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Full-Text Articles in African Languages and Societies

Body Weight Self-Perceptions And Experiences Of Nigerian Women Immigrants, Fatimah Binta Ali Jan 2019

Body Weight Self-Perceptions And Experiences Of Nigerian Women Immigrants, Fatimah Binta Ali

Walden Dissertations and Doctoral Studies

Low-income immigrants in the United States experience declining health with increasing length of stay in the country. Their declining health over time has been associated with increased smoking, obesity prevalence, and higher risk for developing diabetes and heart disease. How immigrants perceive their body weight and size, influenced by social interaction, culture, gender, and acculturation is also significant to healthy weight maintenance. Not knowing one's healthy weight could result in body weight misperception and resistance to attaining a healthy weight. The aim of this qualitative study, based on the social constructivist framework, was to understand Nigerian women immigrants' (NWI ...


“A New Way Of Thinking”: Frantz Fanon’S True Opinion On Violence, Caroline D. Renko Dec 2018

“A New Way Of Thinking”: Frantz Fanon’S True Opinion On Violence, Caroline D. Renko

The Downtown Review

In an attempt to clear Frantz Fanon’s name, on account of his opinion on the role of violence in decolonizing a nation, this paper focuses on two important chapters in his last book, The Wretched of the Earth. By closely reading his articulation of the Algerian war and the wounds brought on by mental illness at such a time, Fanon’s true opinion concerning violence becomes clear. For too long, he has been seen and used as a proponent for inciting violence, but this is a misconception that has been perpetuated by devaluing the importance of his descriptions of ...


Kisumu County Hospital Patient Demographic Analysis: Looking Toward Universal Health Coverage, Lauren Scheffey Oct 2018

Kisumu County Hospital Patient Demographic Analysis: Looking Toward Universal Health Coverage, Lauren Scheffey

Independent Study Project (ISP) Collection

Universal health coverage is priority sought after by developed and developing nations alike, and Kenya sits on the list of countries seeking to achieve this goal in the coming years. The definition of “coverage” can vary by country, but three criteria are commonly found in the discussion of UHC globally: access, affordability, and quality. Affordability is determined by the state’s healthcare financing system; quality refers to the services provided by health facilities; and access, at least in part, concerns the geographic placement of health services providers in relation to the population they intend to serve. This geographic element is ...


Radical Social Ecology As Deep Pragmatism: A Call To The Abolition Of Systemic Dissonance And The Minimization Of Entropic Chaos, Arielle Brender May 2018

Radical Social Ecology As Deep Pragmatism: A Call To The Abolition Of Systemic Dissonance And The Minimization Of Entropic Chaos, Arielle Brender

Student Theses 2015-Present

This paper aims to shed light on the dissonance caused by the superimposition of Dominant Human Systems on Natural Systems. I highlight the synthetic nature of Dominant Human Systems as egoic and linguistic phenomenon manufactured by a mere portion of the human population, which renders them inherently oppressive unto peoples and landscapes whose wisdom were barred from the design process. In pursuing a radical pragmatic approach to mending the simultaneous oppression and destruction of the human being and the earth, I highlight the necessity of minimizing entropic chaos caused by excess energy expenditure, an essential feature of systems that aim ...


Seeing Through Our Eyes: Intimacy, Hope And Morality For Hiv Peer Educators In Gaborone, Botswana, Sophie Kurschner Apr 2018

Seeing Through Our Eyes: Intimacy, Hope And Morality For Hiv Peer Educators In Gaborone, Botswana, Sophie Kurschner

Anthropology Honors Projects

This ethnography focuses on the work of HIV peer educators at the non-profit organization of Center for Youth of Hope (CEYOHO) in Gaborone, Botswana. Drawing on Jarrett Zigon’s theory of the moral breakdown and ethical demand, I argue that from a moral breakdown of HIV, intimacy can facilitate the ethical demand or motivation for developing new moral subjects. During this moral reshaping, intimacy is part of a process that involves practices of educated hope, trust, knowledge, and accountability. More specifically, intimacy through friendship and companionship between peer educators and clients allows them to hope together for an educated future ...


Health And Medicine Among First-Generation African Immigrants In The United States, Anne Fuller Apr 2018

Health And Medicine Among First-Generation African Immigrants In The United States, Anne Fuller

Undergraduate Honors Theses

The focus of this research will be on the medicines and health practices of first-generation African immigrants in the U.S. and the role they play in an increasingly holistic formal American health field. For the Eurocentric American, traditional African practices are predominantly viewed as antithetical to modernity; for the Afrocentric American, White western medicine can represent a rejection of African culture and thus one’s complete identity. The dynamic of these two perspectives within African immigrants in the U.S. is proficient in both resolving health crises and creating cultural conflict. The rise of alternative medicine within the formal ...


Surveying Access To Healthcare In Kisumu And Siaya Counties, Kenya, Quinn Alsheimer Apr 2018

Surveying Access To Healthcare In Kisumu And Siaya Counties, Kenya, Quinn Alsheimer

Independent Study Project (ISP) Collection

This study aims to understand the barriers that many Kenyans face towards accessing healthcare. This study was conducted in Kisumu and Siaya Counties, Kenya. Kisumu is an urban environment, whereas Siaya is a rural environment. Throughout both counties, areas with presumably low access to healthcare were surveyed. In Kisumu County, surveys were conducted in three informal settlements: Nyalenda, Obunga, and Manyatta. In Siaya County, surveys were conducted in Simenya Village.

This study has shown that financial accessibility is a large barrier to healthcare throughout the study population, as the majority of study participants felt that healthcare in Kenya is not ...


Participatory Development And Menstrual Health Management In South Africa: A Case Study Of Project Dignity, Natalie Geismar Apr 2018

Participatory Development And Menstrual Health Management In South Africa: A Case Study Of Project Dignity, Natalie Geismar

Independent Study Project (ISP) Collection

Menstrual health management (MHM) poses a significant public health concern in many South African communities. Though the national government is beginning to devote attention and resources to MHM, civil society organizations play a critical role in providing menstrual health products and education to female-bodied individuals who may otherwise lack access. This study examines the praxis and impact of Project Dignity, a nongovernmental organization which distributes washable, reusable sanitary pads and panties to students in public schools. The researcher collected qualitative data through participant observation as well as interviews and focus group discussions with Project Dignity’s staff and intended beneficiaries ...


Neoliberal Effects As Seen In Village Health Dispensaries Within The Kedougou Region Of Southeast Senegal, Samantha Salter Jan 2018

Neoliberal Effects As Seen In Village Health Dispensaries Within The Kedougou Region Of Southeast Senegal, Samantha Salter

Graduate Theses and Dissertations

My research lead me to the Kedougou Region of southeastern Senegal, a rural area struggling for accessible healthcare. This paper explores how neoliberal health reforms have negatively affected access to quality health care in rural Senegal. I used ethnographic research methods, such as in person interviews and participant observation during my fieldwork in Senegal from May through August 2017. In analyzing my interview and observation data, I applied a localist, semi-structured approach and utilized a critical ethnographic perspective. Over 2-months worth of observations and 15 interviews yielded data that illustrates the lasting effects of neoliberal economic reforms from 30 years ...


Women's Perceptions Of Malaria In The Western Rural Areas Of Sierra Leone, Marcella Davies Jan 2018

Women's Perceptions Of Malaria In The Western Rural Areas Of Sierra Leone, Marcella Davies

Walden Dissertations and Doctoral Studies

Malaria is one of the leading causes of death for children and women in Sierra Leone. The purpose of this qualitative study was to explore and understand the lived experiences of women from the rural areas of Sierra Leone regarding malaria. A purposive sample of Krio women from the western rural area, aged 21-55 years, spoke English, and had taken care of someone with malaria described their perceptions and lived experiences with the disease in face-to-face interviews. The research questions were based on the health belief model and focused on knowledge, beliefs, and perceptions about malaria prevention and treatment. Interpretative ...


Effects Of Income And Education Levels On Diurnal Cortisol In Black And White American Youth Transitioning Into Adulthood, Shannin Nicole Moody Jan 2018

Effects Of Income And Education Levels On Diurnal Cortisol In Black And White American Youth Transitioning Into Adulthood, Shannin Nicole Moody

Graduate Theses and Dissertations

Cortisol patterns differ across both socioeconomic status and racial minority groups. Yet, whether the underlying constructs that are used to measure socioeconomic status impacts the output of cortisol differentially across racial groups is unclear. Using a secondary data analysis from the Parents Who Care longitudinal study, which integrated the biomarker cortisol as youth entered emerging adulthood, the goal of this thesis is to parse apart the common conflation of income and education into a single catchall variable.

The following data was collected in 2 waves from a group of youth who were (M=20.24; R=18.51-22.89) years ...


The Integration Of Traditional And Modern Medicine In Uganda, Rylee Mcdermott Dec 2017

The Integration Of Traditional And Modern Medicine In Uganda, Rylee Mcdermott

Honors Projects and Posters

The medicinal practices around the world are inconsistent in treatment, especially in developing countries, such as Uganda. In the district of Kamuli, Uganda, stark differences in treatment exist from one health center and hospital to another, integrating traditional medical practices (TM), often herbal, and modern, Westernized practices (WM). The purpose of this study was to compile commonly used TM used in Uganda, compare how they are integrated or replacements for WM, and analyze the benefits and drawbacks of these practices towards the safety and health of Ugandan patients. A systematic review of peer-reviewed articles on a PubMed and Google Scholar ...


When The Books Hit Back: Perceived Stress In University Students, Henry Stoddard Oct 2017

When The Books Hit Back: Perceived Stress In University Students, Henry Stoddard

Independent Study Project (ISP) Collection

University students are a particularly high-risk population for mental illness due to high-stress levels. The university students of KwaZulu Natal, South Africa are no exception to that trend. This study surveyed and interviewed university students, and interviewed various mental health professionals from the Durban region of South Africa. The data was analyzed and used to better understand the current status of South African university students’ perceived stress, as well as the causes of their stress levels. Results showed no significant differences among demographic groups and perceived stress levels, but further research is needed to draw more reliable conclusions. In the ...


The Latex Journey: A Narrative Approach To Exploring Condom Use, Stigma, And Education From The Perspective Of Women In Masxha, Kylie Yocum Oct 2017

The Latex Journey: A Narrative Approach To Exploring Condom Use, Stigma, And Education From The Perspective Of Women In Masxha, Kylie Yocum

Independent Study Project (ISP) Collection

Although the South African National Department of Health (NDOH) is spending increasing amounts of money on improving their HIV programs (including the rollout of new, scented condoms for their condom distribution program), the rates of condom use at last sexual encounter are declining. This inquiry focused on young women in the neighborhood of Masxha, Cato Manor, and their opinions surrounding how condoms are being used or misused, as well as the gender norms that perpetrate this (mis)use. This inquiry demonstrated the narratives of these young women on factors such as condom acquisition, gendered stigma, and condom education, including the ...


When The Health System Fails You: Maternal Care Under Kenya’S 2017 Nurses' Strike, Tessa Coughtrey-Davenport Oct 2017

When The Health System Fails You: Maternal Care Under Kenya’S 2017 Nurses' Strike, Tessa Coughtrey-Davenport

Independent Study Project (ISP) Collection

This study focuses on the 2017 nurses’ strike and how the crippling of the public health system impacted maternal care in Kisumu, Kenya. Kenya has one of the highest maternal mortality ratios in the world, and there have been many efforts to reduce this, such as delivery with a Skilled Birth Attendant and attending antenatal care visits, all of which are centered around a functioning health system. The research team used a combination of interviews with key populations and analysis of service delivery data at local health centers to evaluate the effects of the strike on maternal care. The study ...


Caring For Caregivers: Challenges Facing Informal Palliative Caregivers In Western Kenya, Hartlee Johnston Oct 2017

Caring For Caregivers: Challenges Facing Informal Palliative Caregivers In Western Kenya, Hartlee Johnston

Independent Study Project (ISP) Collection

Chronic illnesses like cancer, HIV, and other non-communicable disease are increasing globally, especially in developing countries, necessitating development of palliative care and symptom management systems. In Kenya, the burden of care for chronically ill patients often falls to unpaid, informal caregivers like family members or friends. Thirty-five current or past informal caregivers from Kisumu, Kenya were interviewed about their experience, challenges they faced, and interventions they felt would be helpful. Major challenges identified included lack of finances for treatment and other living expenses; inadequate, unaffordable, or interrupted medical care; emotional stress exacerbated by juggling many responsibilities, pressure to emotionally support ...


Community Perception Of The Hiv Vaccine In Western Kenya: Acceptability, Potential Behavior Changes, And Views On Compulsory Vaccination, Deborah Keen Oct 2017

Community Perception Of The Hiv Vaccine In Western Kenya: Acceptability, Potential Behavior Changes, And Views On Compulsory Vaccination, Deborah Keen

Independent Study Project (ISP) Collection

Human Immunodeficiency Virus (HIV) suppresses the immune system by attacking T cells, leading to the development of acquired immunodeficiency syndrome (AIDS). HIV affects over 30 million people around the world and 1.6 million people in Kenya. On August 18, 1987, the FDA sanctioned the first human testing of a candidate vaccine for HIV. Currently, multiple HIV vaccines—projected to be on the market in five to ten years—are being tested for efficacy and safety. The goal of this study was to explore opinions related to the HIV vaccine so that there is a guide for future policy development ...


Mental Illness Stigma, Socially Acceptable Treatment, And Barriers To Health, Frances Renee Gellert Jul 2017

Mental Illness Stigma, Socially Acceptable Treatment, And Barriers To Health, Frances Renee Gellert

Independent Study Project (ISP) Collection

This paper discusses the topic of mental illness stigma and treatment in Uganda as explored through internship in the Social Work Department at Butabika National Referral Mental Hospital. The objectives of this project were to complete a meaningful internship while exploring causes of mental illness in Uganda, contradictions between traditional and modern approaches to treatment, and the affect of stigma on mental well-being. The internship included a total of 120 hours at Butabika Hospital. Individual research using documentary and literature review methods accompanied the internship. Butabika Hospital did not consent to the completion of formal research at, so any conclusions ...


An Analysis Of Positive Coping Mechanisms Utilized To Overcome Trauma In Post-Genocidal Rwanda, Danielle Marvin Apr 2017

An Analysis Of Positive Coping Mechanisms Utilized To Overcome Trauma In Post-Genocidal Rwanda, Danielle Marvin

Independent Study Project (ISP) Collection

From April 7th to July 1st of 1994, one million Rwandan people were brutally murdered by their friends and neighbors in the meticulously planned and government-sponsored Genocide against the Tutsi. Survivors witnessed killings and sexual assault, had their lives threatened, lost multiple family members, and hid under dead bodies to evade the killers. To make matters worse, trust within communities and even within families was destroyed as Hutu perpetrators turned against Tutsis they had, days earlier, been inviting to family events. After the genocide, PTSD rates among adults in Rwanda were estimated at 20.5% for men and 30% for ...


Shifting Mental Health From The Back Burner: An Investigation Of The Mental Health Treatment Gap, Eva Hanorah Stanton Apr 2017

Shifting Mental Health From The Back Burner: An Investigation Of The Mental Health Treatment Gap, Eva Hanorah Stanton

Independent Study Project (ISP) Collection

The purpose of this research project is to investigate solutions to the so-called ‘mental health treatment gap’. The need for scholarship in this area is underscored by the recent tragedy in the Gauteng province, which has brought the neglect of the mental health sector into the public eye. Through semi-structured interviews with six key stakeholders in the fields of mental health and health policy this project seeks to better understand the causes of the mental health treatment gap and the impact National Health Insurance (NHI) rollout may have on access to quality mental healthcare. Sub-themes explored include: the integration of ...


Discourses Of Psychiatry And Culture: The Interface Between Western And Traditional Medicine In The Treatment Of Mental Illness, Madeline Molot Apr 2017

Discourses Of Psychiatry And Culture: The Interface Between Western And Traditional Medicine In The Treatment Of Mental Illness, Madeline Molot

Independent Study Project (ISP) Collection

Mental illness is a burden of disease that, in many countries, is neglected; South Africa is no exception. There are many reasons for this, including but not limited to a lack of specialized mental health personnel in primary care settings, a budget that favors South Africa’s communicable disease epidemic, and a continued stigma around mental illness. Whenever discussing the healthcare system in South Africa, however, it is important to note another parallel system of care, one with little to no budget or regulation: that of traditional healing. It is estimated that over 70% of South Africans have at some ...


Christians’ Cut: Popular Religion And The Global Health Campaign For Medical Male Circumcision In Swaziland, Casey Golomski, Sonene Nyawo Jan 2017

Christians’ Cut: Popular Religion And The Global Health Campaign For Medical Male Circumcision In Swaziland, Casey Golomski, Sonene Nyawo

Anthropology Scholarship

Swaziland faces one of the worst HIV epidemics in the world and is a site for the current global health campaign in sub-Saharan Africa to medically circumcise the majority of the male population. Given that Swaziland is also majority Christian, how does the most popular religion influence acceptance, rejection or understandings of medical male circumcision? This article considers interpretive differences by Christians across the Kingdom’s three ecumenical organisations, showing how a diverse group people singly glossed as ‘Christian’ in most public health acceptability studies critically rejected the procedure in unity, but not uniformly. Participants saw medical male circumcision’s ...


Occupational Therapy And Physiotherapy Education And Workforce In Anglophone Sub-Saharan Africa Countries, Augustine O. Agho, Emmanuel John Jan 2017

Occupational Therapy And Physiotherapy Education And Workforce In Anglophone Sub-Saharan Africa Countries, Augustine O. Agho, Emmanuel John

Physical Therapy Faculty Articles and Research

Background: Sub-Saharan Africa (SSA) countries are faced with the challenge of educating a critical mass of occupational therapists (OTs) and physiotherapists (PTs) to meet the growing demand for health and rehabilitation services. The World Federation of Occupational Therapy (WFOT) and World Confederation of Physical Therapy (WCPT) have argued for the need of graduate-level training for OTs and PTs for decades. However, very few studies have been conducted to determine the availability of OT and PT training programs and practitioners in SSA countries.

Methods: Initial data were collected and compiled from an extensive literature search conducted using MEDLINE and PubMed to ...


Give A Man A Fish: A Narrative Approach To A Case Study Of Soup Kitchens In The Wentworth Community, Evelyn Shen Oct 2016

Give A Man A Fish: A Narrative Approach To A Case Study Of Soup Kitchens In The Wentworth Community, Evelyn Shen

Independent Study Project (ISP) Collection

This study uses a narrative approach to explore the role of soup kitchens in the predominantly Coloured and English-speaking Wentworth community. Many of the community’s churches1 and non-profit organizations host soup kitchens regularly, rotating so that there is a meal available each day of the week.

Qualitative data was gathered through volunteering with the soup kitchens as a participant observer and having conversations and open-ended interviews with soup kitchen guests and hosts. Institutional context was provided by interviews with the Convener of the War Room and the Ward Councillor, and representatives of three non-profits in the community. In order ...


Nit Nitay Garabame: Analyzing Mental Illness And Art Therapy Within Dakar’S Atelier D’Ex-Pression Artistique, Alaina Orr Oct 2016

Nit Nitay Garabame: Analyzing Mental Illness And Art Therapy Within Dakar’S Atelier D’Ex-Pression Artistique, Alaina Orr

Independent Study Project (ISP) Collection

As mental health issues are usually given low priority in countries of sub-Saharan Africa, including Senegal, mental illness continues to be an emerging topic of discourse (Rand 2015). In Dakar, the practice of art therapy has been used for decades to provide those living with mental illness or going through trauma with a method for selfexpression when words fail to articulate their situations or mental states. Situated within Hôpital Fann’s psychiatric hospital, Clinique Moussa Diop, is an art therapy workshop known as l’Atelier d’EX-PRESSION Artistique1, which provides the space, structure, and material for persons with mental illness ...


“A Wound That Never Heals”: Health-Seeking Behaviors And Attitudes Towards Breast Cancer And Cancer In General Among Women In Nakirebe, Uganda, Ann Louise Tezak Jun 2016

“A Wound That Never Heals”: Health-Seeking Behaviors And Attitudes Towards Breast Cancer And Cancer In General Among Women In Nakirebe, Uganda, Ann Louise Tezak

Graduate Theses and Dissertations

The scale and severity of cancer, specifically breast cancer, remains significantly different across the spectrum of low-income to high-income countries. This study explores women’s beliefs about breast cancer and associated prevention and health-seeking behaviors in a rural area of Uganda. Through a critical medical anthropological perspective, the study examines the social, cultural, and economic factors that shape women’s understanding of cancer, and breast cancer specifically, and that influence their use of biomedical services. Data were collected over a three-month period through 35 in-depth interviews and two focus groups with 10 women older than 18 years in the rural ...


Social Context Surrounding Hiv Diagnosis And Construction Of Masculinity: A Qualitative Study Of Stigma Experiences Of Heterosexual Hiv Positive Men In Southwest Nigeria, Titilayo A. Okoror, Catherine O. Falade, Mary O. Walker, Agaptus Anaele Jun 2016

Social Context Surrounding Hiv Diagnosis And Construction Of Masculinity: A Qualitative Study Of Stigma Experiences Of Heterosexual Hiv Positive Men In Southwest Nigeria, Titilayo A. Okoror, Catherine O. Falade, Mary O. Walker, Agaptus Anaele

Africana Studies Faculty Scholarship

Background: Though research has documented experiences of stigma and its effects on the lives of women living with HIV/AIDS, there is limited research on heterosexual positive HIV men experience of stigma in Nigeria. This study explored how social context surrounding HIV diagnosis impacts stigma experiences of heterosexual HIV positive men and their construction of masculinity in southwest Nigeria.

Methods: Using purposive sampling, 17 heterosexual HIV positive men were recruited through community based organization to participate in two hours focus group discussions or 45 min in-depth interviews that were audio-recorded. Without using the word stigma, discussions and interviews were guided ...


Trauma And Recovery In Post-Conflict Northern Uganda: An Analysis Of Trauma And Its Effects On The Family, Shelby Logan Apr 2016

Trauma And Recovery In Post-Conflict Northern Uganda: An Analysis Of Trauma And Its Effects On The Family, Shelby Logan

Independent Study Project (ISP) Collection

Trauma in Northern Uganda stems from the atrocities that occurred during the Lord’s Resistance Army conflict. Because of this, thousands of victims were left traumatized by their experiences with disparities in aid to help them with their trauma. Utilizing the rural and urban areas in Kitgum and Gulu Municipality, this research seeks to understand how trauma presents itself in the Northern Uganda region and how it is defined by the population who treat it. This includes a list of disorders resulting from trauma and their symptoms. In addition, the efforts towards trauma healing and recovery are analyzed, including the ...


Perceptions About Sexually Transmitted Diseases In Akwa Ibom State Of Nigeria: A Qualitative Study Of Young Adults Age 18-24, Mfon Archibong Archibong Jan 2016

Perceptions About Sexually Transmitted Diseases In Akwa Ibom State Of Nigeria: A Qualitative Study Of Young Adults Age 18-24, Mfon Archibong Archibong

Walden Dissertations and Doctoral Studies

Despite the ongoing investments in programs to increase sexual health awareness among young adults globally, many youths remain vulnerable to sexually transmitted diseases (STDs). Two-thirds of all STDs occur among youths engaging in high-risk sexual behaviors, which put young adults at higher risk of STDs and can result in serious consequences including infertility. Additionally, the social consequences of STD affect families and communities. While a need exists for increased public awareness of STDs among young adults, extant intervention and prevention activities should be informed by a cultural perspective, including the integration of community and government roles. The purpose of this ...


By The Time You Read This, We’Ll All Be Dead: The Failures Of History And Institutions Regarding The 2013-2015 West African Ebola Pandemic., George Denkey Apr 2015

By The Time You Read This, We’Ll All Be Dead: The Failures Of History And Institutions Regarding The 2013-2015 West African Ebola Pandemic., George Denkey

Senior Theses and Projects

Abstract

The 2013 – 2015 Ebola pandemic had a devastating impact on the countries of Sierra Leone, Guinea, and Liberia, with a few regional and global sparks as a result of the 25,178 cases and 10,445 deaths that the epidemic has so far brought upon the three most affected nations by April First 2015. The epidemic has collapsed healthcare systems, economies, and the very social fabric of life within the subregion itself. In the light of this tragic epidemic, one question stands out above all, “How and why did this happen?” The medical literature around Ebola is sound and ...