Matching Items (10)
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- All Subjects: Social Research
- Creators: Téllez, Michelle
- 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
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
Descriptionnone
ContributorsZamil, Ruaa (Author) / Parmentier, Mary J (Thesis advisor) / Chhetri, Nalini (Committee member) / Grossman, Gary (Committee member) / Arizona State University (Publisher)
Created2013
Description
Interviews of nine managers within the U.S. Department of Labor's Wage and Hour Division's Western Region were conducted by a researcher who also works as a Wage and Hour Investigator. The intention of this research was to survey the differences in trafficking-related training and experience throughout the region, to examine the role of the Wage and Hour Division in human trafficking casework, and to explore potential areas for growth. This thesis recommends that upper level agency management produces standards for training, interagency engagement, and procedures and also provides suggestions for best practices and effective enforcement.
ContributorsNorberg, Katherine Joanne (Author) / Stancliff, Michael (Thesis advisor) / Simmons, William (Committee member) / Téllez, Michelle (Committee member) / Arizona State University (Publisher)
Created2011
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
By drawing from six oral histories of Mexican immigrant women living in Phoenix, Arizona, this thesis builds on the current literature on Mexican immigrant women living in the United States. Through an analysis of U.S. policies that spur Mexican migration to the U.S. and its simultaneous policies that dissuade and criminalize immigrant presence in the U.S., I highlight the increased level of migration through Arizona and the ensuing anti-immigrant politics in the state. By centering women in this context, I demonstrate the obstacle Mexican immigrant women face in the crossing and upon arrival in Phoenix, Arizona. In sharing the stories of Mexican immigrant women who overcome these obstacles, I challenge the portrayal of Mexican immigrant women as victims of violence and use the work of Chicana feminist theorists and oral history methodology to highlight the experiences of Mexican immigrant women adapting to life in the U.S. in order to expand literature of their unique lived experiences and to also contribute the stories of resiliency of Mexican immigrant women in the contentious anti-immigrant city of Phoenix, Arizona.
ContributorsDel Hierro, Mariana (Author) / Téllez, Michelle (Thesis advisor) / Elenes, Alejandra C. (Committee member) / Cuadraz, Gloria H. (Committee member) / Arizona State University (Publisher)
Created2012
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
Wage theft is a national epidemic that only recently became the focus of increasing research, critical public questioning, and activism. Given the socio- political climate in Maricopa County, Arizona and the heightened national attention on the state, this study answers important questions about the work experiences of immigrant workers in the region. Through an analysis of interviews with 14 low-wage Mexican workers from a local worker rights center, I explore workers' access to traditional recourse, the effects of wage theft on workers and families, and the survival strategies they utilize to mitigate the effects of sudden income loss. By providing an historical overview of immigration and employment law, I show how a dehumanized and racialized labor force has been structurally maintained and exploited. Furthermore, I describe the implications of two simultaneous cultures on the state of labor: the culture of fear among immigrants to assert their rights and utilize recourse, and the culture of criminality and impunity among employers who face virtually no sanctions when they are non-compliant with labor law. The results indicate that unless the rights of immigrant workers are equally enforced and recourse is made equally accessible, not only will the standards for pay and working conditions continue to collapse, but the health of Latino communities will also deteriorate. I assert that in addition to structural change, a shift in national public discourse and ideology is critical to substantive socio-political transformation.
ContributorsSanidad, Cristina (Author) / Téllez, Michelle (Thesis advisor) / Adelman, Madelaine (Committee member) / Gomez, Alan E (Committee member) / Arizona State University (Publisher)
Created2011