Highlights► We investigate care arrangements for children in Vietnamese and Indonesian migrant families. ► Surrogate carers in sending countries are the most disadvantaged in global care chains. ► Care relationships reflect prevailing power hierarchies and norms. ► The study signifies the need to account for local specificities in researching care in the South.
This research note aims to understand the impact of parental migration on the children who stay behind by examining the issue of smoking. It asks whether tobacco use and exposure are higher among children in migrant households compared with those in non-migrant households in Java, Indonesia. Data were collected in 2008 in two provinces, West Java and East Java, as part of the Child Health and Migrant Parents in South-East Asia (CHAMPSEA) Project. The analytical sample used here relates to children aged 9, 10 and 11 living in both non-migrant and transnational households (N=451). The findings show that the incidence of ever having smoked among these primary school-aged children is relatively low at less than 10 percent, but that boys are much more likely to have used tobacco than girls. Findings from multivariate logistic models predicting smoking behavior show no difference between the children of migrants and non-migrants; nor does household wealth appear to influence whether or not a child has tried tobacco. Gender, child stunting (low height-for-age), carer's education, family functioning and tobacco use by friends are the four main factors found to be significantly associated with child smoking.
Data from the Basic Health Research survey (Riskesdas) in 2013 showed that 33.3% deliveries in Indonesia occurred outside health facilities. Culture and gender influenced the decision-making process regarding place of delivery and birth attendants. A qualitative longitudinal study with an ethnography study design was conducted to explore the socio-cultural context and women's autonomy in the dynamics of decision making regarding place of delivery and birth attendants. This study was conducted in the working area of Muara Kaman Health Center, Kutai Kertanegara, East Kalimantan. In-depth interviews with 17 pregnant women were conducted since the first or second trimester of pregnancy until childbirth. Data were analyzed using thematic analysis. Nine informants delivered at the health facilityand eight informants chose home delivery.Those who delivered at the health facility made their own decision. Nevertheless some informants who were autonomous still chose homebirth, either assisted by midwives, TBAs, or both. Women whose choice was decided by others (husbands, parents and TBAs), all gave birth at home assisted by TBAs. Women's autonomy needs to be strengthened by improved knowledge, practice of delivery plan and also increase family support to enable women to choose health facilities as place for delivery.
Postpartum is recognized as a critical period in many cultures, when societies view mothers as vulnerable. A longitudinal qualitative study of pregnant women in the rural area of Kutai Kartanegara, East Kalimantan, Indonesia was conducted to explore cultural beliefs and practices during the postpartum period. Ethnography approach was performed and the data on the postpartum period are presented. Intensity sampling was used to select informants from Muara Kaman Ulu and Ilir villages, Muara Kaman Sub district, Kutai Kartanegara and in-depth interviews were conducted with 17 Kutai postpartum women, two midwives, and two traditional birth attendants. Data analyses were conducted using the thematic analysis method. The main health problem occurring in the postpartum period is called “kamboh”. It is a whole body ache with many symptoms, mainly fever, becoming skinny, with burning sensation that suddenly appears on the legs, itchiness and shivering. In order to prevent it women should undergo dietary and physical activity restrictions for 40 days. Certain foods were perceived as the possible causes of the itchy condition, delayed wound healing and hemorrhage. Following the traditional taboo, going outside the house and working hard were restricted. Close families and traditional birth attendants play important roles to ensure compliance of postpartum women to these restrictions. Understanding of cultural beliefs during the postpartum period is critical to support women. Therefore, health promotion interventions with particular attention to diet and physical activity should be designed by taking into account the local practices.
Abstract. This article aims to understand the approach used by Faith Based Organization (FBO) in the tackling and handling program of HIV and AIDS, in relation to the prevention, infection, as well as the treatment in social-cultural perspective. The data collecting is done through profound interview and observation in two research
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