Matching Items (7)
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- All Subjects: Social Research
- 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
This research addresses the ability for neighborhoods to assess resiliency as it applies to their respective local areas. Two demographically and economically contrasting neighborhoods in Glendale, Arizona were studied to understand what residents' value and how those values link to key principles of resiliency. Through this exploratory research, a community-focused process was created to use these values in order to link them to key principles of resiliency and potential measureable indicators. A literature review was conducted to first assess definitions and key principles of resiliency. Second, it explored cases of neighborhoods or communities that faced a pressure or disaster and responded resiliently based on these general principles. Each case study demonstrated that resiliency at the neighborhood level was important to its ability to survive its respective pressure and emerge stronger. The Heart of Glendale and Thunderbird Palms were the two neighborhoods chosen to test the ability to operationalize neighborhood resiliency in the form of indicators. First, an in-depth interview was conducted with a neighborhood expert to understand each area's strengths and weaknesses and get a context for the neighborhood and how it has developed. Second, a visioning session was conducted with each neighborhood consisting of seven participants to discuss its values and how they relate to key principles of resiliency. The values were analyzed and used to shape locally relevant indicators. The results of this study found that the process of identifying participants' values and linking them to key principles of resiliency is a viable methodology for measuring neighborhood resiliency. It also found that indicators and values differed between the Heart of Glendale, a more economically vulnerable yet ethnically diverse area, than Thunderbird Palms, a more racially homogenous, middle income neighborhood. The Heart of Glendale valued the development of social capital more than Thunderbird Palms which placed a higher value on the condition of the built environment as a vehicle for stimulating vibrancy and resiliency in the neighborhood. However, both neighborhoods highly valued public education and providing opportunities for children to be future leaders in their local communities.
ContributorsAcevedo, Shannon (Author) / Pijawka, K. David (Thesis advisor) / Phillips, Rhonda (Committee member) / Lara-Valencia, Francisco (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
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 primary question driving this research regards how individuals in mixed-citizenship couples employ different strategies and/or tactics to access and maintain valid immigration status during processes of Adjustment of Status through marriage in the United States. A dominant narrative prevails in the US that immigration through marriage to a citizen confers immediate or an easy pathway to citizenship. For roughly two-hundred thousand immigrant spouses that currently navigate adjustment annually, however, this narrative falls short of and obscures the reality of adjustment processes. There is a lack of focused academic study to help contribute to more accurate public understandings of what these realities are. To combat this false narrative and help fill a gap in research, this work examines how such dominant ideology stems from historic legal inequality and hegemonic discourse, reified through Enlightenment-centric thinking and becoming tangled with state power through Foucault’s conception of the body politic. The day-to-day actions, interactions, and transactions within the body politic and adjustment processes are then put into conversation with De Certeau’s strategies and tactics, providing a means for accentuating how individuals, society, and the state enact specific practices to support or resist Foucauldian technologies of oppression and control. As an exploratory case-study, this work engages four individual partners from two mixed citizenship marriages in a series of three semi-structured, in-depth phenomenological interviews each. Reporting is centered on participant’s histories and adjustment narratives, told through their own voices. Evidence supports that easy pathway public narratives are inaccurate, that adjustment processes assert state power on citizen petitioners and migrant spouses alike, but in different ways, and that they in turn enact complicated and intertwined strategies and tactics to achieve adjustment and resist the oppressive power of the state that is carried through adjustment processes.
ContributorsFurnish, Daniel Robert (Author) / Arzubiaga, Angela (Thesis advisor) / Lara-Valencia, Francisco (Committee member) / Broberg, Gregory (Committee member) / Arizona State University (Publisher)
Created2022
Description
The purpose of this study is threefold: highlight the present health, self-sufficiency and integration needs and assets of asylum seekers in Phoenix, Arizona during the asylum seeking process phase (while an asylum claim is awaiting a decision); understand the City of Phoenix’s response to asylum seekers; and contextualize and compare the city’s present response to increased arrivals of asylum seekers against municipal responses in other contexts and academic discussions of the “local turn.”. Through semi-structured in-depth interviews with asylum seekers and community leaders, this study finds that asylum seekers’ physiological healthcare needs are sometimes met through emergency department admissions and referrals to sliding scale services by caseworkers in the International Rescue Committee’s Asylum-Seeking Families program in Phoenix. Mental and behavioral health service needs are less likely to be met, especially for women who want to speak with a medical professional about their traumatic experiences in Central America, trip through Mexico, detention in the United States (U.S.) and their often-marginalized lives in the U.S. This dissertation concomitantly explores how other municipalities in the U.S. and internationally have responded to increased immigration of asylum seekers and refugees to urban centers, and how certain approaches could be adopted in the City of Phoenix to better serve asylum seekers.
ContributorsSchlinkert, David (Author) / Velez-Ibanez, Carlos (Thesis advisor) / Lara-Valencia, Francisco (Thesis advisor) / Arzubiaga, Angela (Committee member) / Arizona State University (Publisher)
Created2020