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Little is known about the role of agency in transitions in tracked education systems or whether it varies by socioeconomic background. This study addressed this gap by estimating structural equation models based on longitudinal data that are representative of the German- and French-speaking parts of Switzerland (N = 1273 individuals, surveyed from age 6 to 18, mean age at wave 1: Mage = 6.54, SDage = 0.50, female = 49%). The findings reveal that agency (captured by study effort and occupational aspirations) and socioeconomic background (measured by parental education and family income) significantly predicted students' transitions to academically demanding tracks in lower- and upper-secondary education. In the transition to upper-secondary education, students with fewer socioeconomic resources benefitted less than their more advantaged peers from ambitious aspirations, but they benefitted more from exerting effort. These findings suggest that both an optimistic forward-looking orientation and the exertion of effort are required to make it to an academic track. Effort may serve as a "substitutive" resource for less socioeconomically advantaged students, whereas ambitious aspirations may enhance the positive effect of family socioeconomic resources on academic educational trajectories. Overall, the evidence from this study calls for greater attention to investigating not only how agency shapes adolescents' educational trajectories and opportunities but also how its role differs across social groups. [ABSTRACT FROM AUTHOR]

Introduction Natural disasters in resource-poor countries have differential effects on socially disadvantaged groups such as women. In addition to the acute reproductive health needs of women during the immediate response phase of a disaster, research suggests that maternal, newborn, and child health (MNCH) may continue to be seriously impacted for numerous months, even years, after the event. Methods This ethnographic field research investigates the impacts of the 2015 Nepal earthquakes on mothers and children under five on the 6-month anniversary of the earthquakes. Results Though families were not channeling household funds away from health care expenses for pregnant and lactating women and children under five, the findings suggest that a delayed response by the Nepali government in administering funds for rebuilding combined with an ongoing fuel crisis were negatively impacting families' abilities to provide adequate shelter, warmth, cooking gas, and transportation for mothers and young children. This study highlights the importance of understanding the impacts of specific social and political contexts on intra-household family finances as they relate to MNCH, not just variables related to the disaster itself. Discussion Future research and policies on MNCH during the long-term recovery period after a natural disaster such as the 2015 Nepal earthquakes therefore should take into account the social and political context as well as institute multiple periodic assessments of MNCH in the first few years following the disaster. [ABSTRACT FROM AUTHOR]

Community health workers (CHWs) are increasingly utilized to reach low-resource communities. A critical domain influencing success is the CHWs' ability to create and maintain a therapeutic relationship with the participants they serve. A limited evidence base exists detailing this construct, and evaluating CHW-participant relationships in the context of CHW-led programs. In a longitudinal study design, data on this therapeutic relationship were collected [as captured using The Scale to Assess the Therapeutic Relationship in Community Mental Health Care (STAR)] on 141 participants who had been assigned to a CHW during their perinatal period. Results indicate that therapeutic relationship was associated with the participant's psychosocial health, and independently predicted study adherence in the longitudinal intervention. Changes in therapeutic relationship over the months following birth were strongly associated with changes in anxiety and depression symptoms. A trustful relationship is critical in ensuring CHWs can effectively reach the population they serve. The findings offer additional psychometric evidence of the uses and benefits of STAR outside of the traditional clinical setting in the context of public health research. [ABSTRACT FROM AUTHOR]