Family, Life Course, and Society Commons^™

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 …

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 …

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 …

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.

Linking Hiv-Positive Family Planning Clients To Treatment And Care Services In Kenya, Wilson Liambila, Francis Obare, Harriet Birungi, Ruth Wayua Muia, Joyce Wanderi Maina, Mary N. Maina, Christine Awuor, Ibrahim Mohammed

Reproductive Health

A project from the Population Council’s USAID-funded FRONTIERS program found that integrating HIV counseling and testing into family planning (FP) services was feasible and acceptable to clients and providers, and led to significant improvement in the quality of care provided. However, a major limitation was that FP clients who tested HIV-positive were not actively linked to care and treatment services, including antiretroviral treatment, and screening and management of sexually transmitted infections. A new initiative aimed to design and test a referral framework for linking HIV-positive FP clients to treatment and care in selected health facilities; assess the acceptability of the …

Using Youth-Friendly Communication Approaches To Communicate Hiv/Aids With Young People Is Feasible And Acceptable, Population Council

Reproductive Health

HIV remains a major concern in Kenya among all segments of the population, including adolescents. New ways of delivering HIV information and services are therefore needed, especially to reach young people and encourage them to take up counselling and testing to know their sero-status. The APHIA II Operations Research Project collaborated with the Ministry of Education, Well Told Story, and the National AIDS and STD Control Programme to implement a project to enhance communication in schools about HIV and create demand for early counseling and testing. The project also sought to create a supportive environment in schools for young people …

Identifying Opportunities And Challenges To Strengthen Union Level Facility For Providing Normal Delivery And Newborn Care Services: Findings From Policy Advocacy Activities, Md. Noorunnabi Talukder, Ubaidur Rob, A.K.M. Zafar Ullah Khan

Reproductive Health

The Population Council/Bangladesh, with assistance from the UK Department for International Development (DFID), organized a series of advocacy meetings and workshops that were carried out as part of a policy and systems research study titled “Strengthening Union Level Facility for Providing Normal Delivery and Newborn Care Services.” The Council held one consultative meeting, one stakeholders’ meeting, two experience-sharing workshops in Jamalpur and Thakurgaon, two local-level advocacy workshops in Kurigram and Habiganj, and two roundtable dialogues with journalists from Bengali and English newspapers. This document includes five reports: Strengthening HFWCs (Health and Family Welfare Centers) for Normal Delivery and Newborn Care …

Distress Among Indigenous North Americans: Generalized And Culturally Relevant Stressors, Melissa L. Walls, Les B. Whitbeck

Department of Sociology: Faculty Publications

Stress process and life-course models of mental distress emphasize socio-cultural and historical processes that influence stress exposure and the impact of stress on mental health outcomes. Drawing from these theoretical orientations as well as concepts from the historical trauma literature, we examine the effects of culturally relevant and more generalized sources of stress on distress among North American Indigenous adults, and tests for the potential cumulative and interactive effects of stress on distress across the life-course via self-reported early childhood and adult/contemporary stressors. Results of OLS regression analyses reveal positive, significant associations between general stressors and distress as well as …

Variation In Distress Among Women With Infertility: Evidence From A Population-Based Sample, Arthur L. Greil, Karina M. Shreffler, Lone Schmidt, Julia Mcquillan

Department of Sociology: Faculty Publications

BACKGROUND We examine variation in fertility-specific distress (FSD) and general distress according to different experiences of infertility among 1027 US women who have experienced infertility within the previous 10 years.

METHODS General distress was measured by a short form of the Center for Epidemiological Studies-Depression. Multiple regression analysis was conducted on self-report data (based on a telephone interview) from a probability-based sample of US women aged 25–45 years. We compare women with infertility who have had a prior pregnancy (secondary infertility, n = 628) to women with infertility with no prior pregnancies (primary infertility, n = 399). We further distinguish …

Are Prior Pregnancy Outcomes Relevant For Models Of Fertility-Specific Distress Or Infertility Helpseeking?, Arthur L. Greil, Katherine M. Johnson, Julia Mcquillan, Naomi L Lacy

Department of Sociology: Faculty Publications

Women with prior pregnancy but no live birth are inconsistently termed as either ‘primary infertile’ or ‘secondary infertile’ in psychosocial studies of infertile women. The goal of this study was to discover whether infertile women who had experienced pregnancies but no live births were more similar in attitudes and behavior to infertile women who had not experienced pregnancies or to those who had live births. We used the National Survey of Fertility Barriers (NSFB), which contains self-reported data from a probability-based sample of US women aged between 25 and 45, to accomplish our goal. In this cross-sectional analysis, infertile women …

The Elder Economic Security Initiative™: The Elder Economic Security Standard™ Index For Iowa, Gerontology Institute, University Of Massachusetts Boston, Wider Opportunities For Women

Gerontology Institute Publications

This report addresses income adequacy for Iowa’s older adults using the national WOW-GI National Elder Economic Security Standard Index (Elder Index) methodology. The Elder Index benchmarks basic costs of living for elder households and illustrates how costs of living vary geographically and are based on the characteristics of elder households, including household size, home ownership or renter status and health status. The costs are based on market costs for basic needs of elder households and do not assume any public or private supports.

Risk Factors For Driving Cessation Vary By Race And Ethnicity, Elizabeth Dugan, Frank Porell, Chae Man Lee

Gerontology Institute Publications

Driving is related to our identity and independence as well as allowing us to get needed goods, services, and social opportunities that enrich daily life. Yet with increasing age, the risk for developing threats to medical fitness to drive increases. Driving cessation is related to a long list of negative outcomes, such as: depression, social isolation, diminished access to health care, and diminished quality of life. We investigated risks for driving cessation, paying close attention to racial differences. This study used data from the Health and Retirement Study (HRS), 1998-2008. The study included N=46, 528 older people (age 65 and …

The Elder Economic Security Initiative™: The Elder Economic Security Standard™ Index For Colorado, Gerontology Institute, University Of Massachusetts Boston, Wider Opportunities For Women

Gerontology Institute Publications

This report addresses income adequacy for Colorado’s older adults using the national WOW-GI National Elder Economic Security Standard Index (Elder Index) methodology. The Elder Index benchmarks basic costs of living for elder households and illustrates how costs of living vary geographically and are based on the characteristics of elder households, including household size, home ownership or renter status and health status. The costs are based on market costs for basic needs of elder households and do not assume any public or private supports.

Finding The Heart Of Medical Family Therapy: A Content Analysis Of Medical Family Therapy Casebook Articles, Richard Bischoff, Paul R. Springer, Daniel S. Felix, Cody S. Hollist

Department of Child, Youth, and Family Studies: Faculty Publications

In an effort to identify the essential ingredients of medical family therapy, a content analysis of 15 peer-reviewed case studies in medical family therapy was conducted. The case studies were published from 1996 to 2007 in Families, Systems, & Health. Through a qualitative content analysis, three main themes emerged that describe the essence of the practice of medical family therapy: (1) The patient’s multisystemic experience of disease, (2) treatment is about caring, not just caregiving, and (3) elevating the patient as collaborator in the care team.

From The Editor, Kathleen Moritz Rudasill

Department of Child, Youth, and Family Studies: Faculty Publications

This is an exciting time for Gifted Children as we transition to an online, peer-reviewed format for the journal. This move will simultaneously improve our submission process and increase the visibility of research being conducted by members and colleagues of the Research on Giftedness, Creativity, and Talent SIG. In addition, Gifted Children will continue to provide book reviews and tools for researchers, as well as practitioner pieces. This issue, the first issue of Volume 5, marks the beginning of this transition; it is the first issue to be initially published online using Digital Commons software. The second issue of Volume …

Preschoolers’ Social Behavior And Context Coding System, Soo-Young Hong

Department of Child, Youth, and Family Studies: Faculty Publications

Coding Guidelines

1. Observe during free play, small groups, routines/transitions, and outdoor play on two different days per child. Do not observe during large group activity.

2. Observe the target child’s behavior for 20 seconds and code for 30 seconds.

3. Context: a.) Coded as mutually exclusive subcategories.

4. Nature of Activity: a.) Coded as mutually exclusive subcategories. b.) If ‘Daily routines/transitions’ was coded, the Type of Activity should be coded as one of the four types relevant to daily routines/transitions (i.e., Personal care, Meal and snack, Clean up, or Transition activity).

5. Type of Activity: a.) The types of …

Single-Parent Families In Bangkok, Thailand: Factors Affecting Children Living In Single-Parent Families, Waruesporn Jiumpanyarach

Theses and Dissertations--Sociology

There has been a transformation in family structure in Thailand due to the changes in economic and social structures over time. Though not recorded in census data the rise in single-parent families can be expected due to a rise in divorce rates, that have been recorded, over the past decades. However, the literature on single-parent families is limited and little is known about the experiences of single-mothers and children of singlemother families in Thailand. This study examines the factors that have major impacts on the well-being of children of single-parent families in Bangkok, Thailand.

A qualitative methodology was employed to …

A Qualitative Inquiry Into Understanding The Experience Of Wilderness Family Therapists, Lauren W. Smith

University of Kentucky Master's Theses

Wilderness therapy is a unique approach to therapy that incorporates nature and experiential learning as a part of the therapeutic process. Wilderness therapy has proven to be a successful means of treatment, but research suggests the importance of family involvement for sustainable change post-wilderness therapy treatment. Wilderness family therapy was created as a result of this research; however, limited research reflects the experience and outcomes of wilderness therapy that includes more intense family involvement. Moreover, research lacks data collected from the therapists within the wilderness family therapy programs. Because the therapist plays an integral role in the success of treatment, …

Alcohol Use Trajectories And Problem Drinking Over The Course Of Adolescence: A Study Of North American Indigenous Youth And Their Caretakers, Jacob E. Cheadle, Les B. Whitbeck

Department of Sociology: Faculty Publications

This study investigated the links between alcohol use trajectories and problem drinking (DSM-IV abuse/dependence) using five waves of data from 727 North American Indigenous adolescents between 10–17 years from eight reservations sharing a common language and culture. Growth mixture models linking fundamental causes, social stressors, support, and psychosocial pathways to problem drinking via alcohol use trajectories over the early life course were estimated. Results indicated that 20% of the adolescents began drinking at 11–12 years of age and that another 20% began drinking shortly thereafter. These early drinkers were at greatly elevated risk for problem drinking, as were those who …

Introduction: Charlotte Perkins Gilman On The Sociology Of Families, Marriages, And Children, Michael R. Hill

Department of Sociology: Faculty Publications

Charlotte Perkins Gilman died in 1935, but she remains today a provocative sociological writer; she makes us think, argue, and question our preconceptions, especially with regard to marriage and family. Several posthumous volumes of Gilman’s work have been produced and it has been my pleasure to help present three of Gilman’s (1997, 2002, 2004) major sociological writings to new generations of readers in English. As noted in the preface, it has been a special honor to acquaint an audience of Italian readers with a selection of her powerful writings on families, marriages, and children.1 The present volume joins a small …

Sibling Conflict Resolution Styles And Marital Conflict Resolution Styles, Fatimah Shalash

University of Kentucky Master's Theses

This study used qualitative methods to examine if there was a connection between conflict resolution styles used with siblings in adolescence and conflict resolution styles utilized in current romantic committed relationships. The Conflict Resolution Behavior Questionnaire (Reese-Weber, & Bartle-Haring, 2003) and Gottman‟s (1994a, 1994b) couple-conflict types as adapted by Holman and Jarvis (2003) were administered to 144 participants through an online questionnaire. Analysis of the CRBQ using a multiple regression indicated participant‟s self-rating of compromise, attack, and avoidant conflict resolution styles used with siblings when an adolescent predicted current self-ratings of compromise, attack, and avoidant conflict resolution styles utilized in …

Actualizing Empowerment: Developing A Framework For Partnering With Families In System Level Service Planning And Delivery, Kathleen Ferreira

USF Tampa Graduate Theses and Dissertations

The engagement of families of children and adolescents with Serious Emotional Disturbance (SED) as full partners in individual treatment, organizational, and system level decision making has become an important focus for systems of care (SOCs) serving youth with emotional and behavioral challenges. SOCs typically include cross-agency partnerships with mental health, child welfare, juvenile justice, and education for the purpose of providing services and supports for youth with SED who have multi-agency needs. Implementation of a federal mandate requiring family driven care (FDC) within systems of care funded through the Children's Mental Health Initiative (CMHI) has revealed that most system of …

Life Experiences That Contributed To The Independence And Success In The Lives Of Foster Care Alumni, Dawn Elizabeth Montgomery

Antioch University Dissertations & Theses

The purpose of this qualitative study was to determine the factors which helped these foster care alumni to persevere and to succeed. The intent was to provide a framework for equipping youth in foster care more effectively by building on their strengths and the resources available in foster care. The study’s method incorporated the interviewing of ten ethnically diverse individuals who had experienced the foster care system. Based on their insights and the themes which emerged, the WARRIORS Model was created. This acronym represents the key themes derived from the interviews: Wounded, Advocacy, Reality of Belonging, Resources, Inspired to Succeed, …

Not Yet Married: The Implications Of Meanings Of Marriage On Youths In Singapore, Paulin T. Straughan

Research Collection School of Social Sciences

Marriage is a social construct that takes on different meanings as societies develop and mature. To understand why people get married, it is important that we understand what marriage means. This paper will discuss the social transformation of marriage in Asia using Singapore as a case study. To examine two demographic trends- delayed marriage, and the increasing proportion of people who remain single - this discourse also explores the constraints imposed by contradictions between traditional norms and modern expectations. In the midst of these ideological challenges, there are important implications for the practice of marriage among younger Singaporeans. We see …

Evolving With The Times: The Changing Landscape Of Work Life Integration In Singapore, Paulin Tay Straughan

Research Collection School of Social Sciences

This year, we celebrate 10 years of our journey and look toward a new chapter in our history as we communicate the relevance and increasing importance of Work-Life strategies for developing human capital today. We consolidated research studies on Work-Life Integration to date so as to understand what has been accomplished in this field and set directions and trends for future research. We commissioned A/P Paulin Tay Straughan, Vice-Dean of the Faculty of Arts & Social Sciences and Deputy Head of the Department of Sociology at the National University of Singapore, to conduct this research. The study unearthed several interesting …

Sham Marriages, Ancillary Powers, And Moral Discourse: Toh Seok Kheng V. Huang Huiqun; Adp V. Adq, Siyuan Chen

Research Collection Yong Pung How School Of Law

Is marriage an institution (of public morality) or a contract (of private ordering)? In Toh Seok Kheng, the High Court concluded that it was unable to declare a “sham marriage” void just because the motives behind the marriage seemed improper. In ADP, the High Court held that since a void marriage meant there was no marriage to begin with, the “wife” was not entitled to maintenance, and there could not have been any “matrimonial assets” to be divided, unless she had a strong “moral” claim. This piece considers how the aforementioned moral-contractual dichotomy emerges in these cases.