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The Professionalization And Practice Of Lactation Consulting: Medicalized Knowledge, Humanistic Care, Aimee R. Eden

USF Tampa Graduate Theses and Dissertations

Breastfeeding support for mothers and their babies historically was the informal work of family and community members. In the United States today, breastfeeding support is embedded in the biomedical system, and is provided by a new allied health professional: the International Board Certified Lactation Consultant (IBCLC). This dissertation explores this professionalization of breastfeeding support and the origins of this new profession. It studies how IBCLCs working in the U.S. cultural context perceive and practice the profession and examines the relationship between the profession of lactation consulting and the medicalization of breastfeeding. Oral history interviews with 17 founders of the profession, …

Assessing Appropriate Technology Handwashing Stations In Mali, West Africa, Colleen Claire Naughton

USF Tampa Graduate Theses and Dissertations

Proper hand hygiene is the most effective and efficient method to prevent over 1.3 million deaths annually from diarrheal disease and Acute Respiratory Infections (ARIs). Hand hygiene is also indispensable in achieving the fourth Millennium Development Goal (MDG) to reduce the childhood mortality rate by 2/3rds between 1990 and 2015. Handwashing has been found in a systematic review of studies to reduce diarrhea by 47%#37; and is, thus, capable of preventing a million deaths (Curtis et. al., 2003). Despite this evidence, hand washing rates remain seriously low in the developing world (Scott et al., 2008).

This study developed and implemented …

"When You Tell Them, Your Secret Is Out There": Experiences Of Sexuality And Intimacy Among Hiv Positive Black Women, Mackenzie Rae Tewell

USF Tampa Graduate Theses and Dissertations

HIV/AIDS infections disproportionately impact African Americans within the United States. In 2010, black Americans made up 12 percent of the United States population, yet accounted for 44 percent of new HIV/AIDS infections (Kaiser Family Foundation 2013). The majority of black women (85 percent) are infected with the virus through heterosexual contact, meaning it is critical examine their sexual lives in order to gain insight into this infection within this population (CDC 2011b). Through semi-structured interviews at a Tampa, Florida AIDS service organization, this study presents the experiences of sexuality and intimacy among HIV positive black women. Results demonstrate that HIV …

Desert In The Springs: Ethnography Of A Food Desert, Margeaux Alana Chavez

USF Tampa Graduate Theses and Dissertations

"Food desert" commonly describes food insecure areas with few fresh food outlets. Though used in a number of sources, the definition of "food desert" remains largely undeveloped and research is often deficit oriented, failing to account for community assets that may exist within food deserts but are underutilized or under-supported. Using an assets-based, ethnographic approach, this study combines GIS and survey methodology with participant observation and qualitative interviews to assess the potential positive effect of urban agriculture on food accessibility in Sulphur Springs, a USDA identified urban food desert in Tampa, Florida.

Ethnographic data suggest that within this neighborhood, residents …

Constructing A Healthcare Assets Map In Rural Appalachia: An Analysis Of Healthcare Services And Perceived Health Threats, Catherine Myers

USF Tampa Graduate Theses and Dissertations

Using data gathered over the course of two months through participant observation and semi-structured interviews with health providers (n=19) and community members (n=20), this research analyzes patient access to health care resources and describes community members' and health care providers' perceptions of pressing health concerns in their area. The results of this research show the types of health care resources in the county, the similarities and differences between health providers' and community members' perceptions, and how the unique characteristics of this community influence health care access and health disparity.

Framing Violence: The Hidden Suffering And Healing Of Sudan's 'Lost Girls' In Cairo, Egypt, Ginger Ann Johnson

USF Tampa Graduate Theses and Dissertations

This dissertation examines the specific forms of embodied suffering war and its refugee aftermath brings to female Sudanese refugees currently living in post-revolution Cairo, Egypt in order to illustrate the suffering and healing enacted within everyday life. These women, displaced from the Second Sudanese Civil War, are what I label Sudan's `Lost Girls.' The theoretical framework I employ in order to discuss their lives is a critical medical anthropology perspective based on the mindful body. I engage anthropological literature on the body in order to better understand the embodied suffering, sexual violence, and refugee aftermath of war. My research seeks …

Cultivating Local: Building A Local Food System In Western North Carolina, Allison S. Perrett

USF Tampa Graduate Theses and Dissertations

This dissertation examines a movement in Western North Carolina to build a local food system, one grounded in the conditions and relationships of place. In 2000, Mountain Family Farms launched the Local Food Campaign to raise public awareness about the region's farms and farming heritage, to educate consumers about the benefits of buying food grown by local farms, and, ultimately, to build markets for locally grown food to sustain the region's farms. The campaign sparked a social movement and over a decade later local farms and locally grown food are a palpable feature of life in the mountains of Western …

The Elimination Of Blindness: An Ethnographic Exploration Of The Fight Against Trachoma In Niger, Kelley Cosby Sams

USF Tampa Graduate Theses and Dissertations

The goal of this study is to explore specialized and popular cultural models of trachoma, and the interaction between the trachoma elimination program and its target audience in one trachoma hyper-endemic intervention community. Eighty four million people worldwide, mainly children, are infected with active bacterial trachoma. For some, this will lead to painful and progressive corneal opacity and eventual blindness. The disease is most commonly spread by person-to-person contact or by flies, and affects very specific populations living in resource-poor areas such as rural Niger, which has one of the highest prevalence rates worldwide.

The World Health Organization formed an …

Survivorship, Infertility And Parenthood: Experiencing Life After Cancer In Puerto Rico, Karen Elizabeth Dyer

USF Tampa Graduate Theses and Dissertations

While incidence rates are increasing for many cancers in Puerto Rico, mortality rates are declining (Torres-Cintron, et al. 2010), resulting in growing numbers of survivors and creating a situation in which long-term survivorship concerns are beginning to emerge as priorities. The importance of quality-of-life among survivors of cancer is increasingly being recognized among healthcare providers, although there remains a gap in knowledge of how young adult survivors cope with long-term treatment-related physical effects, such as infertility, and of the impact of cancer on survivors' social relationships and future goals.

Because understandings of "cancer survivorship," as well as of reproduction, vary …

Fertile Ground For A Social Movement: Social Capital In Direct Agriculture Marketing, Elizabeth A. Murray

USF Tampa Graduate Theses and Dissertations

Building from existing literature on anthropology of food, political economy of food and consumption, and social movement theory, I examine the direct agriculture network of Tampa Bay Florida through a mixed-method ethnography. The research consisted of one year of field-work, with 6 months and over 100 hours of active participant observation, open-ended interviews with eight local producers, and short surveys with 100 market patrons. This thesis is an analysis of the results of this rigorous qualitative and quantitative work and, perhaps more importantly, an account of my own personal struggles in joining the direct agriculture network and my ultimate commitment …

More Than Feeding: Lived Experiences Of Low-Income Women Receiving Lactation Support, Emily Anne Dunn

USF Tampa Graduate Theses and Dissertations

Increasing breastfeeding duration, especially among low-income women, has become a national public health priority. These mothers and their babies have less equitable access to support, resources, and the health benefits of breastfeeding. This thesis examines breastfeeding from a biocultural perspective with a focus on political economy, embodiment, and human rights. This research explores the lived experiences of new mothers who receive services from a community non-profit lactation support program which is aimed at providing in-home postpartum breastfeeding support to low-income/at-risk mothers. Evaluation of program services and analysis of women's narratives will provide insight into improvement of lactation services for all …

The Strange Life And Stranger Afterlife Of King Dick Including His Adventures In Haiti And Hollywood With Observations On The Construction Of Race, Class, Nationality, Gender, Slang Etymology And Religion, Alan Thomas Lipke

USF Tampa Graduate Theses and Dissertations

Richard "King Dick" or "Big Dick" Crafus, Cephas, or Seaver(s) first attracted attention by his size, strength and the authority he exercised as leader of U.S. African American Prisoners of War in Britain during the War of 1812. After the War he was celebrated as a boxing pioneer, ceremonial King of Boston's black community and almost certainly auxiliary law officer. Very little has been known about his life, and much of that obscured by his black working-class status; his true standing within his own community remains mysterious. Yet paradoxically he's been made much of, in academic writing and fiction alike …

Turning Water Into Wine: The Political Economy Of The Environment In Southern California's Wine Country, Jason Simms

USF Tampa Graduate Theses and Dissertations

This dissertation examines questions of water sustainability in contexts of wine production and state-led neoliberal development in the Temecula Valley, southern California, where wine tourism is at present being harnessed as an engine of economic growth. Natural and anthropogenic forces, such as global climate change, desertification, urban development, and the marketization and commodification of natural resources, affect the distribution and availability of water throughout the globe. As a result, the use of water, and associated political and environmental processes and consequences, in the production of global commodities, including wheat, citrus, and coffee, recently have come under increased scrutiny. Given wine's …

Community Arts In The Lives Of Disadvantaged African American Youth: Educating For Wellness And Cultural Praxis, Mabel Sabogal

USF Tampa Graduate Theses and Dissertations

The main purpose of this study was to analyze the role and potential of community arts programs and organizations in improving the lives of disadvantaged African American youth, through the creation of a participatory video project and the internal evaluation of the same; using applied anthropological methods, and cultural praxis (an innovative educational design), and following the recommendations of expert community arts programs evaluators. The study responds to the need identified in the community arts literature to offer robust program evaluations that explain the benefits of such programs. The lack of evidence seems to derive not only from the difficulties …

The Political Economy Of Maternal Health In A Medically Pluralistic Environment: A Case Study In The Callejón De Huaylas, Isabella Chan

USF Tampa Graduate Theses and Dissertations

This thesis examines maternal decision-making regarding prenatal care and childbirth in the rural, north-central Andes in the province of Carhuaz. Semi-structured interviews (n=30) and participatory action research workshops (n=7) were conducted with local women to elucidate how they conceptualize, experience, and negotiate the shifting landscape of prenatal care and childbirth practices and providers. Semi-structured interviews with obstetricians, midwives, and social workers (n=9) were also conducted to compare perspectives and identify disconnects in knowledge and practices existing between these two groups in order to facilitate an open conversation on how to jointly improve the maternal experience and reduce maternal mortality and …

Creating Community: A Qualitative Study To Identify Factors Impacting Community In A University Learning Community Cohort, Maura B. Denny

USF Tampa Graduate Theses and Dissertations

This study explores the role of `community' within a university campus Learning Community (LC). With a cohort-based structure, an LC exists to enhance student learning through peer cooperation and participation, however the scope of what constitutes community within these cohorts is not currently understood. This study investigates the roles of individual reciprocity, communication, need, time, and physical environment in community building, utilizing qualitative interviews and observations of a 30 member LC over the course of two academic years and a four-week study abroad experience in Panama. Through this, the vital roles of the orientation period and programming staff are revealed …

"They Come, But They Don't Spend As Much Money": Livelihoods, Dietary Diversity, Food Security, And Nutritional Status In Two Roatan Communities In The Wake Of Global Crises In Food Prices And Finance, Racine Marcus Brown

USF Tampa Graduate Theses and Dissertations

ABSTRACT

This dissertation explores the associations between recent global crises in staple food prices and finance and the following aspects of life in two communities on the island of Roatàn, Islas de La Bahia (Bay Islands), Honduras: household livelihoods; food commoditization; dietary diversity; food security; and nutritional status. The aims of this study are: ) assess the geographic and economic source(s) of foods consumed by two different communities on Roatàn; b) discover how the most recent economic and food crises have affected foodways and nutrition on Roatàn; c) assess how these crises have affected economic growth of the tourism sector …

Cruising For Culture: Mass Tourism And Cultural Heritage On Roatàn Island, Honduras, Melanie Nichole Coughlin Depcinski

USF Tampa Graduate Theses and Dissertations

This thesis examines the relationship between mass tourism and heritage tourism in the construction and perpetuation of histories and identities of local stakeholders on Roatàn Island, Honduras. I explore how identity is constructed by and through the tourism industry, and how much of the agency in forming identity and telling cultural stories resides in the hands of key stakeholders involved in the development of tourism on the island. Local cultural stories that focus on the people who live and have lived on the island for centuries are becoming increasingly silenced by a more commoditized, tourism driven, picture of life on …

Physicians As Gatekeepers: Uncovering Barriers And Facilitators To Participation In A Prostate Cancer Prevention Intervention Clinical Trial, Theresa T. Crocker

USF Tampa Graduate Theses and Dissertations

Clinical trials play an important role in advancing therapeutic and preventive care with many current modalities resulting from prior research. While prior research has described barriers to participation in therapeutic clinical trials, much less in known about barriers related to participation in trials aimed at prevention, prostate cancer prevention in particular. Physicians have been shown to play a critical role in access to trials; however, less is known about the individual and structural factors that influence their participation in prostate cancer prevention trials. This research provides rich ethnographic detail within the context of an ongoing trial. Research participants included physician/investigators …

Risk And Hiv-Serodiscordant Couples In Porto Alegre, Brazil: "Normal" Life And The Semantic Quarantine, Shana Hughes

USF Tampa Graduate Theses and Dissertations

The objective of this research was to develop a holistic understanding of how risk, especially the risk of HIV transmission, is constructed and negotiated in the daily lives of a group of heterosexual, HIV-serodiscordant couples in Porto Alegre, Brazil. Couples serodiscordant for HIV are those in which one partner is infected and the other is not. Data were gathered through participant observation and semi-structured interviews with serodiscordant couples, as well as key informants in HIV/AIDS-related civil society, government, and biomedical practitioners in Porto Alegre. Interviews were recorded and transcribed and relevant study materials were coded and subjected to thematic and …