Matching Items (161)
Filtering by
- All Subjects: Social Research
- Genre: Masters Thesis
- Resource Type: Text
Community-based development: scaling up the correct use of misoprostol at home births in Afghanistan
Description
Globally, more than 350 000 women die annually from complications during pregnancy and childbirth (UNFPA, 2011). Nearly 99% of these, according to World Health Organization (WHO) trends (2010) occur in the developing world outside of a hospital setting with limited resources including emergency care (WHO, 2012; UNFPA, 2011). The most prevalent cause of death is postpartum hemorrhage (PPH), accounting for 25% of deaths according to WHO statistics (2012). Conditions in Afghanistan are reflective of the scope and magnitude of the problem. In Afghanistan, maternal mortality is thought to be among the highest in the world. The Afghan Mortality Survey (AMS) data implies that one Afghan woman dies about every 2 hours from pregnancy-related causes (AMS, 2010). Lack of empowerment, education and access to health care resources increase a woman's risk of dying during pregnancy (AMS, 2010). This project aims to investigate the prospects of scaling-up the correct use of misoprostol, a prostaglandin E1 analogue, to treat PPH in developing countries where skilled assistance and resources are scant. As there has been little published on the lessons learned from programs already in place, this study is experience-driven, based on the knowledge of industry experts. This study employs a concurrent triangulation approach to synthesize quantitative data obtained from previous studies with qualitative information gathered through the testimonies of key personnel who participated in pilot programs involving misoprostol. There are many obstacles to scaling-up training initiatives in Afghanistan and other low-resource areas. The analysis concludes that the most crucial factors for scaling-up community-based programs include: more studies analyzing lessons learns from community driven approaches; stronger partnerships with community health care workers; overcoming barriers like association with abortion, misuse and product issues; and a heightened global and community awareness of the severity of PPH without treatment. These results have implications for those who actively work in Afghanistan to promote maternal health and other countries that may use Afghanistan's work as a blueprint for reducing maternal mortality through community-based approaches. Keywords: Afghanistan, community-based interventions, community-driven, maternal mortality, MDG5, misoprostol, postpartum hemorrhage, reproduction, scale-up
ContributorsCristy, Candice (Author) / Grossman, Gary (Thesis advisor) / Parmentier, Mary-Jane (Committee member) / Byrd, Denise (Committee member) / Arizona State University (Publisher)
Created2013
Description
There is a popular notion that creativity is highly valued in our culture. However, those "in the trenches," people in creative endeavors that actually produce the acts of creativity, say this is not so. There is a negative correlation between the value stated and the true value placed on creativity by our contemporary culture. The primary purpose of this study was to investigate that correlation as well as a possible contributing factor to this negative correlation--the fear of risk involved in enacting and accepting creativity. The methods used in this study were literature review and interview. An extensive literature review was done, as much has been written on creativity. The review was done in four parts: 1) the difficulty in defining creativity; 2) fear and the fear of creativity; 3) solutions - ways to be, express, and accept creativity; and 4) the plethora of articles written about creativity. Six one-on-one interviews were conducted with creative individuals from a variety of commercial creative endeavors. Creatives in commercial fields were chosen specifically because of their ability to influence the culture. The results of this study showed that the hypothesis, that there is a negative correlation between the value stated and the true value placed on creativity, is true. The fear of risk involved in enacting and accepting creativity as a factor in this dichotomy was also shown to be true.
ContributorsGelman, Howard P (Author) / Heywood, Wil (Thesis advisor) / Patel, Mookesh (Committee member) / Knox, Gordon (Committee member) / Arizona State University (Publisher)
Created2013
Description
In order to adapt to a new culture and new language, children of immigrant families are faced daily with the responsibility of being the intermediaries between the family and the host culture through their language proficiency (Weisskirch & Alva, 2002). This thesis looks into the experiences of English-Spanish bilingual children as they bridge the gap between the family and the non-Spanish speaking community through their interpreting/translating skills. With an emphasis on children of Mexican-origin, the goal is to further understand and illuminate how these children manage this communication in an adult society, their feelings and thoughts about their experiences, and the child's perceptions about the influence that this experience may or may not have on their future. A sample of seventeen children agreed to participate in a semi-structured face-to-face interview to share their experiences. The data from these interviews were analyzed using a thematic analysis approach (Braun & Clarke, 2006). A priori themes of circumstantial bilingual and adaptive parentification were the initial focus of the research while being open to emerging themes. The children's accounts of their experiences indicated primarily that the Mexican-origin values of familism and respeto (respect) were a significant influence on them when they interpreted/translated for their family. With these traditional cultural values and norms as the groundwork, the sub-themes of normalcy and stress emerged as supportive elements of the circumstantial bilingual experience. Furthermore, the theme of adaptive parentification and the sub-themes of choice, expectation/responsibility to assist, and equality to parents offered further insight on how adaptive parentification can result as the roles of these children change. There was an emergent theme, identity negotiation, which increases our understanding of what the circumstantial bilingual child encounters as the attempt is made to negotiate his identity as an individual who has to mediate language between two opposing cultures. Due to the language brokering responsibility that are bestowed upon these children, it is concluded that communicative support by the parents is a necessary component of the parent-child relationship in order to nurture and develop these children as they negotiate and create their identity to become the successful leaders of tomorrow.
ContributorsCayetano, Catalina (Author) / Mean, Lindsey (Thesis advisor) / Waldron, Vincent (Committee member) / Gaffney, Cynthia (Committee member) / Arizona State University (Publisher)
Created2013
Description
This study was done in collaboration with the Kino Border Initiative. The Kino Border Initiative is a Catholic, bi-national organization run by Missionary Sisters of the Eucharist, Jesuit priests and lay people. The organization is dedicated to providing services to recently deported migrants and migrants-in-transit through their soup kitchen, women's shelter and first aid station in Nogales, Sonora. Based on their experiences in the women's shelter, the Missionary Sisters of the Eucharist and researcher sought out to further understand migrant women's experiences of gender-based violence prior to migration. Using data collected by the Sisters, it was decided to use an analysis rooted in testimonio, and, in this way, use the women's words as a foundational basis for understanding the migration of women. The analysis is based on 62 testimonies related to women's histories of violence and their migration experiences, and the information from 74 intake questionnaires that were all analyzed retroactively. The analysis of data and testimonios has led to the realization that violence suffered by migrant women is not limited to the journey itself, and that 71% of women report having suffered some sort of violence either prior to or during migration. Often times, the first experiences of violence originated in their homes when they were children and continue to repeat itself throughout their lifetimes in varied forms. Their stories reveal how the decision to migrate is a consequence to the transnational and structural violence that pushes women to seek out ways to survive and provide for their families.
ContributorsConrad, Marla (Author) / Elenes, C. Alejandra (Thesis advisor) / Simmons, William P. (Committee member) / Téllez, Michelle (Committee member) / Arizona State University (Publisher)
Created2013
Description
The objective of this study was to investigate the generational differences among US commercial airline pilots regarding their attitudes toward safety. A survey was distributed to three different US airlines: one major commercial airline, one regional airline, and one charter airline. A total of 106 pilots participated in this study. The pilots were categorized into three groups of generations based on birth years: Baby Boomers: 1946-1964, Generation X: 1965-1980, and Generation Y: 1981-2000. Through the use of one-way Analysis of Variance (ANOVA), the results of the analyses found that there was no significant difference between the generations of pilots regarding safety attitudes. In the subcategory of self-confidence, the results indicated no significant differences between the different generations of pilots. However, in the subcategories of risk orientation and safety orientation, significant differences were detected among the three generations of pilots. Baby Boomers were found to have the lowest risk tolerance, while Generation Y had the highest. Conversely, Baby Boomers were found to have the highest safety orientation, with the lowest being that of Generation Y.
ContributorsGashgari, Emad A (Author) / Niemczyk, Mary (Thesis advisor) / Nullmeyer, Robert (Committee member) / Gibbs, Robert (Committee member) / Arizona State University (Publisher)
Created2013
Descriptionnone
ContributorsZamil, Ruaa (Author) / Parmentier, Mary J (Thesis advisor) / Chhetri, Nalini (Committee member) / Grossman, Gary (Committee member) / Arizona State University (Publisher)
Created2013
Description
Law enforcement, schools and universities, health service agencies, as well as social service agencies, each acquire information from individuals that receive their services. That information gets recorded into the respective application system of each organization. The information, however, gets recorded only in the context of each service rendered and within each system used to record it. Information that is recorded by the police department for one individual is entirely different from the information that is recorded by the hospital for that same individual. What if all the organizations used the same system to record information? What if all the organizations followed the same protocols to record information as well as access it? The goal of this research was to analyze a system that allows for all organizations within a community to share information with each other. Technically, this system is feasible. However, public opinion says sharing personal information is unethical, and Federal regulation says it is unlawful. To accomplish an information-sharing system of this type, both regulation and public opinion need to be addressed.
ContributorsPullin, Britton Scott (Author) / Schildgen, Thomas (Thesis advisor) / Prewitt, Deborah (Committee member) / Ralston, Laurel (Committee member) / Arizona State University (Publisher)
Created2012
Description
This is a study that tests the New Urbanist claims that neighborhood design impacts sense of community and residential habits. Through the framework provided by New Urbanist theories, a social survey is used to examine residential perception and behavior among three fringe neighborhoods in southeast Tucson, each representing a different approach to neighborhood design: New Urbanist, traditional suburban, and a hybrid variety. The primary relationships studied are between neighborhood design and use of public space, neighborhood design and travel habits, and neighborhood design and sense of community. The findings show that the New Urbanist community does support the highest levels of sense of community and use of public space, but conclusions cannot be drawn concerning the relationship between sense of community and travel behavior, especially non-vehicular travel to public space. While these results are inconclusive concerning the direct impact of the neighborhood type on certain behaviors and perceptions, the findings support the notion that a New Urbanist design does indeed enhance social interactions and use of public space. It also offers insight into the importance of residential preferences, not as much towards walkability but towards general environmental concern.
ContributorsSchwaller, Ellen (Author) / Talen, Emily (Thesis advisor) / Pijawka, K David (Committee member) / Crew, Katherine (Committee member) / Arizona State University (Publisher)
Created2012
Description
Using integrated threat theory as the theoretical framework, this study examines the impact of perceived realistic threats (threats to welfare) and symbolic threats (threats to worldview) on anti-immigrant sentiment among a nationally representative sample in the U.S. Analysis of the antecedents of prejudice is particularly relevant today as anti-immigrant sentiment and hostile policies toward the population have risen in the past two decades. Perceived discrimination has also become salient within immigrant communities, negatively impacting both mental and physical health. Using logistic ordinal regressions with realistic threat, symbolic threat, and immigrant sentiment scales, this study found that both realistic and symbolic threats increased participants' likelihood of selecting a higher level of anti-immigrant sentiment, suggesting both are predictive of prejudice. However, symbolic threats emerged as a greater predictor of anti-immigrant sentiment, with an effect size over twice that of realistic threats. Implications for social work policy, practice, and future research are made.
ContributorsKiehne, Elizabeth (Author) / Becerra, David (Thesis advisor) / Segal, Elizabeth (Committee member) / Androff, David K. (Committee member) / Arizona State University (Publisher)
Created2014
Description
The &ldquoMormon; Colonies” in Chihuahua, northern Mexico, boast a sizable population of women originally from the United States who have immigrated to these small Mexican towns. This ethnographic study of the immigrant women in the area focuses on questions of citizenship and belonging, and bolsters the scholarship on U.S. American immigrants in Mexico. Using data from 15 unstructured interviews, the women&rsquos; experiences of migration provide a portrait of U.S. American immigrants in a Mexican religious community. Analysis of this data using grounded theory has revealed that these U.S. American women have created a third social space for themselves, to a large degree retaining their original culture, language, and political loyalty. Their stories contribute to the literature on transnational migration, providing an account of the way migrants of privilege interact with their society of settlement.
ContributorsNielsen, Vanessa (Author) / Mean, Lindsey (Thesis advisor) / Téllez, Michelle (Committee member) / Gruber, Diane (Committee member) / Arizona State University (Publisher)
Created2013