| 1. |
- Anne, Ouma, 1963-
(författare)
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From Rural Gift to Urban Commodity : Traditional Medicinal Knowledge and Socio-spatial Transformation in the Eastern Lake Victoria Region
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- As we celebrate all the dynamic and dramatic improvements in human health care in the 21st century, life in much of Africa begins with and is sustained with the support of traditional medicinal knowledge. Research on traditional medicinal knowledge (TMK) is extensive, but rather few studies have been written about Traditional Healers' (THs') own perceptions about TMK and practices in relation to changing societal dynamics.The aim of this thesis is to examine how THs perceive on going socio-spatial transformation, including contemporary processes of urbanization, migration, commercialization and commodification of TMK, as well as changing dynamics of learning and knowledge systems between generations and genders and how these affect their medicinal healing practices in time and space.The thesis consists of four main empirical chapters, which derive from different data sources including literature, documentation review and qualitative interview material. The findings in this thesis can be summarised as follows: First that TMK today exists side by side with modern health systems, in what are seen as complex patterns of medical pluralism that provide evidence of an evolving role the TH plays in primary health care, in the rural and urban space. Youthful migrating population dynamics that are linked to historical processes, have effectively carved an emerging cross-sectoral role of the TH in the formal space.Secondly the developing legislation on IPR and ABS in parallel with the representation of an earlier official formal governance around TMK in Tanzania; and the difference in the sectors where TMK is anchored in the two contexts, could have paved way to some earlier collaborative mechanisms, that today provide space to enable a more natural engagement between formal and informal organizations involved in the governance of TMK in Tanzania. Thirdly, the practical ways in which TMK learning processes, which are characterized by learning systems in place, being sent and visiting sacred places that are lived by an apprentice over a number of years, have increasingly come under pressure. Fourthly the thesis shows approaches by THs, encouraging the youth to access conventional medicinal education followed by, or in parallel with TMK learned through traditional pedagogies employed by the THs themselves. The youth’s keen interest in learning TMK is seen to increase when they view improved livelihood possibilities due to the commercialization of medicinal plants. The future of TMK learning processes may be limited unless incentives are put in place for the youth regarding their future livelihoods. Fifth, gendered and generational dimensions suggest that older and some younger female THs reemphasize the values of the gift and TMK in a climate of increased commodification and commercialization of TMK, where TMK increasingly meets neoliberal processes, engaging an alternative paradigm than the gift economy, where a predominance of male TH’s in the urban space and places, increasingly define the diversification of the TMK livelihoods. The gift provided by a higher power and which is embedded in a particular cosmological view, to be used as a social service to help the community, is increasingly evolving as an emerging tested force in a changing ideological climate, with an increasing awareness of commodification, commercialization, IPR and ABS issues surrounding TMK. It implies awareness in relation to the increased benefits of commoditized and commercialized medicinal plant knowledge (which THs hold) for other individuals and institutions.The TH profession and TMK is seen as entering a contested IPR/ABS arena at a time when increasingly socio-spatial transformations are modifying its role from that of a gift to an owned commodity. However while the practice of TMK has changed over time and space, presenting new challenges as well as opportunities, it is also seen as a threat that anyone today can sell and market TMK products.
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| 2. |
- Enlund, Desirée, 1984-
(författare)
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Contentious countrysides : social movements reworking and resisting public healthcare restructuring in rural Sweden
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The broader aim of this thesis is to contribute to the understanding of the production and reproduction of spatial inequalities following from the restructuring of the public healthcare system. More specifically, by analyzing the contention around healthcare restructuring related to two cases spanning a longer period in northern Sweden, I aim to investigate the changing conditions for healthcare provision in rural and sparsely populated areas, and I explore the forms of collective action that local people engage in to sustain the access to healthcare, as well as how state authorities’ attitudes towards such collective action have shifted. In the context of larger public healthcare restructuring in contemporary Sweden, where the marketization and privatization of healthcare since the 1990s have impacted the provision of healthcare across the country, rural areas are experiencing deteriorating accessibility to both primary healthcare as well as emergency healthcare. This development is increasingly contentious, and is frequently met with resistance from rural populations as well as various strategies to rework these uneven conditions. The first case concerns the preceding protests as well as the occupation and opening of a citizen cooperative primary care center in Sollefteå, Västernorrland, in response to cutbacks at the local hospital. The second case follows the worker-cum-citizen cooperative primary and occupational healthcare centers in Offerdal, Jämtland. Through these two cases I explore people’s experiences of public healthcare restructuring, their motivations for engaging in contention around it, their experiences of self-organizing cooperative healthcare, as well as their visions and desires for a future healthcare.As shown throughout this thesis, healthcare restructuring is highly contentious and comes in many forms, ranging from protests, demonstrations, and occupations of healthcare facilities to the self-organization of healthcare services through worker and citizen cooperatives. Healthcare restructuring marked by spatial concentration and withdrawal has thus given rise to a number of drawn-out and spectacular collective actions in contemporary Sweden, but responses can also take the form of low-key efforts to maintain healthcare provision. The healthcare authorities’ attitude towards such low-key efforts by not-for-profit healthcare providers has shifted from a favorable approach in the 1990s to emphasizing their role in safeguarding fair market conditions in the healthcare market. This shift has created a more hostile welfare state landscape for not-for-profit healthcare providers in rural areas, which exacerbates the already unfavorable conditions they operate under. Rural populations’ efforts to remedy the withdrawal of public healthcare are thus highly precarious. While reworking uneven healthcare provision, they operate in this increasingly hostile welfare state landscape, which is not adapted to either rural areas or not-for-profit healthcare. In practice, public healthcare restructuring and withdrawal amount to a cutback in healthcare provision for rural populations. This transfers the work of sustaining social reproduction to the private sphere, in this case not-for-profits healthcare providers. The public healthcare restructuring and withdrawal outlined in this thesis thus present an example of a form of ‘rural neoliberalism’, whereby rural populations are dispossessed of welfare services that instead accumulate in urban areas, which both increases and is connected to larger questions around spatial (in)equalities and the restructuring of the public sector in contemporary Sweden. Nevertheless, those engaged in contention around and the self-organization of healthcare nurture visions and desires for a future healthcare system that would take a holistic approach to the patient and make possible a more equitable access to healthcare.
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| 3. |
- Gustafsson, Cecilia, 1977-
(författare)
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"For a better life..." : a study on migration and health in Nicaragua
- 2014
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis explores and analyses the manifold relations between migration and health, what I call the migration-health nexus, in the contemporary Nicaraguan context. The study is based on fieldwork in León and Cuatro Santos and a mixed-methods approach combining qualitative in-depth interviews and quantitative survey data. In the thesis health is “traced” within the migration process; i.e. in places of origin, during travel, at the destination and after return, including the situation and consequences for both migrants and family members to migrants (“left-behinds”). The study shows that migration-health relations in Nicaragua are connected to broader economic, social and political factors and to the country’s historical experiences of colonization, neo-colonization and structural adjustments. Contemporary Nicaraguan migrations are primarily related to the strategies of making a living and the struggle for a better life (i.e. a practice of mobile livelihoods). In the study setting health concerns were both indirectly embedded in people’s mobile livelihoods, as well as directly influencing decisions to move or to stay, and migration involved both advantages and disadvantages for health. Through migration, women could see an end to physical violence and sexual abuse. Internal migrants could improve their access to health care and medicine. Vulnerabilities related to the unpredictable nature conditions could be avoided through moving. And, through the money made from migrant work people’s everyday lives and health could be improved, in terms of better nutrition, housing, and access to education, health care and medicine. However, remittances do not necessarily lead to development, as they are used to compensate for the lacking public sector in Nicaragua. Under these circumstances, I argue that the Nicaraguan population is not guaranteed their social rights of citizenship. I also argue that the negative aspects surrounding migration must be taken into account when discussing the development potentials of migration and remittances. Both internal and international migrants in this study experienced stress while moving to a new place. International migrants had difficulties accessing health care in the destination, particularly those lacking documentation. The separation within families due to migration often caused emotional pain. Family members left behind did not rate their physical health as good as often as non-migrant families. The vulnerability, stress experiences and sufferings of migrants and left-behinds varied, however. I therefore conclude that social differences (in terms of e.g. gender, class, skin colour, and legal immigration status) are key for the enactment of the migration-health nexus, and that an interplay of individual, social and structural factors influence the outcome.
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| 4. |
- Helgesson, Linda, 1973-
(författare)
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Getting Ready for Life : Life Strategies of Town Youth in Mozambique and Tanzania
- 2006
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this dissertation is to explore how and under what conditions life strategies of young men and women unfold in the towns of Masasi in southern Tanzania and Montepuez in northern Mozambique. These towns are located in regions which in their national contexts are perceived as peripheral and rural. The thesis examines the life strategies of youth, with particular emphasis on livelihood, education and mobility. How the life strategies can be related to the representations of young people in national and local discourses, and how global processes are involved in young people’s daily lives are also examined. The fieldwork was conducted between 2002 and 2004 and the main part of the empirical material consists of structured and semi-structured interviews.Many young people are under substantial pressure to support themselves and their families, but a conflict exists between the expectations on youth to contribute to the household economy and their possibilities to do so. There is also a contradiction between being needed for labour and being trusted with responsibilities. Harsh economic conditions, combined with a weak position in terms of power, increase the vulnerability of young people in these places.Global processes influence young people’s lives, primarily expressed through changed patterns of consumption. However, there is a feeling of exclusion from globalisation in terms of work. Self-employment is promoted as a solution to poverty by the government and by various organisations, but young people contest this discourse and demand ‘real’ employment for themselves and for their children. Young people’s mobility experiences are mainly local due to a local social network and limited resources. Those with larger resources tend to be more mobile and the more privileged youth aspire to move to the larger cities or abroad. Agriculture is a complementary livelihood strategy, which implies that the rural economy still has an important function as a safety net within the urban landscape.
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| 5. |
- Khouangvichit, Damdouane, 1957-
(författare)
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Socio-Economic Transformation and Gender Relations in Lao PDR
- 2010
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this study is to examine socio-economic transformation and gender relations in Lao PDR after the adoption of economic liberalization by the Lao government in the late 1980s. Against a background of general socio-economic transformation in Laos the main focus of the study is on the local level, with emphasis on how people in their everyday lives have engaged with and handled the changes. The application of economic liberalization shaped new conditions for people in local communities, and various livelihoods strategies were adopted under the new circumstances. The study examines gender relations, livelihoods and actors of change in two different contexts of globalization. The first context is the case of foreign direct investment in the Sepone mine, the largest gold-copper mine in the country located in Vilabury district, Savannakhet province. Five villages located close to the mine and directly affected by the operation were chosen as research site. The second case is the context of international tourism development in the small town of Vang Vieng, situated halfway between Vientiane Capital and the world heritage town of Luangprabang. The purpose with the two case studies is to examine how changes take place in different places of the same country under the same political direction and development policy. The study is inspired by theories of space and place and the view that phenomena are place-based and different places are constituted by different socio-spatial relations. The findings show that profound changes took place both in the economic and social-cultural spheres, including in gender relations. The two contexts experienced different processes of changes: in the context of Vilabury district, the transformation was produced through top-down development and created a dependency pattern where new social inequalities and social stratification emerged through unequal access to the new resources of the villagers. In the context of Vang Vieng and the expansion of international tourism, the development process proceeded more through a bottom-up pattern; the villagers perceived they were important actors of development, had more equal access to resources and could define livelihood strategies by themselves.
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| 6. |
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| 7. |
- Phouxay, Kabmanivanh, 1959-
(författare)
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Patterns of migration and socio-economic change in Lao PDR
- 2010
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of the thesis is to investigate patterns and consequences of internal and international migration in Laos during the period 1985-2005 on both a macro-and a micro-level. The thesis focuses on the influences of socio-economic change and government policies on inter-regional and rural-urban migration as well as on crossborder migration from Laos to Thailand. The study also examines the effects of migration and industrial factory work on gender relations during economic transition and consequences of undocumented migration to Thailand. The background consists of a discussion on socio-economic change within the country and on government policies influencing migration patterns, as well as on how socio-economic change, urbanization and industrialization in the region affect internal and international migration in Laos. The thesis consists of three empirical studies which derive from different sources of data; the first is based on Population Censuses in 1995 and 2005 and the second and the third draw from empirical surveys in 2004-2005 and 2006. Paper I focuses on how socioeconomic factors and government policies influence migration patterns in Laos. The paper found that the interregional migration rate decreased in the later census period. This was due to significantly higher rural-rural migration in the earlier period, which in turn was influenced by various types of government policies. Papers II and III are based on micro surveys; paper II focuses on an urban industrial area in Vientiane Capital and explores the current feminization of rural-urban migrations during economic transition with specific focus on the effects of industrial work on gender roles and status of women as industrial workers. Industrial work was seen by the women as temporary jobs for saving money, for sending remittances, and for either returning home or moving to other jobs in Vientiane or Thailand. Paper III is based on surveys in three provinces, and deals with undocumented migration from Laos to Thailand and its consequences. Different income levels, existing social networks, similar language and socio-cultural backgrounds were determinants of cross-border migrations. The study found that migrants who had contacts with informal brokers were highly exposed to risks of human trafficking and violence.
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| 8. |
- Sandberg, Linda, 1978-
(författare)
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Fear of violence and gendered power relations : Responses to threat in public space in Sweden
- 2011
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Several cases of single repeat offenders in urban space have raised public concern in Sweden during recent decades. Few studies have been conducted on consequences of the kind of ‘hostage situations’ that emerge when one individual offender causes fear and affects a larger group of people in a specific place. The concern of this thesis is to examine consequences of the Haga Man phenomenon: the case of a serial rapist operating between 1998 and 2006 in Umeå, a medium-sized Swedish city. This thesis explores some of the ways not only women but also men in Umeå responded to this specific situation, the threat from a single repeat offender, and how fear of crime and changing public crime discourses influenced gendered power relations. The thesis examines different aspects of fear and safety in public space, such as the views of those who are fearful; of those who are feared; perceptions of both women’s and men’s bodies; their emotions and experiences in relation to fear of violence in public spaces; and the significance of space and place for our understanding of fear. The empirical data of this thesis consist of in-depth interviews with a total of 47 women and men in Umeå.The thesis is based on four empirical studies. The first (Paper I) sought to identify similarities and differences across narratives in terms of the major components of young people’s talk about fear. In their stories women positioned themselves as fearful and in need of protection, while men in their stories positioned themselves as fearless protectors. Men and women reproduced ways of speaking considered appropriate to their gender, thus performing masculinity and femininity through their talk. Paper II, examines consequences of the Haga Man phenomenon on constructions of white masculinities. Three masculine positions; the dangerous stranger, the suspect and the protector were identified. These three constructions of masculinity were not clear-cut or ‘belonging’ to specific men – several of the interviewees articulated various forms of masculinities but stressed them in different ways depending on, for instance, age and/or ethnicity/race. Paper III, focuses on changing perceptions and representations of female and male bodies, and illustrates how a change took place; from a focus on how women should conduct themselves to be safe, towards men’s bodily behaviour in order to present themselves in non-threatening ways. In Paper IV, women’s fear of violence is discussed in relation to Swedish gender equality discourses and contextual constructions of femininity. The results show the difficulties of claiming the official position of a gender-equal femininity. Several female respondents expressed an ambivalent attitude about their own fear; they felt afraid, but also felt that as (equal) women they should be able to do what they wanted, whenever they wanted. Result from this thesis shows that this situation produced a shared approach to fear for women of different ages, classes and ethnicities in Umeå. The similarity in the women’s responses to the threat from the Haga Man is as an expression of a normative femininity. The male respondents did on the other hand express complex emotional positions as they talked about their own fears, women’s fear of unknown men and how they felt they were under suspicion and compared to the perpetrator. As this thesis provides an understanding of how men and women responded and reacted to the threat from the Haga man, it contributes to a better understanding of how fear of violence affects people in their everyday lives.
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| 9. |
- Sörensson, Erika, 1975-
(författare)
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Making a living in the world of tourism : Livelihoods in backpacker tourism in urban Indonesia
- 2008
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In many ‘Third World’ societies tourism is seen as a force for economic development and socie-tal change. Employment in tourism has increased, new destinations have been drawn into tour-ism circuits, and many ‘Third World’ governments have adopted ‘pro-poor’ tourism policies as part of their poverty reduction strategies. However, the tourism sector appears to be particularly volatile and can be subject to dramatic fluctuations, both in terms of volumes and tourists’ des-tination choices, which means that people working in tourism are exposed to globalising forces and preferences far beyond their control.The aim of this study is to explore the contents and meanings of work within tourism as narrated by formal and informal tourism workers in an urban backpacker enclave in Yogyakarta, Indonesia. The study is concerned with the ‘receiving end’ of international tourism, and specifi-cally with the experiences of people who make their livelihoods within the low-budget tourism sector, in which ‘Western’ backpackers are key actors.In this study the tourism phenomenon is seen from the context of global asymmetrical power relations, but social relations at the local level in Yogyakarta city are given centre stage. The social relations that constitute the Sosrowijayan area as a place are complex. While back-packers come to Sosrowijayan in search of cheap tourism facilities, the general public in Yogya-karta construct the area as the centre of prostitution in the city. However, the inhabitants of Sosrowijayan draw boundaries between people and places in very refined ways.These boundaries are gendered in the sense that above all female sex workers are blamed for the negative perceptions of the area. They are constructed as ‘outsiders’ because of their ‘deviant’ lifestyle and ‘choice’ of occupation (social class) and because they are said to be migrants from other areas in Indonesia. In Sosrowijayan boundary constructions also take place between male tourism workers who claim allegiance to different groups and categories within their profession or livelihood niche. They make distinctions between ‘insiders’ and ‘outsiders’; the ‘insiders’ are born in the area, while the ‘outsiders’ are narrated as being from other parts of the city, or the country, and/or engage in sexual relations with Western tourists.The study shows that relations of class, gender, and colonial and/or ‘race’ stereotypes come into play in encounters between tourists and tourist workers. Tourism workers consider themselves to be ‘providers of fun’ which means that they are supposed to meet the needs of the tourists, whatever those needs might be, such as material or sexual. In this relationship the Indonesian tourism workers might be interpreted as the racialised service class that make the backpacker-consumer possible. The study also shows that tourism workers in Sosrowijayan are not only immobile in comparison to the highly mobile backpackers from whom they earn their livelihoods, but also that they are at the receiving end of a type of mobility which is initiated and performed far beyond their control.
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