Matching Items (9)
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- All Subjects: Social Research
- Genre: Academic theses
- Creators: Brayboy, Bryan
- Creators: Grossman, Gary
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
Descriptionnone
ContributorsZamil, Ruaa (Author) / Parmentier, Mary J (Thesis advisor) / Chhetri, Nalini (Committee member) / Grossman, Gary (Committee member) / Arizona State University (Publisher)
Created2013
Description
The overarching purpose of my dissertation is to offer one Pueblo perspective about research and health education to contribute to critical dialogue among Pueblo people so that relevant research and health education approaches grounded in Pueblo thinking can emerge. Research was a pebble in my shoe that caused me great discomfort as I walked within academia during the many years I worked as a health educator at a university, and continues to bother me. The purpose of my journal article is to discuss why much mainstream research is problematic from a Pueblo Indian standpoint and to explore considerations for research with Pueblo people. The purpose of my book chapter is to reflect on my experiences as a Pueblo Indian health educator to add to the discussion about the importance of grounding Pueblo health education in local Pueblo knowledge systems and to discuss the limitations of delivering health education primarily grounded in a western biomedical disease model. Finally, my policy brief is an urgent call to action for tribal leaders regarding a recent change to the New Mexico Department of Health's race and ethnicity presentation in health data standard. This change resulted in 39,636 American Indians and Alaska Natives in New Mexico being reclassified as Hispanic. It is my intention to connect my ideas about research and health education with the work of other Pueblo scholars to add to the growing body of Pueblo informed writing to contribute to current and future scholarship that will ultimately benefit Pueblo people.
ContributorsSuina, Michele (Author) / Sumida Huaman, Elizabeth (Thesis advisor) / Brayboy, Bryan (Thesis advisor) / Gomez, Alan (Committee member) / Arizona State University (Publisher)
Created2015
Description
This case study explores American Indian student activist efforts to protect and promote American Indian education rights that took place during 2007-2008 at a predominantly white institution (PWI) which utilizes an American Indian tribal name as its institutional athletic nickname. Focusing on the experiences of five American Indian student activists, with supplementary testimony from three former university administrators, I explore the contextual factors that led to activism and what they wanted from the institution, how their activism influenced their academic achievement and long-term goals, how the institution and surrounding media (re)framed and (re)interpreted their resistance efforts, and, ultimately, what the university's response to student protest conveys about its commitment to American Indian students and their communities. Data was gathered over a seven-year period (2007-2014) and includes in-depth interviews, participant observation, and archival research. Using Tribal Critical Race Theory and Agenda Setting Theory, this study offers a theoretically informed empirical analysis of educational persistence for American Indian students in an under-analyzed geographic region of the U.S. and extends discussions of race, racism, and the mis/representation and mis/treatment of American Indians in contemporary society.
Findings suggest the university's response significantly impacted the retention and enrollment of its American Indian students. Although a majority of the student activists reported feeling isolated or pushed out by the institution, they did not let this deter them from engaging in other social justice oriented efforts and remained dedicated to the pursuit of social justice and/or the protection of American Indian education rights long after they left the in institution. Students exercised agency and demonstrated personal resilience when, upon realizing the university environment was not malleable, responsive, or conducive to their concerns, they left to advocate for justice struggles elsewhere. Unfortunately for some, the university's strong resistance to their efforts caused some to exit the institution before they had completed their degree.
Findings suggest the university's response significantly impacted the retention and enrollment of its American Indian students. Although a majority of the student activists reported feeling isolated or pushed out by the institution, they did not let this deter them from engaging in other social justice oriented efforts and remained dedicated to the pursuit of social justice and/or the protection of American Indian education rights long after they left the in institution. Students exercised agency and demonstrated personal resilience when, upon realizing the university environment was not malleable, responsive, or conducive to their concerns, they left to advocate for justice struggles elsewhere. Unfortunately for some, the university's strong resistance to their efforts caused some to exit the institution before they had completed their degree.
ContributorsSolyom, Jessica A (Author) / Brayboy, Bryan (Thesis advisor) / Romero, Mary (Committee member) / Lee, Charles (Committee member) / Flores, Lisa (Committee member) / Arizona State University (Publisher)
Created2014
Description
This social media network (SMN) study regarding youth of Saudi Arabia, focused on the effect of the SMN on youth with their families and their traditions. The significance of this study is to have an understanding of the effect of the SMN on the youths' families. Furthermore, recommendations were given from the perspective of the youth to help improve Saudi Arabian society using SMN. A total of 617 students from University of Dammam, ages from 18-24, have participated in the survey. The results of the survey showed that the effect of the SMN on the youth and their relations with their families are resilient in some aspects. However, the outcome of involvement with the SMN is obvious on other aspects as well, such as the gained ability of self-decision making and the ability to accept opposing opinions. Moreover, the research findings specific to women indicate that they are more active in the SMNs. The results also demonstrate women gained knowledge of their rights and gained freedom of speech. Finally, the findings led to a conclusion that there is potential social change in the Saudi Arabian society, even though the family structure is not changing significantly.
ContributorsAlsharkh, Yousef Naser (Author) / Parmentier, Mary Jane (Thesis advisor) / Grossman, Gary (Committee member) / Lim, Merlyna (Committee member) / Arizona State University (Publisher)
Created2012
A bilingual, bicultural interpreter and researcher navigates blurry boundaries and intersectionality
Description
A researcher reflects using a close reading of interview transcripts and description to share what happened while participating in multiple roles in a larger ethnographic study of the acculturation process of deaf students in kindergarten classrooms in three countries. The course of this paper will focus on three instances that took place in Japan and America. The analysis of these examples will bring to light the concept of taking on multiple roles, including graduate research assistant, interpreter, cultural mediator, and sociolinguistic consultant within a research project serving to uncover challenging personal and professional dilemmas and crossing boundaries; the dual roles, interpreter and researcher being the primary focus. This analysis results in a brief look at a thought provoking, yet evolving task of the researcher/interpreter. Maintaining multiple roles in the study the researcher is able to potentially identify and contribute "hidden" knowledge that may have been overlooked by other members of the research team. Balancing these different roles become key implications when interpreting practice, ethical boundaries, and participant research at times the lines of separation are blurred.
ContributorsHensley, Jennifer Scarboro (Author) / Tobin, Joseph (Thesis advisor) / Artiles, Alfredo (Committee member) / Horejes, Thomas (Committee member) / Arizona State University (Publisher)
Created2011
Description
The history of Koreans in the former Soviet Union dates back to more than a century ago. Yet little was known about them during the existence of the USSR, and even less as the first decade of the Newly Independent States unfolded. This current study is one of the first attempts to quantitatively measure the national and ethnic identity of this group. The research was conducted via an online survey in two languages, English and Russian. Three main variables -- ethnic identity, national identity and information technology -- were used to test the hypothesis. The data collection and survey process revealed some interesting facts about this group. Namely, there are some strong indicators that post-Soviet Koreans belong to a category of their own within the larger group known as the "Korean diaspora." Secondly, a very strong sense of ethnic group belonging, when paired with higher education and high to medium levels of proficiency with Internet technology, indicates the potential for further development and sustainability of these ethnic and national identities, particularly when nurtured by the continued progress of information technology.
ContributorsLi, Veronika (Author) / Grossman, Gary (Thesis advisor) / Parmentier, Mary Jane (Committee member) / Thor, Eric (Committee member) / Arizona State University (Publisher)
Created2012
Description
This dissertation explores the notion of Pueblo community engagement at multiple levels, from the communities’ role in engaging its members, the individual’s responsibility in engaging with the community, both the community and individual’s engagement relationship with external forces, and the movement towards new engagement as it relates to youth and community. This research recognizes both the existing and the changing nature of engagement in our Pueblo communities. Because the core value of contribution is critical to being a participant in community, both participants and communities need to think of what needs to be done to strengthen Pueblo community engagement , for community and for youth. On the community side, this dissertation examines past community programs impact to the social structures of Pueblo communities and highlights a couple of new strategies to incorporate community voice in programming efforts. In addition, this dissertation explores youth contribution to community. The notions of community recognizing and being receptive to new ideas for youth engagement and of instilling their sense of community in youth is critical to the ‘new engagement’ paradigm. This dissertation proposes that one strategy is to incorporate youth in the governance structures of community through innovative programming with the ultimate goal of instilling in youth the feeling that they belong to their community.
ContributorsChosa, Carnell Terry (Author) / Sumida Huaman, Elizabeth (Thesis advisor) / Brayboy, Bryan (Thesis advisor) / Swadener, Elizabeth (Committee member) / Arizona State University (Publisher)
Created2015
Description
ABSTRACT
This dissertation examines the role of tribal sovereignty and self-determination in research for Diné participants and elders from 1956-1986. The qualitative historical research study explored the following questions: How has past research been conducted on the Navajo Nation? What is the role of sovereignty and self-determination in research and research methodology for Diné peoples? And, how might Diné philosophy inform a research methodology that aligns with cultural protocols and practices? Six elders who participated in research from 1956-1986 participated in in-depth interviews about their experiences. Using Sa’ąh Naaghái Bik’eh Hozhǫ̨̨́ǫ́n and related Diné philosophy models, findings of this study inform an Indigenous elder knowledge protection model (i.e. Nihookáá’ Diné Nidoolkah Bindii’ą’) to support existing Diné tribal IRB protocols and policies and provides additional insight for tribal cultural protection organizations. Lastly, the researcher presents a Diné intersectional methodology for future research.
This dissertation examines the role of tribal sovereignty and self-determination in research for Diné participants and elders from 1956-1986. The qualitative historical research study explored the following questions: How has past research been conducted on the Navajo Nation? What is the role of sovereignty and self-determination in research and research methodology for Diné peoples? And, how might Diné philosophy inform a research methodology that aligns with cultural protocols and practices? Six elders who participated in research from 1956-1986 participated in in-depth interviews about their experiences. Using Sa’ąh Naaghái Bik’eh Hozhǫ̨̨́ǫ́n and related Diné philosophy models, findings of this study inform an Indigenous elder knowledge protection model (i.e. Nihookáá’ Diné Nidoolkah Bindii’ą’) to support existing Diné tribal IRB protocols and policies and provides additional insight for tribal cultural protection organizations. Lastly, the researcher presents a Diné intersectional methodology for future research.
ContributorsHenderson, Sharon Leann (Author) / Brayboy, Bryan (Thesis advisor) / Solyom, Jessica (Committee member) / Mccarty, Teresa (Committee member) / Arizona State University (Publisher)
Created2020