Search

To articulate community perspectives on maternal, newborn, and child health issues, challenges, and preferred visions, the Mama Kwanza Socioeconomic Health Initiative (MKSHI), a Canadian-Tanzanian partnership, undertook a multimethod needs assessment using a community development approach. This paper reports on dialog with a cross-section of 12 health care providers and 15 stakeholders. The findings provided rich narratives on the health care context in the MKSHI Arusha and Ngorongoro service areas. Barriers to quality health care included complex socioeconomic needs, poor accessibility, providers requiring continuing education, inadequately staffed and resourced clinics, lack of service integration, and poor quality work life for providers. Ongoing community participation in MKSHI planning is required to attain preferred visions of equitable and accessible health services, knowledgeable and caring providers, and well-resourced programs. The assessment highlighted the importance of international development projects facilitating community consciousness-raising and dialog to create community partnerships that will enhance project effectiveness and sustainability. [ABSTRACT FROM AUTHOR]

This study reports on the inter-generational transmission of faith values to young children (three to six years) from the perspectives of parents, grandparents, and religion teachers. The study was conducted at two religious education centres in Dar es Salaam, Tanzania. Through a qualitative rapid ethnographic approach (interviews, focus groups, and observations), we explored the practices and challenges in realizing the practice of faith as part of children’s everyday life. Eleven themes elicited which were further reflected in three overarching trends – ‘Building the foundation – on the right path’; ‘Meeting the challenges-embedding faith’; ‘Creating a conducive environment – brining us together’. Key findings revealed that although parents were keenly interested in spiritual development of their young children, they felt challenged by time deficits, multiple priorities, and secularization. Grandparents and religious education teachers were critical of the lack of parental commitment to spiritual development, seeing themselves often becoming surrogate drivers for this imperative. In conclusion, parents requested the institutions to schedule weekly practical classes in prayer and rituals. They also indicated that grandparents’ involvement in religious education activities are enabling and supportive to the parents in nurturing children’s spirituality. As a result there is a clear indication of the role for inter-generational involvements in embedding spirituality in young children. [ABSTRACT FROM PUBLISHER]

Menstruation is a biological process experienced by up to 800 million people on any given day. Historically, menstruation has been studied from the female perspective. However, it should be considered that not all who menstruate are women. Therefore, the purpose of this research was to determine the status of evidence on transgender and non-binary individuals’ experiences with menstruation. Arksey and O’Malley’s (2005) framework for conducting a scoping study was used to guide this review. The authors used five steps of the six-step process to identify the research problem and search strategy, select studies based on defined inclusion and exclusion criteria, extract key information from five selected studies, and chart, summarize, and report the results as themes. The analysis resulted in the identification of four themes: (1) gender dysphoria and the influence on identity; (2) menstrual management and transformation as a turning point; (3) managing menstruation in precarious spaces; and (4) moving toward an open dialogue. Findings suggest a need for awareness of diverse and inclusive menstrual experiences. Inclusive advertising and menstrual products are needed to support transgender and non-binary people and reduce gender dysphoria. Policy initiatives should support the reconceptualization of infrastructure so that bathrooms are safe and comfortable places. Future opportunities for research exploring menstrual management within transgender and non-binary populations with emphasis on global research with diverse cultures and social structures is necessary to address gaps in the existing literature. [ABSTRACT FROM AUTHOR]