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- Dahlblom, Kjerstin, 1950-
(författare)
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Home alone : sibling caretakers in León, Nicaragua
- 2008
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Sibling caretaking, although common across time and cultures, has not been well researched from the carer’s point of view. In Nicaragua, ranked as one of the poorest countries in the Americas, sibling caretaking is common. The country’s historical background and its state of chronic poverty, widespread unemployment, loose family structures, and migration and mobility makes of the old practise of shared management child care a necessity. Households headed by sing¬le mothers constitute a particular Nica¬raguan charact¬eristic. Many children are expected to help in their own families and care for their siblings and other children living in their households. In its broadest sense sibling caretaking is a public health concern, and we conducted this study to widen the understanding of the phenomenon as it is represented in a setting undergoing a rapid social transition. The main objectives were to identify, describe and analyse the life situation of sibling caretakers in poor areas in León, Nicaragua, with focus on how they perceived it themselves. A combined qualitative and quantitative methodological design was used, mainly applying an ethnographic approach. A further ambition was to explore involvement of children in a participatory research process in accordance with the ‘Convention on the Rights of the Child’. The overall emotion expressed among the caretakers was pride, even if their situation often was characterized by stress and coping problems. They perceived their work as important for their families and they appreciated to fend for their siblings. Household work and nurturing of siblings were shaping the future lives of the caretakers and constituted part of their socialization. Even if many of these children achieve essential life skills as caretakers, they are at risk of falling behind as they grow older. Their long-term personal development is likely to be hampered by the obligations they have as caretakers. The carers' awareness of missing out on education was the most problematic issue for them. From a societal point of view, caretaking has negative consequences. The individual child is marginalised with limited access to basic education, contributing to overall low educational levels in Nicaragua. While the structuring conditions leading to sibling caretaking may be difficult to change, awareness of how these can affect children might make way for improvements in terms of access to school education and support from the society. The knowledge gained from this study should be further utilised to plan for interventions that take children’s perspectives into consideration.
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| 2. |
- Åsling Monemi, Kajsa, 1960-
(författare)
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The Impact of Violence Against Women on Child Growth, Morbidity and Survival : Studies in Bangladesh and Nicaragua
- 2008
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this thesis was to explore the impact of physical, sexual and emotional violence against women of reproductive age and the level of controlling behaviour in marriage on child health and survival in two different cultural settings: Bangladesh and Nicaragua. Data were acquired from four quantitative community-based studies. In two studies, a cohort including a prospective two year follow-up of 3164 mother-infant pairs in rural Bangladesh was investigated. A third study was a case-referent study in Nicaragua including mothers of 110 cases of under-five deaths and 203 referents, and in a forth study an other cohort of 1048 rural Bangladeshi women and their 2691 children was followed until 5 years of age. Maternal exposure to any form of violence, including physical, sexual, emotional, and controlling behaviour was independently associated with lower body size at birth, increased risk of stunting and under-weight at 24 months of age, slower growth velocity during the first two years of life and a higher incidence of diarrhoeal episodes and respiratory tract infections. In the Nicaraguan setting, the children of women who experienced any history of physical violence had a two-fold increase in risk of death before the age of 5 years, and those whose mothers experienced both physical and sexual violence had a six-fold increase in risk of death. In Bangladesh, an association between violence against women and under-five mortality was found among daughters of educated mothers who were exposed to severe physical violence or a high level of controlling behaviour in marriage. In all four studies, lifetime violence experience among participating mothers was high (37-69%), and the timing was less relevant than the exposure to violence per se. In conclusion, this investigation revealed that violence against women severely affects child health and survival. The findings are especially relevant in a context of high level of child under-nutrition, morbidity and under-five mortality. Efforts for protecting women from all forms of violence are needed as part of the interventions for improved child health.
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| 3. |
- Wedel, Johan, 1962
(författare)
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Religious Healing in Puerto Cabezas, Nicaragua
- 2008
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Ingår i: 33th Caribbean Studies Association (CSA) conference, San Andres, Colombia, May 26-30, 2008.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- This paper inquires into the various forms of healing performed today among the Miskitu people of the Caribbean coast of Nicaragua. The Miskitu have a long history of relations with outsiders and with people of African origin. Miskitu cosmology and its ideas about illness and healing is today a mixture of indigenous, Afro-Caribbean, and Christian beliefs. Local healers constantly pick up new healing methods and ideas from other religious traditions in Central America, Mexico, and the Caribbean. The paper discusses how Miskitu healers, known as curanderos, sukias, and profetas, heal by relating sickness and suffering to a world of spirits which also makes reference to the plural cultural antecedences of contemporary Miskitu worldview.
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| 4. |
- Wedel, Johan, 1962
(författare)
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Spirit possession among the Miskitu of Nicaragua
- 2008
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Ingår i: Paper for the 10th EASA conference, Ljubljana, Slovenia, August 26-29, 2008..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The Miskitu people of Eastern Nicaragua are occasionally troubled by a spectacular illness called grisi siknis or "crazy sickness," said to be caused by spirits. This paper inquires into how Miskitu healers ritually transform the experience of the afflicted through an idiom of the spirit world.
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| 5. |
- Herrera Rodríguez, Andrés, 1966-
(författare)
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Heaven can wait : studies on suicidal behaviour among young people in Nicaragua
- 2006
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In developed countries, suicidal behaviour is recognised as a significant public health problem among young people, but there are few studies from developing countries on this subject. The present thesis aims at estimating the extent of the problem and at exploring factors related to suicidal behaviour among young people in a developing country, Nicaragua, using a combined quantitative and qualitative approach. Three studies were conducted between 1999 and 2006. In the first study, all hospital admitted suicide attempt cases in the area of León were assessed over a three year period. Secondly, a qualitative study using individual in-depth interviews was conducted with eight girls aged between 12 and 19 admitted to hospital after attempting suicide. Thirdly, a study using the Attitudes Towards Suicides (ATTS) questionnaire was conducted in a community based sample of 278 young people aged 15-24 years to assess own suicidal behaviours, attitudes towards suicide as well as exposure to suicidal behaviour among significant others. The hospital surveillance showed that suicide attempt rates were highest among females in the age group 15-19 years with a female rate three times that of males (302.9 versus 98.9 per 100,000 inhabits per year). Drug intoxication and pesticides were the most commonly used methods for the attempts. A consistent seasonal variation with peaks in May-June and September-October was found in each of the three years, possibly related to exam periods in schools. Findings in the qualitative approach led to a tentative model for pathways to suicidal behaviour based on four main categories: Structuring conditions, triggering events, emotions and action taken. Dysfunctional families, lack of confidential and trustworthy contacts and interpersonal conflicts followed by emotions of shame and anger were some important components in the model. The community studies showed that suicidal expressions (life-weariness, death wishes, suicidal ideation, suicide plans and suicide attempts) were common among young people where more than 44.8% of males and 47.4% of females reported some kind of suicidal expression. Gender differences were small. Exposure to suicidal behaviour among others was associated with higher levels of self-reported suicidal behaviour. The attitude study showed that boys had less pro-preventive attitudes than girls, possibly indicating their higher risk for completed suicide. Exposure to suicidal behaviour and own suicidal behaviour showed an association with specific patterns of attitudes. The findings should be taken into consideration when planning for prevention of suicidal behaviour among young people in a developing country like Nicaragua.
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| 7. |
- Valladares Cardoza, Eliette, 1963-
(författare)
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Partner violence during pregnancy, psychosocial factors and child outcomes in Nicaragua
- 2005
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The objectives of the thesis was to explore partner violence during pregnancy in Nicaragua – its prevalence and characteristics, how women perceive, understand and cope with it, its association with specific child outcomes such as low birth weight (LBW), small for gestational age (SGA) and preterm birth, and possible pathways. A cross-sectional community-based study was conducted with 478 pregnant women and for a sub-sample of 147 salivary cortisol was measured. A case-referent hospital-based study was organized including 303 mothers immediately after delivery. In-depth interviews were conducted with women survivors to increase understanding of partner violence during pregnancy. The prevalence of emotional, physical and sexual partner abuse during pregnancy was 32.4%, 13.4% and 6.7% respectively. Seventeen percent of the victims suffered all three types of violence and in two thirds the abuse was severe and repeated. Half of the abused women had experienced punches and kicks directed to the abdomen; however, only 14% had sought health care and very few had disclosed the abuse or contacted police or authorities. Adolescent mothers, unwanted pregnancy and late registration for antenatal care or no check-ups were more likely among victims. The access to social resources facilitated the women’s ability to cope with the abuse, but the pregnancy itself was a barrier to receiving support from family, friends or society. The ability to confront abuse was determined by a complex interplay of factors such as economic independence, severity of abuse, access to social resources, implications for important others (i.e. children), socioeconomic group and a personal ability to cope with social norms. Low social resources, high levels of emotional distress and attempted suicide were associated with violence during pregnancy. Abuse during pregnancy was also found as an independent risk factor for LBW. Sixteen percent of LBW was attributed to physical abuse by a partner during pregnancy. A significant association between abuse during the index pregnancy and SGA was found. Partner violence during the pregnancy, low social resources and emotional distress were associated with higher levels of salivary cortisol. Pregnant women with high cortisol values were significantly more likely to give birth to SGA babies. A substantial decrease of birthweight, 142 grams, was estimated to be associated with increases in cortisol due to violence exposure. Partner violence during pregnancy is a serious social problem that impacts the rights, health and wellbeing of both the woman and her unborn child. The studies call for prioritization of intervention programmes for prevention and detection of violence, treatment and rehabilitation of the victims and the perpetrators, and change of the structural causes producing violence in society.
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| 8. |
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| 9. |
- Mendoza, Alfredo
(författare)
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Groundwater occurrence and risk of pollution in a mountain watershed of Nicaragua
- 2006
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Hydrogeological and geophysical methods were applied in the Río Artiguas watershed, a mountain basin located in central Nicaragua. This area is under environmental stress from anthropogenic activities like gold mining using mercury and waste disposal into the streams. The aim of this work was to characterise the hydrogeological conditions in the basin with emphasis on understanding the possible connections between streams and groundwater. It was also important to evaluate the vulnerability and risk of groundwater pollution. Hydrogeological mapping, resistivity imaging, hydrological measurements and hydrochemical surveys were combined to meet the aims of the work. The hydrogeological characterisation permitted identification of a) recharge areas, b) geological units that contribute to the formation of the groundwater system and c) a mechanism of discharge through springs and streams. The geophysical surveys allowed mapping the extension of weathering and tectonic features with hydrogeological significance, e.g. faults, dykes and fractures. A total of 99 perennial springs were documented and classified according to their mechanism of formation. Isotopic data indicate that the recharge occurs very close to the sites where the springs are formed. This is also supported by the relatively low ion concentrations found in the water of the springs. The weathering layers together with fractures and dykes form shallow aquifers that commonly discharge in a spring or along the streams. The high precipitation regime is an immediate source of water to the system, and in conjunction with the geology and steep topography it generates a constant and rapid circulation of water from recharge areas to discharge zones. The natural implication of this hydrogeological framework is that the formation of large or regional flows is not evident at the current state of knowledge. The same factors that influence groundwater occurrence are to some extent responsible for the degree of groundwater vulnerability to pollution. The vulnerable areas are situated along the steep valleys of the basin, where the interactions between subsurface and surface water can facilitate the spreading of pollutants. Since the pollution sources are located near the streams the risk of groundwater pollution is concentrated there. The pollutants disposed into the streams are rapidly removed by the river flow, which has a high contribution from precipitation. The pollutants are then transported far away from the sources. The urgent need to end the pollution of Río Artiguas is obvious. The tools to prevent further deterioration are not only to be found in the hydro geosciences and mining technology sphere, but they are also located in the socio?political arena. In this respect, the research presented in this thesis will gain importance as it reaches and informs local decision makers about the vulnerability and risks of pollution that the current anthropogenic activities represent for the groundwater resources.
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| 10. |
- Berg, Linda, 1974-
(författare)
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InterNacionalistas : identifikation och främlingskap i svenska solidaritetsarbetares berättelser från Nicaragua
- 2007
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this thesis is to explore what solidarity workers from Sweden narrate about and from activities in Nicaragua. I focus on how identities reflect nationalising, racialising and gendering imaginations, and how these are being handled within the context of an international solidarity movement – with the ambition to strive for global justice. My search for answers takes its point of departure in a wide gender-oriented postcolonial perspective. With an understanding of identities and places as relational and plastic, postcolonial theory attempts to see the inevitable dilemmas of colonialism, to visualise people who have been sacrificed in the name of colonialism and nationalism. It is a theoretical field concerned with the struggle for the word, values and actions categorised by a (post)colonial order. The dissertation is divided into six chapters. After the introductory chapter, chapter 2 contains a discussion of the concept solidarity as a valuable designation for these activities, connected to a national self-image and as a determining factor for the informants' understanding of their identities. One fundamental theme in this study is the tension concerning “white”, “western”, “Swedish” solidarity workers speaking for and working with people in Nicaragua. In Chapter 3, “To make oneself trustworthy”, I take a closer look at this and discusses how the interviewees verbalised strategies to handle possible positions and the paradoxes of their employment. In chapter 4 “Nationalising gender”, I examine the speech of women, men, machismo and gender equality – and how they interrelate with other factors within the stories from the period in Nicaragua. The difficulties to intervene as a Swedish volunteer or coordinator in Nicaragua were well known among the interviewees/narrators and their organisations. How and what activities for change could be in different parts of the world were, and are, repeated questions within (at least this part of) the Swedish international solidarity movement. This is one reason why the solidarity organisations emphasised the importance of creating space for social change via information and moulding of public opinion. In Chapter five, “Describe Nicaragua”, I analyse the written stories by solidarity workers. I take departure in a few of the dominating themes and clarify how Nicaragua was mediated to a Swedish speaking reader. I argue that the stories of the solidarity workers are captured between recognising difference and creating stereotypes and exotic projections. Even though their object is the opposite, they tend to produce representations which demand the Other to stay in the place of difference. In the very last part I discuss some problems with being the “voice of the poor”. The dissertation concludes with a short summary of some of the most central themes. Here I refer to the narrated liminality and inherited boundaries of the employment. I discuss the anti-imperialist and feminist work with a national dead weight and the efforts to create alternative images and translocal subject positions. I end the study by reflecting on the difficulties of an internationalist “we” and with reference to Gayatri Chakravorty Spivak, I call for “unlearning our privileges as our loss”.
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