 2014, life-years lost to HIV had declined significantly, to 1.3?years among women and 0.4?years among men. Following the roll-out of ART, mortality reductions among PLHIV were initially larger in women than men, but this is no longer the case.     

Understanding communication in child protection networks

Reviews of fatal child abuse cases regularly identify communication problems between the professionals. Understanding their origins requires an analysis of the psychology of communication as well as its technology, since it is a complex process in which interpersonal factors impact on the meaning that each person attributes to the messages given and received. The contexts within which the communications occur also colour how the messages are comprehended. Examples in practice from the Victoria Climbié Inquiry Report (Lord Laming, 2003 ) will be cited. Effective communication between professionals requires a mindset that can be developed through training. Copyright © 2003 John Wiley & Sons, Ltd.     

Making the most of the Victoria Climbié Inquiry Report

The principal findings of the Victoria Climbié Inquiry Report (Lord Laming, 2003) repeat those of most previous fatal child abuse inquiries or reviews, revealing problems with professionals' assessments, communications, skill base and resources. There is a danger that the recommendations of this latest report will be implemented in an overbureaucratic manner, reducing their potential to make a significant difference to practice. Instead, it is essential to build on the core lessons of this and previous inquiries, which is that professionals' capacity to think about their cases and their work must be enhanced. This has considerable implications for the training of professionals and the resources available to them. Copyright © 2004 John Wiley & Sons, Ltd.