Migration and fuel use in rural Zambia

Population and Environment - What is the effect of migration on fuel use in rural Zambia? Opportunities to increase income can be scarce in this setting; in response, households may pursue a...     

The role of need for contraception in the evaluation of interventions to improve access to family-planning methods

A nonrandomized experiment carried out in Jharkhand, India, shows how the effects of interventions designed to improve access to family-planning methods can be erroneously regarded as trivial when contraceptive use is utilized as dependent variable, ignoring women's need for contraception. Significant effects of the intervention were observed on met need (i.e., contraceptive use by women who need contraception) but not on contraceptive use (i.e., contraceptive use by women who may or may not need contraception). Met need captures the woman's success in overcoming barriers to access to family planning, whereas contraceptive use confounds this construct with risk of pregnancy and fertility desires. Exceptions to this rule are identified.     

The construction of maternal identity among Israeli mothers who are welfare clients

Dominant social, cultural, and professional discourses view motherhood as the core of a woman's identity. Thus, the identity of women who do not meet the general expectations of motherhood might be negatively affected. Specifically, mothers who are welfare clients may violate the prevailing norms concerning the maternal role. This qualitative study explores how Israeli mothers who are welfare clients construct their maternal identity. Studies of mothers who are clients of welfare services suggest that they feel blamed for being “bad” or “unfit” mothers. However, women occasionally negotiate or challenge the negative perceptions that are forced on them by hegemonic discourses of motherhood. We postulate that such women experience a troubled maternal identity that they negotiate through interactions with others. Accordingly, this study set to explore how Israeli mothers who are welfare clients negotiate their maternal identity in the context of motherhood and welfare discourses. Fourteen participants were interviewed, and the findings illustrate the vulnerability of the mothers and their strategies to construct a positive maternal identity. We discuss the findings in light of the concept of troubled identity.     

Challenging the courtesy bias interpretation of favorable clients' perceptions of family planning delivery

Favorable client perceptions of provider's interpersonal behavior in contraceptive delivery, documented in clinic exit questionnaires, appear to contradict results from qualitative evaluations and are attributed to clients' courtesy bias. In this study, trained simulated clients requested services from Ministry of Health providers in three countries. Providers excelled in courteousness/respect in Peru and Rwanda; in India, providers were less courteous and respectful when the simulated clients chose the pill. Privacy and two-way communication were less prevalent in all three countries. The findings challenge the courtesy bias interpretation. Global results from qualitative studies may have expressed the views of the minority of clients who are not treated well by providers.