Family, Life Course, and Society Commons^™

What Makes A Family: How An Empowerment-Based Health Care Delivery Model Employs Family Planning To Positively Impact Families In Rural Maharashtra: A Study In Jamkhed, Ahmadneger, Sezin Sakmar

Independent Study Project (ISP) Collection

The paper examines how an empowerment-based health care delivery model employs family planning services to positively impact families in rural Maharashtra. Family planning services provide those with the ability to become pregnant the option to control their own reproductive lives, whether they choose in favor of or against having children. Contraceptive use advances people’s human rights to choose whether they want to bear children and how many children they want, and people should have the choice of their preferred contraceptive method. The paper examines this issue within the framework of the Comprehensive Rural Health Project’s Jamkhed Model. Through the Jamkhed …

El Impacto Del Diagnóstico De Cáncer De Mama En Los Vínculos En Mujeres De La Ciudad Autónoma De Buenos Aires (2023) / The Impact Of A Breast Cancer Diagnosis On The Relationships Of Women Living In The Autonomous City Of Buenos Aires (2023), Devin O’Loughlin

Independent Study Project (ISP) Collection

El siguiente trabajo de investigación busca describir las relaciones sociales de una persona con cáncer de mama. Para colectar datos, se entrevistó a cuatro mujeres argentinas CIS que han padecido cáncer de mama para investigar sus relaciones con sus amigos, sus parejas, y sus familias, y si estas relaciones han cambiado como resultado de su diagnóstico. Estas entrevistas estaban destinadas a informar cómo se distribuyen los roles de cuidado y acompañamiento durante el tratamiento por la enfermedad e indagar cómo pueden ayudar los amigos y la familia a la gente durante el tratamiento para el cáncer de mama. El trabajo …

Examining The Power Dynamics In The Patient-Doctor Relationship In Bio-Medicalized Countries: A Historical And Sociocultural Framework, Molly Dickerson

Independent Study Project (ISP) Collection

Medical humanities research is an increasingly important field of study for medical care. Power dynamics that exist between doctor and patient during the clinical encounter are an integral factor for improving health outcomes and patient satisfaction with their clinician. This research study sought to determine the power dynamics that exist within the patient-doctor relationship in Switzerland and other bio-medicalized countries with similar patient-provider experiences through a historical and sociocultural lens. Four interviews were conducted alongside preliminary research, and the power dynamics identified through this study were social, economic, knowledge-based, and communication. Historical human philosophies about the universe, the role of …

Declining Career Interest In Primary Care In Switzerland And The United States, William Zhang

Independent Study Project (ISP) Collection

Primary care (PC) lies at the center of modern healthcare systems as the primary point of contact between the general public and quality health care. Primary care physicians (PCPs) are known to provide high quality basic care to members of their surrounding community without consuming a large budget, and thus should be a priority for health sector investments. However, the proportion of medical students becoming PCPs is declining across the world, thus putting affordable global health at risk. The U.S. and Switzerland, even with their high health expenditures and advanced healthcare technologies, are no exception to this trend. Analysis of …

Medical Ethics: How Resource Distribution Affects The Decision Making Of Doctors In Rural India: An Explorative And Comparative Study In Jamkhed, Maharashtra, Jared Yee

Independent Study Project (ISP) Collection

Using rural Mahrasthra as a case study, I was able to explore the medical ethics and common dilemmas that occur in Rural India. Through a collection of interviews and articles, I was able to piece together my understanding of some common ethical challenges that India faces, emphasizing ones that were unique to the location and circumstance. Using observations I made through my work in the hospital, I learned that limited resources effects all sides of ethics in the medical field, with a significant effect on economics, hospital structure, and clinical protocol. In an attempt to source the aspects of Indian …

La Política Cultural Del Aborto: Las Percepciones Y El Manejo Del Aborto En Arica, Chile, Eva Strelitz-Block

Independent Study Project (ISP) Collection

Chile has a long history of restricting access to legal abortion. Until 2017, when the government passed the law N° 21.030 decriminalizing abortion on three grounds, abortion was completely illegal. However, despite this movement towards decriminalization, legal abortion access is still very limited and highly restricted. In this criminalized, highly stigmatized environment, self-managed abortion has emerged as a way to transform the landscape of abortion. This qualitative, exploratory study seeks to explore perceptions of abortion and practices of abortion management both within and outside of the official healthcare system among women and people with the capacity to become pregnant and …

Healing In The Himalayas: Mustangi Medical Practitioners’ Perspectives On Integrative Approaches To Chronic Illness, Lucia Morey

Independent Study Project (ISP) Collection

The purpose of this Independent Study Project is to capture a snapshot of the opinions and experiences of 13 health practitioners from 7 villages and towns in Mustang. Specifically, I asked independent healers (IH), amchis and health post workers about their practices and perspectives on chronic illness, integrative medicine and the intersection of the two. I found that there is a flow of information in one general direction, with practitioners along a continuum of most to least globally recognized. Understandably, the least well known (independent healers) are aware of Traditional Tibetan Medicine (TTM) and conventional Western medicine (CWM). Subcategories of …

The Hapless State Of Amyotrophic Lateral Sclerosis In India: A Comprehensive Look At Life And Medical Services For Als Patients In Rural Himachal Pradesh, Carson J. Bergström

Independent Study Project (ISP) Collection

Amyotrophic lateral sclerosis (ALS) or Lou Gehrig’s disease is a neurodegenerative disorder that leads to paralysis. The disease requires a high amount of medical intervention and interdisciplinary focus to achieve quality of life for patients. This study looks at ALS patient’s lifestyles, their access to these medical devices, Indian therapeutic approaches and policy that impacts patients in Shimla, Himachal Pradesh. As caretakers have a critical part in the care for this disease, their lives were also considered in the case studies. It was found that ALS patients are not experiencing access to medical devices necessary for life because of physical …

Intersections Between Health And Disability: A Case Study At Disha Centre, Jaipur, Rajasthan, Finnian Brokaw

Independent Study Project (ISP) Collection

This study investigated intersections between health and disability by asking the question: how do community perceptions of disability at Disha: A Resource Centre for the Disabled in Jaipur, India relate to health and quality of life for a person with multiple disabilities? This study utilized a case study methodology. The researcher took qualitative interviews from six respondents in the immediate educational and familial support network of a 27-year-old man with multiple disabilities. An interview based, qualitative methodology was important for investigating the complexity of perceptions of multiple disabilities and health as intersecting identities. The responses were analyzed and reflected upon …

My Body, Their Choice: Childbearing Attitudes And Practices In Jamkhed, Maharashtra, Sienna Sewell

Independent Study Project (ISP) Collection

Understanding the beliefs and practices of women and their families during pregnancy and childbirth is fundamental to the creation of successful public health interventions that target maternal and infant mortality. This study explores the childbearing practices of women in rural Jamkhed, as well as the social and economic factors that influence family planning, reproductive health-seeking, and delivery. Interviews and quantitative surveys were conducted with women in villages that have partnered with the Comprehensive Rural Health Project (CRHP) to examine how and why women access prenatal care during pregnancy. The influence of CRHP’s “Jamkhed Model” on healthcare access is considered in …

Trust, Access, And Adaptation To Needs: The Role Of Community-Based Promoters In Health Insurance Delivery In Gujarat, India, Lauryn Stafford

Independent Study Project (ISP) Collection

The research question this study addresses is: How do community-based promoters contribute to the delivery and utilization of health insurance among marginalized populations in India? To address this question, the successes and difficulties experienced by VimoSEWA community-based insurance promoters, called aagewans, were investigated through field visits and personal interviews in Ahmedabad and nearby rural districts in Gujarat. VimoSEWA’s insurance delivery model is an appropriate topic of investigation for this study because its beneficiaries are self-employed women with limited prior access to financial protection. Both aagewans and insurance members were interviewed during this study to develop a comprehensive understanding of the …

Exploring The Space Between Healers: A Narrative Approach To Understanding The Relationship Between Traditional Healers And Biomedical Practitioners In Kwazulu-Natal, Marisa Delsignore

Independent Study Project (ISP) Collection

Despite playing essential and parallel roles in the lives of patients, there exists a frictional, imbalanced relationship between traditional healers and Western doctors in South Africa. While national policy encourages a seamless system rooted in both Western science and indigenous knowledge, biomedical institutions are hesitant to accept traditional medical practices, which are based on less tangible and more spiritually-oriented elements. This research project turns to these two ideologically different entities to assess their perspectives on the roles of themselves and the other within the context of the South African health system.

Responses from semi-structured interviews with seven health practitioners from …

The Challenges Of India’S Rising Breast Cancer Epidemic, Brigette Stickney

Independent Study Project (ISP) Collection

India is currently undergoing rapid urbanization, which is greatly impacting Indian citizens’ health. One of the rising concerns due to the drastic lifestyle and environmental changes that are results of urbanization is the issue of breast cancer. Breast cancer diagnosis rates are rising exponentially, and breast cancer has moved its way up to be the most common cancer in India. Breast cancer mortality rates in India are also some of the worst in the world. This paper analyses the social, mental, economic, geographic, and physical challenges that are present for women diagnosed with cancer in India. It assesses how they …

“Arica Tiene Vih, ¿Y Tú?” El Rol Del Test Rápido De Vih En El Diagnóstico Oportuno Para Jóvenes De La Comuna De Arica, Chile / "Arica Has Hiv, And You?" The Role Of The Rapid Hiv Test In The Timely Diagnosis For Young People In The District Of Arica, Chile, Julia Zigman

Independent Study Project (ISP) Collection

Research question: How is the rapid HIV test useful in assuring access to timely diagnosis of HIV for young adults in the city of Arica, Chile?

Objectives: The primary objective of this study is to evaluate the rapid HIV test as a means of increasing access to timely diagnosis of HIV among those aged 18 – 29 in the community of Arica, which participated in a pilot of the rapid test in early 2018. The study sets out to evaluate the installation of this pilot to situate the role of the rapid test in Chile’s HIV landscape. Further objectives …

Perceptions Of Complementary And Alternative Medicine In Western Society: A Focus Study On Switzerland, Sandra B. Saldana

Independent Study Project (ISP) Collection

The demand for complementary, alternative, and traditional medicine, or CAM, has been a topic of debate in Western countries like Switzerland in the past decades due to the limited evidence-based research on its effectiveness. However, countries like Switzerland have been implementing CAM in their national health insurance as a response to the pressure of demand from the people. Thus, understanding the motivations for CAM use may help medical and government institutions address the shift towards a new way of managing health and disease. The purpose of this study was to evaluate the psychosocial factors involved in influencing the patients’ perception …

“Estamos Aquí Con Nuestra Propia Fuerza” Las Mujeres De Amupakin Y Su Lucha Para Preservar El Parto Ancestral En Napo, Ecuador. / "We Are Here With Our Own Strength" The Women Of Amupakin And Their Struggle To Preserve The Ancestral Birth In Napo, Ecuador., Lilian Domenick

Independent Study Project (ISP) Collection

Este proyecto documenta mi trabajo con AMUPAKIN (Asociación de Mujeres Parteras Kichwas de Alto Napo)—una organización de mujeres Kichwa que practican la medicina ancestral—y su lucha para preservar los conocimientos y las prácticas de la cultura Kichwa en la provincia de Alto Napo, Ecuador. A través de las conversaciones informales y la participación en las actividades diarias de las parteras de AMUPAKIN, aprendí de la historia y el trabajo actual de la organización y las experiencias de las 10 parteras que forman la asociación. El proyecto documenta como la práctica de la partería ancestral se manifiesta en AMUPAKIN—y examina como …

Ontology Of Personhood In Ayurveda From The Perspective Of Patients And Physicians In Palampur, Himachal Pradesh: An Independent Study, Denise Defelice

Independent Study Project (ISP) Collection

Scholars in western biomedicine describe the body as a physical entity distinct from mind and soul. However, the human body in Indian systems of medicine integrates the multiple natures of personhood and is both deeply physical and spiritual. This study demonstrates the unique view of personhood, being, health, and illness in Ayurveda through literature research and interviews with practitioners and patients. This study extends past a search for the ontology of personhood in Ayurveda and discusses the implications of this ontology on the way one views oneself and the world around him or her. Through this integrative approach, this study …

“Karm Hi Pooja Hai (Work Is Worship)” The Determinants That Influence The Subjective Health And Well-Being Of Cycle Rickshaw Wallahs In Varanasi, India, Benjamin Bryer

Independent Study Project (ISP) Collection

A total of 11 interviews were conducted over a 4-week period to study the subjective health and well-being of cycle rickshaw drivers in Varanasi, India. Varanasi was chosen as the location of the study because cycle rickshaws remain an integral and common mode of transportation within the city. Using ethnographic and qualitative research methods, participants were asked semi-structured interview questions to determine their personal definitions of a good and healthy life. Participant observation was also a critical method of data collection, as it gave insight into the daily routine and schedule of a rickshaw puller.

Three overarching themes were identified …

“Religion Is Religion; My Life Is My Life”: Religious Influences On Family Planning Decisions In Kapchorwa District, Uganda, Sarah Mathys

Independent Study Project (ISP) Collection

This report seeks to understand the influence that religion has on family planning decisions in Kapchorwa District, in eastern Uganda. Increased uptake of family planning has significant impliations for sustainability and development in Uganda as a whole. As a district with a high unmet need for faily planning, Kapchorwa serves as an important case study. Because over 99% of Uganda’s population reports a religious affiliation, and because literature on family planning claims conservative spirituality as a major cause of low uptake, religion is a natural lens through which to study family planning perceptions and utilization.

Through focus groups and key …

Uso De La Medicina Tradicional Y De La Biomedicina Por Migrantes Q’Ero En El Distrito De San Sebastian, Cusco / Use Of Traditional Medicine And Biomedicine By Q'Ero Migrants In The District Of San Sebastian, Cusco, Isabel Blaettler

Independent Study Project (ISP) Collection

An estimated 49% of the indigenous population of Latin America has migrated to cities in the past 50 years. In Peru, over 600,000 native Quechua speakers migrated to cities due solely to the terrorist conflicts of the 1980s. Many of these immigrants came from small towns with little to no infrastructure in terms of roads, schools, and hospitals or access to western biomedicine. In this study, semi-formal qualitative interviews were used to investigate whether migration from a small rural community to a city, specifically among the Queros people of Southern Peru, affected the use of traditional medicine and biomedicine. A …

Hiv Harm Reduction Methods: A Comparison Between Switzerland And The United States, Erin Major

Independent Study Project (ISP) Collection

This paper explores the connections between harm reduction methods and the prevalence of HIV/AIDS in Switzerland and the United States of America, focusing primarily on the harm reduction methods of needle exchange programs, safe drug consumption spaces, and sex education. While these two countries are largely similar in their culture and geopolitical approaches, there are some key differences in how HIV is approached in each. Switzerland’s somewhat unique approach with relaxed drug policies and more pragmatic, harm reduction based response to the AIDS epidemic sets a model framework for other countries to follow, with comparatively widespread use of needle exchange …

Pololeo Y Protección: Las Barreras De Acceso A Métodos Anticonceptivos Para Adolescentes Vulnerables En La Comuna De Macul, Santiago De Chile / Pololeo Y Protección: Barriers To Access Contraceptive Methods For Vulnerable Adolescents In The District Of Macul, Santiago De Chile, Louisa Boswell

Independent Study Project (ISP) Collection

El embarazo adolescente sigue siendo un problema de salud pública al nivel nacional en Chile. Aunque por ley, todos tienen el derecho a una educación sexual y a elegir un método de control de fecundidad, todavía existen casos de embarazos no planificados, particularmente entre adolescentes. Este estudio investigó las barreras que limitan el acceso a métodos anticonceptivos para adolescentes, enfocando primariamente en el sistema público en la Región Metropolitana. Específicamente, la investigación consideró las adolescentes de la comuna de Macul, utilizando muestras de un colegio local y dos centros de salud familiar para hacer conclusiones. La investigadora entrevistó a matronas …

The Perceived Mental Health Effects Of China’S One-Child Policy, Avery Rasmussen

Independent Study Project (ISP) Collection

This study looked at the perceived impacts of China’s 30 year One-Child Policy (OCP). Previous studies suggested the OCP affected Chinese culture and society in a number of ways, however no studies (to the knowledge of the principal investigator) had looked at perceptions of the effects of the OCP on anxiety levels and other mental health issues of students in China. This study sought to fill the aforementioned knowledge gap and aimed to determine perceptions about the mental health effects of the OCP on students. Specifically, this study endeavored to gain a better understanding of perceptions of the effects of …

Tibetan Women’S Experiences With Childbirth: A Comparative Study Of Present-Day Shangri-La And Previous Studies In Tibetan Communities, Billie Dunn-Mcmartin

Independent Study Project (ISP) Collection

What are the experiences of Tibetan women living in and around Shangri-La with pregnancy, childbirth, and motherhood? In order to explore this topic, one must first understand the context in which this topic exists: Tibetan Buddhism and culture. This paper gives a short background on women and the female body in Tibetan Buddhism, the Tibetan Medical system, and the current accessibility and regulation of hospitals, before entering into the topic of Tibetan women’s experiences with childbirth. The experiences and traditional practices of childbirth are important, as birth is universally significant as well as particularly religiously significant in Tibetan Buddhism, and …

Las Condiciones De Vida De Los Usuarios Adultos Mayores Del Hospital Makewe / The Living Conditions Of Elderly Users Of Makewe Hospital, Taylor Selembo

Independent Study Project (ISP) Collection

Life conditions are a fundamental aspect of the health of senior citizens, as these are the factors that determine their quality of life and capacity to satisfy their needs. Life conditions are dependent on the particular social, political, economic, and geographic context of the region. This study intends to answer the following question: How are the life conditions of senior citizens belonging to Hospital Makewe, located in the IX region of Chile? This quali-quantitative study utilized observation, surveys (n = 40) and interviews (n = 15) in order to accomplish the main objective. The main objective was to describe senior …

When Knowledge Flows: A Case Study Of Village Health Workers’ Motivations In Jamkhed, Selaem Hadera

Independent Study Project (ISP) Collection

Across the field of global health, there have been many attempts to cater to the health needs of the most marginalized populations. Community health workers (CHWs) are individuals that live in the communities they serve and are typically low-­‐income women with little to no formal education. After a period of training by their program, they enter their communities equipped as a bridge between the community and the health system. Although CHWs do play a substantial role in health delivery and education, the structure of CHW programs varies widely, but a common characteristic of these programs is that the CHWs are …

When The Health System Fails You: Maternal Care Under Kenya’S 2017 Nurses' Strike, Tessa Coughtrey-Davenport

Independent Study Project (ISP) Collection

This study focuses on the 2017 nurses’ strike and how the crippling of the public health system impacted maternal care in Kisumu, Kenya. Kenya has one of the highest maternal mortality ratios in the world, and there have been many efforts to reduce this, such as delivery with a Skilled Birth Attendant and attending antenatal care visits, all of which are centered around a functioning health system. The research team used a combination of interviews with key populations and analysis of service delivery data at local health centers to evaluate the effects of the strike on maternal care. The study …

Una Investigación Sobre La Prevalencia De La Lactancia Materna / 62/5000 An Investigation On The Prevalence Of Breastfeeding, Madeline Ferone

Independent Study Project (ISP) Collection

El propósito de la investigación es estudiar la realidad de las prácticas y la prevalencia de la lactancia materna en Chile, y cómo las características demográficas distintas de las mujeres influyen en la alimentación de sus bebés. La lactancia materna es crucial para el crecimiento y desarrollo saludable de un bebé, y también tiene beneficios para la salud de la madre. Sin embargo, las madres a menudo no siguen las pautas de la Organización Mundial de Salud y UNICEF. Los métodos de recolección de datos son una revisión de una Encuesta del Ministerio de Salud de 2013 de 9604 madres …

Supermarket Savvy: An Analysis Of Psychological Exploitation Within Grocery Stores, Calvin Brinkworth

Independent Study Project (ISP) Collection

As obesity rates continue to climb around the world, an increased effort is needed to explore all means of prevention and intervention. Although previous research has examined the effectiveness of strategies like nutritional education, little research has been conducted surrounding the interplay of psychology and marketing within the context of grocery stores. As such, this paper examines the presence of psychological manipulation within grocery stores and the influence is has upon product choice, and ultimately consumption. Several key variables have been taken into account for this analysis, including store layout, location, product placement, packaging, and others, to provide a holistic …

A Glimpse Into Life On Avenida Caetano: An Auto-Ethnographical Study With Emphasis On Community Health And Social Determinants Of Health Within An Urban Context In Brotas, Salvador, Brazil, Harleen Bal

Independent Study Project (ISP) Collection

Community health is a concept that encompasses many facets of life beyond simply the physical health of a community. Community health refers to the collective health, mental, physical, and emotional, of a specific community, encompassing all ages and genders within that group. In Brazil, the universal healthcare model focuses much on primary care and community health workers (Kahn, 2008; Gragnolati). In a particular community in Brotas, while the community has some resources, it is still lacking in jobs, education, financial resources, and perhaps also faces issues of violence and racial inequities. This study strives to utilize participant-observation methodology, interviews, and …