Matching Items (10)
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- All Subjects: Social Research
- Genre: Academic theses
- Creators: Gomez, Alan
- 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 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
The state of exception in Rwanda did not spontaneously occur in Rwanda, it was initially developed by German and Belgian colonizers, adopted by two successive Hutu regimes, and nurtured and fed for 35 years of Rwandan independence until its final realization in the 1994 genocide. Political theory regarding the development of the "space devoid of law" and necropolitics provide a framework with which to analyze the long pattern of state action that created a milieu in which genocide was an acceptable choice of action for a sovereign at risk of losing power. The study of little-known political theories such as Agamben's and Mbembe's is useful because it provides a lens through which we can analyze current state action throughout the world. As is true in many genocidal regimes, the Rwandan genocide did not just occur as a "descent into hell." Rather, state action over the course of decades in which the subjects of the state (People) were systematically converted into mere flesh beings (people), devoid of political or social value, creates the setting in which it is feasible to seek to eliminate those beings. A question to be posed to political actors and observers around the world today is at what point in the process of one nation's creation of the state of exception and adoption of necropolitics does the world have a right, and a duty, to intervene? Thus far, it has always occurred too late for the "people" in that sovereign to realize their political and social potential to be "People."
ContributorsSinema, Kyrsten (Author) / Johnson, John (Thesis advisor) / Quan, Helen (Committee member) / Gomez, Alan (Committee member) / Doty, Roxanne (Committee member) / Arizona State University (Publisher)
Created2012
Description
This study weighs the connection of environmental crisis with race and gender in different cases of environmental crisis and conflicts. The study documents how Indigenous cosmologies and cosmopolitics, and scientific arguments converge in unexpected alliances in the advent of environmental crises. This research focuses on specific instances, or situations related to environmental justice movements addressing the environmental crisis in Mexico (and its convergences to other similar cases). I examine and present a discussion of the research methodologies and methods used to study the ‘environment’ as well as indigenous cosmologies and cosmopolitics. With this, I embark on a research that includes feminist decolonial theory, eco-feminism and material feminisms into a larger project for autonomy and decoloniality.
In particular, I discuss one of the concepts that have caught the attention of those studying race and ethnicity in the Americas: mestizaje as an ordinal principle in the context of Mexico. Also, I discuss the inscriptions of the mestiza body in relation to the materiality of race and gender in the context of Latin America. It is shown how the discourse of mestizaje is tangled with the idea of a modern civilization, such as in the Mexican state. Overall, this research analyzes different responses to environmental crises; from environmental activists, community organizers to plastic artists and scientific experts. Also, it includes a literary analysis of contemporary indigenous literatures to show how state sponsored violence and settler colonialism have an incidence in gender violence by placing the female body close to nature.
As global environmental problems have risen, this research contributes to the understanding of the underlying factors in environmental crises and conflict that have been overlooked. Herein lies an important possibility to reach a broader audience in different disciplines, ranging from indigenous studies to the global politics of human rights. Furthermore, this research aims to contribute to the work of environmental activists, scholars and scientists with regard to the understanding of how different arguments are used in research and advocacy work, and how they can integrate an interdisciplinary and intercultural approach when addressing environmental justice cases.
In particular, I discuss one of the concepts that have caught the attention of those studying race and ethnicity in the Americas: mestizaje as an ordinal principle in the context of Mexico. Also, I discuss the inscriptions of the mestiza body in relation to the materiality of race and gender in the context of Latin America. It is shown how the discourse of mestizaje is tangled with the idea of a modern civilization, such as in the Mexican state. Overall, this research analyzes different responses to environmental crises; from environmental activists, community organizers to plastic artists and scientific experts. Also, it includes a literary analysis of contemporary indigenous literatures to show how state sponsored violence and settler colonialism have an incidence in gender violence by placing the female body close to nature.
As global environmental problems have risen, this research contributes to the understanding of the underlying factors in environmental crises and conflict that have been overlooked. Herein lies an important possibility to reach a broader audience in different disciplines, ranging from indigenous studies to the global politics of human rights. Furthermore, this research aims to contribute to the work of environmental activists, scholars and scientists with regard to the understanding of how different arguments are used in research and advocacy work, and how they can integrate an interdisciplinary and intercultural approach when addressing environmental justice cases.
ContributorsPerez Aguilera, Abigail (Author) / Lauderdale, Pat (Thesis advisor) / Gomez, Alan (Thesis advisor) / Adamson, Joni (Committee member) / Arizona State University (Publisher)
Created2016
Description
ABSTRACT This thesis analyzes the discourse surrounding proposed solutions to the immigration phenomenon in the United States. I conducted two qualitative media analyses on the rhetoric and conceptual frames found in mass media newscasts reporting on the immigration debate. The first analysis covered the general immigration debate and the second covered the appearance of American southwest ranchers. Specifically the analyses contrasted the media's coverage of root economic causes to the immigration phenomenon in comparison to reactionary solutions as proposed by leading immigrant attrition organizations such as the immigration think tank, Federation for American Immigration Reform (FAIR) and Republican linguist, Frank Luntz. The main argument of this thesis is based on an analysis of how the media has used southwestern ranchers as expert witnesses for reactionary solutions on a national level. An acute qualitative media analysis was used to compare the rhetoric found in the media coverage of southwestern ranchers versus the rhetoric found in 12 in-depth interviews I conducted with ranchers in the American southwest. This thesis contends that the media has successfully turned southwestern ranchers into spokespersons for border security rhetoric, furthering the binary debates on border security and immigration reform and thus obscuring the conditions which force migrants to leave their home countries. The grounding theoretical framework for this thesis is based on David Altheide's qualitative media analysis which identifies how certain frames and common narratives ultimately construct a way of discussing the problem or the kind of discourse that will follow. This was structured on Atheide's qualitative media analysis protocols to dissect mass media newscasts covering the immigration debate and more specifically the mass media's coverage of southwestern ranchers. The qualitative media analyses were employed to determine whether the discourse found in nightly newscasts falls in line with root causes of immigration or FAIR's concern with reactionary solutions. To further assess the media's ability to shape discourse, and ultimately policy, these qualitative analyses were compared with in-depth interviews of the ranchers.
ContributorsFuente, Nicolás Antonio de la (Author) / Téllez, Michelle (Thesis advisor) / Stancliff, Michael (Committee member) / Gomez, Alan (Committee member) / Arizona State University (Publisher)
Created2010
Description
Widespread human rights abuses have been documented in global fisheries, prompting governments, intergovernmental organizations, non-governmental organizations, and businesses to reconsider human rights as a key tenet of seafood sustainability. New and existing approaches are aiming to integrate human and labor rights into sustainability initiatives. These efforts encompass the development of new tools for conducting human rights due diligence and the modification of market-based approaches like third-party certifications, fishery improvement projects, and buyer sourcing commitments to include criteria for social responsibility. It is critical to evaluate these approaches to better understand their efficacy and areas in need of improvement. This dissertation explores how approaches for seafood sustainability are being adapted to protect and respect human rights of fishers and fishworkers. First, I examine the efficacy of a recognized human rights risk assessment tool: the Social Responsibility Assessment Tool for the Seafood Sector (SRA). Through a preliminary assessment of human rights risk in Guyana’s artisanal fishery, I determined that the SRA is an effective approach to identify visible and potential risk, though it must be supplemented with engagement with fishers and fishworkers through interviews. Next, I evaluated labor conditions in the shrimp and groundfish fishery of the Guianas-Brazil Shelf using a novel evaluative framework for decent work. I uncovered cross-jurisdictional challenges including trafficking and limited worker representation. My evaluative framework enabled a holistic analysis of decent work, identifying linked concerns such as widespread illegal fishing and threats to food security. Finally, I conducted an analysis of market-based approaches that include criteria for social responsibility. Interviews with experts highlight that market-based approaches, particularly fishery improvement projects, hold great potential as strategies to improve human rights in fisheries. However, concerns around market-based approaches include a lack of strong enforcement mechanisms, limited worker representation, and the voluntary nature of initiatives hinder effective change on the ground. Overall, my research suggests that efforts to improve human rights in fisheries are nascent and need further development. By encouraging mandatory due diligence, improved worker representation, and stricter accountability, interventions can more effectively address risks and ensure rights of fishers and fishworkers are protected and respected.
ContributorsLout, Gabrielle E (Author) / Vogel, Kathleen (Thesis advisor) / Finkbeiner, Elena (Committee member) / Chhetri, Nalini (Committee member) / Arizona State University (Publisher)
Created2022