| 1. |
- Kwesiga, Doris, et al.
(author)
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Adverse pregnancy outcome disclosure and women's social networks : a qualitative multi-country study with implications for improved reporting in surveys
- 2022
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In: BMC Pregnancy and Childbirth. - : BioMed Central (BMC). - 1471-2393 .- 1471-2393. ; 22:1
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Journal article (peer-reviewed)abstract
- BackgroundGlobally, approximately 6,700 newborn deaths and 5,400 stillbirths occur daily. The true figure is likely higher, with under reporting of adverse pregnancy outcomes (APOs) noted. Decision-making in health is influenced by various factors, including one's social networks. We sought to understand APOs disclosure within social networks in Uganda, Ghana, Guinea-Bissau and Bangladesh and how this could improve formal reporting of APOs in surveys.MethodsA qualitative, exploratory multi-country study was conducted within four health and demographic surveillance system sites. 16 focus group discussions were held with 147 women aged 15-49 years, who had participated in a recent household survey. Thematic analysis, with both deductive and inductive elements, using three pre-defined themes of Sender, Message and Receiver was done using NVivo software.ResultsDisclosure of APOs was a community concern, with news often shared with people around the bereaved for different reasons, including making sense of what happened and decision-making roles of receivers. Social networks responded with comfort, providing emotional, in-kind and financial support. Key decision makers included men, spiritual and traditional leaders. Non-disclosure was usually to avoid rumors in cases of induced abortions, or after a previous bad experience with health workers, who were frequently excluded from disclosure, except for instances where a woman sought advice on APOs.ConclusionsCommunities must understand why they should report APOs and to whom. Efforts to improve APOs reporting could be guided by diffusion of innovation theory, for instance for community entry and sensitization before the survey, since it highlights how information can be disseminated through community role models. In this case, these gatekeepers we identified could promote reporting of APOs. The stage at which a person is in decision-making, what kind of adopter they are and their take on the benefits and other attributes of reporting are important. In moving beyond survey reporting to getting better routine data, the theory would be applicable too. Health workers should demonstrate a more comforting and supportive response to APOs as the social networks do, which could encourage more bereaved women to inform them and seek care.
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| 2. |
- Ahlberg, Beth Maina, 1949-, et al.
(author)
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Ethnic, racial and regional inequalities in access to COVID-19 vaccine, testing and hospitalization : Implications for eradication of the pandemic
- 2022
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In: Frontiers in Sociology. - : Frontiers Media S.A.. - 2297-7775. ; 7
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Journal article (peer-reviewed)abstract
- The COVID-19 pandemic has made visible inequalities as exemplified by unequal access to COVID-19 vaccine across and within countries; inequalities that are also apparent in rates of testing, disease, hospitalization and death from COVID-19 along class, ethnic and racial lines. For a global pandemic such as the COVID-19 to be effectively addressed, there is a need to reflect on the entrenched and structural inequalities within and between countries. While many countries in the global north have acquired more vaccines than they may need, in the global south many have very limited access. While countries in the global north had largely vaccinated their populations by 2022, those in the global south may not even complete vaccinating 70% of their population to enable them reach the so-called herd immunity by 2024. Even in the global north where vaccines are available, ethnic, racialized and poor working classes are disproportionately affected in terms of disproportionately low rates of infection and death. This paper explores the socio-economic and political structural factors that have created and maintain these disparities. In particular we sketch the role of neoliberal developments in deregulating and financializing the system, vaccine hoarding, patent protection and how this contributes to maintaining and widening disparities in access to COVID-19 vaccine and medication.
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| 3. |
- Ahlberg, Beth Maina, 1949-, et al.
(author)
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Invisibility of Racism in the Global Neoliberal Era : Implications for Researching Racism in Healthcare
- 2019
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In: Frontiers in Sociology. - : Frontiers Media SA. - 2297-7775. ; 4
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Research review (peer-reviewed)abstract
- This paper describes the difficulties of researching racism in healthcare contexts as part of the wider issue of neoliberal reforms in welfare states in the age of global migration. In trying to understand the contradiction of a phenomenon that is historical and strongly felt by individuals and yet widely denied by both institutions and individuals, we consider the current political and socioeconomic context of healthcare provision. Despite decades of legislation against racism, its presence persists in healthcare settings, but data on these experiences is rarely gathered in Europe. National systems of healthcare provision have been subject to neoliberal reforms, where among others, cheaper forms of labor are sought to reduce the cost of producing healthcare, while the availability of services is rationed to contain demand. The restriction both on provision of and access to welfare, including healthcare, is unpopular among national populations. However, the explanations for restricted access to healthcare are assumed to be located outside the national context with immigrants being blamed. Even as migrants are used as a source of cheap labor in healthcare and other welfare sectors, the arrival of immigrants has been held responsible for restricted access to healthcare and welfare in general. One implication of (im)migration being blamed for healthcare restrictions, while racism is held to be a problem of the past, is the silencing of experiences of racism, which has dire consequences for ethnic minority populations. The implications of racism as a form of inequality within healthcare and the circumstances of researching racism in healthcare and its implication for the sociology of health in Sweden are described.
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| 4. |
- Ahlberg, Beth Maina, 1949-, et al.
(author)
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“Just Throw It Behind You and Just Keep Going” : Emotional Labor when Ethnic Minority Healthcare Staff Encounter Racism in Healthcare
- 2022
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In: Frontiers in Sociology. - Switzerland : Frontiers Media S.A.. - 2297-7775. ; 6
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Journal article (peer-reviewed)abstract
- Encountering racism is burdensome and meeting it in a healthcare setting is no exception. This paper is part of alarger study that focusedonunderstandingandaddressingracismin healthcare in Sweden. In the paper, we draw on interviews with 12 ethnic minority healthcare staff who described how they managed emotional labor in their encounters with racism at their workplace. Data were analyzed using thematic analysis. The analysis revealed that experienced emotional labor arises from two main reasons. The first is the concern and fear that ethnic minority healthcare staff have of adverse consequences for their employment should they be seen engaged in discussing racism. The second concerns the ethical dilemmas when taking care of racist patients since healthcare staff are bound by a duty of providing equal care for all patients as expressed in healthcare institutional regulations. Strategies to manage emotional labor described by the staff include working harder to prove their competence and faking, blocking or hiding their emotions when they encounter racism. The emotional labor implied by these strategies could be intense or traumatizing as indicated by some staff members, and can therefore have negative effects on health. Given that discussions around racism are silenced, it is paramount to create space where racism can be safely discussed and to develop a safe healthcare environment for the benefit of staff and patients.
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| 5. |
- Atkinson, Sarah, et al.
(author)
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Seeing the value of experiential knowledge through COVID‑19
- 2021
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In: History and Philosophy of the Life Sciences. - : Springer Nature. - 0391-9714 .- 1742-6316. ; 43:3
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Journal article (other academic/artistic)abstract
- Seeing the entwinement of social and epistemic challenges through COVID, we discuss the perils of simplistic appeals to ‘follow the science’. A hardened scientism risks excarbating social conflict and fueling conspiracy beliefs. Instead, we see an opportunity to devise more inclusive medical knowledge practices through endorsing experiential knowledge alongside traditional evidence types.
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| 6. |
- Bradby, Hannah, 1966-
(author)
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A Fortunate Man : the story of a country doctor [book review]
- 2017
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In: Cost of Living.
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Review (pop. science, debate, etc.)abstract
- I took John Berger’s book A Fortunate Man: the story of a country doctor to read over the New Year holiday. Berger’s account of a General Practitioner working in the Forest of Dean in the 1960s, illustrated with Jean Mohr’s photographs, was first published in 1967 and reissued by Canongate in 2015.The extended essay opens with vignettes of patients attended by an old-fashioned community physician in a rural area: a woodman trapped under a felled tree; a young woman’s asthma brought on by the stress of a failed affair; the hopeless grief of a widowed farmer; and the severe piles of a man who has long lived as a woman.
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| 7. |
- Bradby, Hannah, 1966-
(author)
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A review of research and policy documents on the international migration of physicians and nurses
- 2013
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Reports (other academic/artistic)abstract
- The international migration of skilled medical professionals has been documented as a ‘manpower’ issue for health service planning since the 1960s. This paper charts the way that the international travel of medical professionals, primarily physicians and nurses, has been understood and how its construction as a problematic or a positive feature of global migration has varied. Sketching out this literature is a prelude to further analysis that will interrogate the terms of the documentation, its translation into and consequences for public discourse concerning global equality and ethics.
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| 8. |
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| 9. |
- Bradby, Hannah, 1966-
(author)
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'Akuten'
- 2013
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Reports (pop. science, debate, etc.)
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| 10. |
- Bradby, Hannah, 1966-
(author)
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Alan Kurdi
- 2015
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Reports (pop. science, debate, etc.)
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