Sociology Commons^™

Female Genital Mutilation Practices In Kenya: The Role Of Alternative Rites Of Passage. A Case Study Of Kisii And Kuria Districts, Habil Oloo, Monica Wanjiru, Katy Newell-Jones

Reproductive Health

This research was undertaken by the Population Council to better understand female genital mutilation (FGM) as currently practiced by the Kuria and Kisii communities in Kenya. The study investigated current attitudes and practices in relation to FGM, awareness and attitudes toward the alternative rite of passage (ARP), and factors which encourage individuals to make decisions to abandon FGM. The findings show that FGM is still a celebrated public event among the Kuria, whereas in Kisii, it is a private family affair. The study suggests that the success of ARP as an approach to abandoning FGM is strongly dependent on the …

Comprehensive Responses To Sexual Violence In East And Southern Africa: Lessons Learned From Implementation, Jill Keesbury, Ian Askew, Monica Wanjiru, Grace Chiyaba, Kate Wilson, Felly Nkweto Simmonds

Reproductive Health

The Population Council has provided technical assistance and conducted research to strengthen the evidence base on sexual and gender-based violence (SGBV) programming in sub-Saharan Africa, where countries have begun to recognize the importance of both preventing violence and responding to the needs of SGBV survivors. These activities have created an active network of partners from across sub-Saharan Africa, who are developing, implementing, and evaluating core elements of a comprehensive, multisectoral response model. This brief reports how network partners have significantly increased the evidence base on program responses: a range of successful approaches have been demonstrated for improving comprehensive services within …

The Prevention And Management Of Hiv And Sexual And Gender-Based Violence: Responding To The Needs Of Survivors And Those-At-Risk, Sarah Raifman, Ian Askew, Sajeda Amin, Jill Keesbury, Saiqa Mullick, Judith A. Diers, Meiwita P. Budiharsana, Chi-Chi Undie, Mary Zama, Mantshi Menziwa, Sherry Hutchinson, Naomi Rutenberg

Reproductive Health

The Population Council seeks to understand the social, economic, political, and physical context of risks for sexual and gender-based violence and HIV. Among the top priorities of Council research are supporting and evaluating efforts to prevent violence and HIV, including creating safe spaces for adolescent girls, and working with men and boys to change gender norms within the community; and comprehensively responding to the needs of survivors (including those who are HIV-infected) by strengthening health systems and integrating services. The purpose of this guide is to provide practical guidance on the steps necessary to establish and strengthen sexual violence (SV) …

Community Health Workers And The Media Can Be Effective In Providing Health Information To Married Adolescent Girls In The Community, Population Council

Reproductive Health

Past research has found that married adolescent girls in Nyanza Province, Kenya, face higher risks of HIV infection than unmarried but sexually active girls their age in the province and other parts of the country. To address this challenge, the Population Council’s APHIA II Operations Research Project, in collaboration with Well Told Story and the Ministry of Public Health and Sanitation, developed a study to assess the effectiveness of an intervention designed to increase married adolescent girls’ access to comprehensive reproductive health and HIV information and services in Homa Bay and Rachuonyo districts. The study found that using interactive communication …

Community Health Workers Can Effectively Provide Information And Referrals To People Living With Hiv In Their Communities, Population Council

Reproductive Health

A number of studies reported high levels of sexually transmitted infections among people living with HIV (PLHIV). Unfortunately, prevention interventions targeting PLHIV in the community are not common in Kenya, and most PLHIV who are not on ART have limited access to prevention information and risk-reduction counseling. The Population Council’s APHIA II Operations Research Project conducted a research project to address these gaps. This study was conducted in 2010 in collaboration with the International Center for Reproductive Health and the National AIDS and STI Control Programme. The findings show that the intervention had a number of positive outcomes and concludes …

A Pay-For-Performance Innovation Integrating The Quantity And Quality Of Care In Maternal, Newborn And Child Health Services In Bangladesh, Laila Rahman, Ubaidur Rob, Riad Mahmud, Azizul Alim, Ismat Ara Hena, Md. Noorunnabi Talukder, Md. Hafizur Rahman

Reproductive Health

The Population Council explored the possibilities of introducing a Pay-for-Performance (P4P) scheme in Bangladesh to improve maternal, newborn and child healthcare (MNCH) services. Based on the consultation and with guidance from the Government of Bangladesh, the Population Council and UNICEF provided technical assistance to the Directorate General of Health Services (DGHS) to test two P4P strategies for MNCH service providers to improve service volume and quality of care, and for poor clients to receive services subsidized through vouchers or coupons. The first strategy is a combination of pay-for-performance for providers and subsidized coupons for poor pregnant women, newborns, and under-five …

Focus On Male Youths In Addressing Alcohol And Drug Abuse Risk In The Context Of Hiv Prevention Among Young People, Population Council

Reproductive Health

Research evidence shows that people who abuse alcohol are more likely to engage in behavior that puts them at risk of HIV infection, including having unprotected sex. In 2010, the Population Council’s APHIA II Operations Research Project collaborated with the Support for Addictions Prevention and Treatment in Africa Centre in Kenya on research to identify factors associated with alcohol and drug use among out-of-school youth in Kibera, to identify specific factors contributing to HIV risk, and to assess the impact of an intervention to link youths with an alcohol and drug abuse problem to counseling and rehabilitation services. A key …

Levels, Trends And Determinants Of Contraceptive Use Among Adolescent Girls In Kenya, Francis Obare, Harriet Birungi, Chi-Chi Undie, Monica Wanjiru, Wilson Liambila, Ian Askew

Reproductive Health

In Kenya, recent trends in contraceptive use among currently married women aged 15–49 years show that after experiencing a stall between 1998 and 2003, the contraceptive prevalence rate (CPR) increased between 2003 and 2008–2009. Although the increase in CPR after 2003 is encouraging, there is limited understanding of how these changes affected adolescents, especially girls, given the unique sexual and reproductive health challenges that they face. This report is based on a secondary analysis of the Kenya Demographic and Health Surveys (KDHS) data to understand the trends, differentials, and determinants of contraceptive use among adolescent girls aged 15–19 years in …

Integrating Tuberculosis Case Finding And Treatment Into Postnatal Care, Charity Ndwiga, Harriet Birungi, Chi-Chi Undie, Shiphrah Kuria, Joseph Sitienei, Sam Ochola

Reproductive Health

Under the USAID funded FRONTIERS program, the Population Council conducted a study in six health facilities in Western Kenya that demonstrated that screening for TB within an antenatal care (ANC) setting is feasible and acceptable among the service providers. However, a major challenge remains: although TB detection is encouraged among ANC clients within the maternal and child health clinics in the country, providers in these settings fail to appreciate the need for a continuum of care from pregnancy through to the postnatal period. In order to address this gap, the APHIA II Operations Research Project developed and tested an intervention …

Making Hiv Services More Responsive To Young Children And Infants In Nyanza, Monica Wanjiru

Reproductive Health

Health workers in Kenya often miss opportunities to discuss pediatric HIV with clients and to track exposed children in order to initiate treatment. To address this problem, the Population Council’s APHIA II Operations Research Project collaborated with the Christian Health Association of Kenya, Catholic Relief Services, and the Kendu Adventist Hospital to improve HIV testing and treatment services for children at the hospital. The project recommended that pediatric HIV services be strengthened and included as an essential service at all levels of healthcare facilities in order to reach more children, including as one of the roles of the community health …

Operationalizing And Scaling Up Hiv/Rh Referrals In Kenya: The Way Forward, Aphia Ii Or Project In Kenya

Reproductive Health

This policy brief describes the APHIA II Operations Research Project through which the Population Council and Kenya’s Ministry of Health (MOH) developed and tested an approach to systematically link HIV-positive family planning (FP) clients to treatment and care services. Key activities included provider training and testing of a referral package which showed how, where, when, and who is to make and receive referrals. This referral package consisted of a directory listing all facilities in the vicinity available for services including HIV counseling and testing, FP, STIs, tuberculosis, and well-child checks; and referral forms directing clients to appropriate receiving clinics. The …

Service Improvements And Community Education Lead To Increase In Uptake Of Hiv Services For Infants And Young Children, Population Council

Reproductive Health

The Population Council’s APHIA II Operations Research Project in Kenya collaborated with Kendu Adventist Hospital and the Christian Health Association to launch a study to examine the effect of improved services and awareness-creation on the uptake of HIV testing and treatment services for children and infants exposed to HIV. The study showed that community education and improvements in individual case tracking can increase the proportion of infants exposed to HIV who are tested for HIV and put on appropriate treatment. The policy brief recommends that health facilities streamline services to ensure that as many exposed infants as possible are identified …

Sexual And Reproductive Health Needs Of Adolescents Living With Hiv In Kenya, Harriet Birungi, Francis Obare, Jane Harriet Namwebya, Ibrahim Mohammed, Margaret Gitau, Margaret Makumi

Reproductive Health

The objective of this study was to assess the sexual and reproductive health needs of adolescents living with HIV in Kenya with a view to identifying and developing interventions that integrate these needs within the existing HIV/AIDS treatment, care, and support programs in the country. The study was a result of collaboration between Population Council, APHIA II Rift Valley and Coast (Family Health International), the National AIDS and STI Control Programme, and APHIA II Nairobi and Central (Pathfinder International). Major findings indicate that many of the adolescents living with HIV are vulnerable, and that programmatic gaps exist in addressing the …

Ten Years Of The Kenya Adolescent Reproductive Health Project: What Has Happened?, Humphres Evelia, Monica Wanjiru, Francis Obare, Harriet Birungi

Reproductive Health

This evaluation by the Population Council’s APHIA II Operations Research Project sought to find out whether the adolescent sexual and reproductive health (ASRH) and HIV/AIDS activities in Kenya had been sustained over a 10-year period when the project was replicated and scaled up to cover seven provinces in the country. The evaluation had three main objectives: 1) to determine the extent to which activities of the Kenya Adolescent Reproductive Health Program (KARHP) have continued at national, provincial, and district levels; 2) to determine whether desired sexual and reproductive health outcomes (knowledge, behavior, and practices) have been sustained among in- and …

Increasing Access To Family Planning (Fp) And Reproductive Health (Rh) Services Through Task-Sharing Between Community Health Workers (Chws) And Community Mid-Level Professionals In Large-Scale Public-Sector Programs: A Literature Review To Help Guide Case Studies, James R. Foreit, Sarah Raifman

Reproductive Health

This literature review covers case studies related to community-based distribution of family planning programs, and community health worker (CHW) programs that included family planning and other reproductive health services. It offers essential processes and implications for additional operations research which look at constraints and factors critical to introducing new program procedures or strengthening existing ones.

Informe Años Dos Movil.Com: Evaluación De La Línea Final Resumen De Hallazgos Principales, Annik Sorhaindo, Xipatl Contreras, Kate S. Wilson, Sandra G. Garcia

Reproductive Health

This report highlights the findings of the endline evaluation of a two-year leadership project aimed at indigenous youth in Oaxaca, Mexico: Movil.com. Movil.com is a community project headed by peers and built on elements of other models. It is similar to a cascaded peer education and training model, in which nuclear leaders are trained who, in turn, train facilitators of larger groups. The Population Council office in Mexico evaluated the project at the request of the social organization that implements it, the Rosales Castellanos Women's Study Group, an NGO that has worked for more than 30 years with indigenous communities …

Systematic Sexual Violence By U.S. State Agencies: A Victimology Approach, Sarah Brightman

Dissertations

Women experience sexual violence at the hands of the United States military, police, corrections officers and border patrol agents. The study of state crime has been expanding rapidly in criminological research, however there has been little attention paid to its victims, particularly women, and especially to women's sexual victimization. The purpose of this research is to expand current research to develop a gendered analysis of state crimes in the context of sexual violence against women. This research applies Kauzlarich, Matthews and Miller's (2001) six propositions of a Victimology of State Crime to four cases of sexual victimization by U.S. agencies. …

Society In Crisis: A Critical Perspective On Health Care And Distribution Ofhealth Status In The United States, Curtis D. Hosier

Dissertations

This research examines U. S. health status both internationally and domestically utilizing indicators infant mortality, life expectancy at birth, and maternal mortality data as comparison. This research compares U.S. health status data with OECD country data to ascertain U.S. rankings internationally. Also, this research examines the distribution of health status within and between sex, class, and racial groups in the U.S. to further the discussion that health status is unequally distributed in the United States. This research found the U.S. ranked in the lowest quartile in each of the health status variables examined internationally. This research found inequalities exist in …

Understanding The Dimensions Of Spirituality In Caucasian Lesbian, Gay, And Bisexual College Students, Michele L. Mcgrady

Dissertations

Spiritual development is a critical task for college students, but there is a paucity of information about how college students understand the construct of spirituality. Historically, organized religion has been oppressive to the lesbian, gay, and bisexual (LGB) community. Furthermore, little is known about the spiritual understandings and spiritual experiences of lesbian, gay, and bisexual college students. This quantitative investigation sought to understand the underlying dimensions of spirituality for Caucasian LGB college students through the use of multidimensional scaling. Sixty Caucasian LGB college students were recruited through purposeful and snowball sampling. Findings indicate three dimensions of spirituality for this sample: …

Citizen-Informed Performance Measurement And Reporting In Local Government: Key Factors For Effective Democratic Governance, Eileen L. Pierce

Dissertations

Citizen engagement and performance measurement are concepts inherently in conflict with each other. Local government values citizen input and good governance. Simultaneously, the pressure of local government to be efficient and effective utilizing managerial techniques common in the private sector is intense. Due to challenges associated with the integration of performance measurement and active citizen involvement, initiatives in this area are sparse.

This study, using a mixed methods analysis, explored the research questions through examination of thirty-six units of local government that participated in the Alfred P. Sloan Foundation‘s Government Trailblazer Program. This program provided a unique opportunity for exploratory …

Social Justice Advocacy And Counselor Education: A Study Of Counselor Educators' And Counseling Interns' Perceptions Of Social Justice Advocacy Training, Darryl C. Steele

Dissertations

Social justice and advocacy have become increasingly important topics in counselor training. The 2001 Council for the Accreditation of Counseling and Related Educational Programs (CACREP) training standards require counselor education programs to provide studies in social justice and advocacy processes. Moreover, 2009 CACREP standards stipulate that accredited programs must provide advocacy training specific to each specialty area. The American Counseling Association (ACA) adopted advocacy competencies, in part, to guide this training (Goodman, 2009; Lewis, Arnold, House, & Toporek, 2003). Despite training standards and frameworks such as the ACA Advocacy Competencies to help prepare students for advocacy, few studies have explored …

Investigating Early Childhood Teachers' Stress And Social Supports: A Multi-Methods Approach, Ashley Diane Romero

LSU Master's Theses

Previous research has indicated that teaching is a high stress profession and that social supports may help to mediate teacher job stress. Ecological maps have been used in both research and other fields in order to study individuals’ social networks. Using a sample of ten Pre-K teachers, this study aims to answers two questions of inquiry: 1) Is the amount of reported social supports for Pre-K teachers negatively associated with reported stress?, and 2) What information does the eco-map interview give us about teacher’s social supports and stress? A multi-methods approach of both qualitative and quantitative techniques was used in …

Loving Me Or Loving You: Influencing The Attitudes And Behaviors Of Children Through A Prosocial Intervention, Shawna H. Gose

LSU Master's Theses

Research indicates that narcissism may increase antisocial tendencies in children as young as preschool. In this quasi-experimental study, manners lessons on selfless, prosocial behavior were used as an intervention to decrease narcissism and antisocial behavior within second and third grade classrooms. Manners lessons provided children with opportunities to demonstrate prosocial attitudes toward others and thus were expected to decrease narcissism, increase empathy, decrease conduct problems and peer problems, and increase prosocial behavior. The present intervention positively influenced the external behavior of children as indicated by a decrease in conduct problems and peer problems and an increase in prosocial behavior for …

Through My Mother's Eyes: The Lifelong Journey Of Raising Children With And Without Disabilities, Lucie P. Lawrence

Electronic Theses and Dissertations

Through the use of narrative, this study sought to document the life-altering journey of 32 mothers raising children at various stages of development and with a variety of disabilities. The main questions guiding this research study consider the lived experiences of mothers raising children with and without disabilities; what these mothers reveal about the journey with their children; how these mothers define motherhood; and how their definition of motherhood differs for each of their children. To address the research questions and capture the narratives of participants, a two-pronged qualitative methodology was applied, using diaries compiled by participants and in-depth interviews …

Full Participation: Building The Architecture For Diversity And Public Engagement In Higher Education, Susan P. Sturm, Timothy Eatman, John Saltmarsh, Adam Bush

Faculty Scholarship

This catalyst paper offers a conceptual framework for connecting a set of conversations about change in higher education that often proceed separately but need to be brought together to gain traction within both the institutional and national policy arenas. By offering a framework to integrate projects and people working under the umbrella of equity, diversity, and inclusion with those working under the umbrella of community, public, and civic engagement, we aim to integrate both of these change agendas with efforts on campus to address the access and success of traditionally underserved students. We also hope to connect efforts targeting students, …

Latinos, Immigration Policy, And Geographic Diversification: Examining The Effects Of Concentrated Poverty, Segregation, And Low-Skill Employment On Homicide, Raymond Barranco

LSU Doctoral Dissertations

This study consists of three separate, yet interrelated analyses - all three examine the effects of Latino immigration. Since the mid-1980s, the pattern of settlement by Latino migrants has changed dramatically. These migrants are now settling in parts of the United States that have never before had significant Latino populations. This has led many to fear an increase in crime. Unfortunately, early explanations of immigration and crime focused on the experience of Eastern European immigrants. Therefore, it has not been clear whether the experience of Latino immigrants could be explained in the same way – especially with some researchers finding …

Battling For History: Divisive And Unifying Figures Of The Salvadoran Civil War, Raquel Farah-Robison

Honors Papers

The Salvadoran Civil War (1980-1992), fought between the state's military and a leftist guerrilla group (the FMLN) ended in a peace agreement brokered by the United Nations that acknowledged both sides as equal partners in the reconstruction of civil society. As a result, both camps have been able to write their histories, erect their monuments and hold celebrations in honor of their martyrs. This project studies these competing narratives and the forms in which this history is preserved, and presents an analysis of four key figures, two who reflect the continuing fractured state of historical memory (Major Roberto d'Aubuisson and …

Divergent Discourses: Medical And Cultural Understandings Of Latina Reproductive Health In The Era Of Gardasil, Cindy Camacho

Honors Papers

In 2006, the vaccine Gardasil was distributed in the United States. Gardasil was created to block four strains of human papilloma virus (HPV), two of which cause about 70% of cervical cancer, and two others that cause 90% of genital warts. Although the Gardasil vaccine is an advance in the fight against cervical cancer, reports show that Latinas have low vaccination rates of Gardasil, disproportionately higher rates of cervical cancer and that cervical cancer screening rates are much lower for Latinas than women of other ethnicities. I argue that there is a disconnect between the Latina and medical discourses and …

Fp-11-01 U.S. Families And Households: Economic Well-Being, Krista K. Payne

National Center for Family and Marriage Research Family Profiles

No abstract provided.

School-Based Juvenile Probation And Police Partnerships For Truancy Reduction, Leanne F. Alarid, Barbara A. Sims, James Ruiz

Contemporary Issues in Juvenile Justice

Truancy places students at risk in primary and secondary education and is linked to conduct disorder, drug use, and delinquency. To prevent truancy and reduce risk, school-based proba-tion supervision has emerged within school districts in partnership with local law enforcement officers in an effort to enforce probation conditions for truant youths and prevent future delin-quency. This research uses key information interviews of knowledgeable stakeholders to examine the delivery of school-based probation supervision. Home visits and court hearings were perceived to be effective at reducing truancy and tardiness. This study affirms that strong lead-ership, information sharing, and involvement of parents were …