Development of an Economic Skill Building Intervention to Promote Women's Safety and Child Development in Karachi, Pakistan

Hirani, Saima; Karmaliani, Rozina; McFarlane, Judith; Asad, Nargis; Madhani, Farhana; Shehzad, Shireen; Ali, Nazbano Ahmed

doi:10.3109/01612840903254859

Cited by 14 publications

(17 citation statements)

References 20 publications

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“…The traditional model has been research ‘on’ communities and subjects rather than ‘with’ them, and the clarification of intentions and establishment of trust is crucial to overcome possible negative preconceptions [19,59,60]. Often, an academic research team conceives the studies and the community partners feel that they must constantly advocate for the abidance of community-based principles (which may be overlooked in the interests of time or funding guidelines).…”

Section: Cbpr Challengesmentioning

confidence: 99%

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Use of community-based participatory research in primary care to improve healthcare outcomes and disparities in care

Tapp

White

Steuerwald

et al. 2013

J. Compar. Effect. Res.

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Community-based participatory research (CBPR) has emerged to bridge the gap between research and primary-care practice through community engagement and social action to increase health equity. It is widely acknowledged that access to high-quality primary care services is important to the overall health of a community. Here, CBPR studies in a primary care setting are reviewed to assess the use of CBPR associated with common health problems seen in primary care such as access to care and disparities in chronic disease management across vulnerable populations. CBPR involves building relationships with local communities, determining areas of need and establishing priorities for health concerns. Studies showing improved access to care for a Hispanic population, reduced asthma symptoms and weight loss are highlighted.

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Section: Cbpr Challengesmentioning

confidence: 99%

“…While CBPR has the ability to empower communities to make themselves healthier, it is not always feasible owing to the large amount of time required to develop and cultivate trusting partnerships [19,59,60]. This time constraint may limit progress for CBPR to demonstrate improved healthcare outcomes [68–71].…”

Section: Cbpr Challengesmentioning

confidence: 99%

Use of community-based participatory research in primary care to improve healthcare outcomes and disparities in care

Tapp

White

Steuerwald

et al. 2013

J. Compar. Effect. Res.

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“…These micro‐enterprises, frequently generated by micro‐credit loan programmes, require training for skills ranging from information technology (Prasad & Sreedevi ) to conflict resolution (Hirani et al . ).…”

Section: Resultsmentioning

confidence: 97%

“…Micro‐credit loans are another example of formal economic support facilitating economic solvency (Hirani et al . ). While a woman must be free of economic assistance from outside sources to meet the current definition of economic solvency, use of resources is necessary to achieve economic solvency.…”

Section: Resultsmentioning

confidence: 97%

Economic solvency in the context of violence against women: a concept analysis

Gilroy

Symes

McFarlane

2014

Health Soc Care Community

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What is known about this topic• Poverty, or lack of economic solvency, is both a risk factor and a potential outcome of intimate partner violence. What this paper adds• A conceptual definition of economic solvency.• A foundation on which an operational definition of economic solvency can be built so that future researchers can measure the concept.• The first concept analysis, to the authors' knowledge, on economic solvency. AbstractThe aim of this concept analysis is to define economic solvency in the context of violence against women. Poverty, or lack of resources, is often discussed as a risk factor for intimate partner violence. The concept of economic solvency, which may be a protective factor for women, is less often discussed and not well defined. Databases searched for the analysis included EBSCOhost, CINAHL, PubMed and Gender Watch. The Rodgers evolutionary method was used to perform the concept analysis. A total of 134 articles were retrieved, using the specified search terms 'economic solvency and women', 'economic self-reliance and women' and 'economic self-sufficiency and women'. Articles were included if they were peer reviewed, contained the keywords with sufficient context to determine the author's intended meaning, and focused on women only or contrasted men to women. Thirty-five articles were used in the concept analysis. The definition of economic solvency drawn from the concept analysis is: a long-term state that occurs when there is societal structure that supports gender equity and external resources are available and can be used by a woman who has necessary human capital, sustainable employment and independence. Just as poverty and violence are cyclical, so are economic solvency and empowerment of women. To decrease women's risk of intimate partner violence around the world and further improve the status of women, we recommend continued research on economic solvency, including the individual, family, community and societal resources required to obtain economic solvency and the human capital characteristics needed for sustainability.

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“…In various contexts, this has been seen as improving family relationships (Pick, Contreras, & Aguilar, 2006) and marital synchronization (Rogers & Deboer, 2001). The study conducted in Pakistan concluded positive outcomes of the economic skills building modules training (Hirani et al, 2010) where women reported increased self-efficacy, self-awareness, and better marital and family relationships .…”

Section: Economic Skill Buildingmentioning

confidence: 94%

Violence against Women in Pakistan: Contributing Factors and New Interventions

Karmaliani

Pasha

Hirani

et al. 2012

Issues in Mental Health Nursing

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Pakistan ranks 125th out of 169 countries on the Gender Development Index and has high prevalence rates of Violence against Women (VAW). Contributing factors toward gender based violence at the micro, meso and macro levels include the acceptability of violence amongst both men and women, internalization of deservability, economic disempowerment, lack of formal education, joint family systems, entrenched patriarchal norms and values, and a lack of awareness of legal and other support systems. These factors have a long-lasting impact on the health of women and children. The gender disparities in the experience of women seeking health care in Pakistan are well-recognized and documented. In the past, common government policy responses to these disparities have included developing the role of community health workers (CHWs) and lady health visitors (LHVs). Despite being commendable initiatives, these too have been unsuccessful in addressing these multi-faceted disparities. Within this complex scenario, new interventions to address VAW and its impact on health in Pakistan include Group Counselling, Economic Skills Building, Health-Based Microfinance, and Family-Based models that increase male involvement, especially at the primary health care level. The purpose of this article is to outline key contributing factors to VAW, explore tested and new interventions, and highlight the opportunities that exist in implementing them.

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Development of an Economic Skill Building Intervention to Promote Women's Safety and Child Development in Karachi, Pakistan

Cited by 14 publications

References 20 publications

Use of community-based participatory research in primary care to improve healthcare outcomes and disparities in care

Use of community-based participatory research in primary care to improve healthcare outcomes and disparities in care

Economic solvency in the context of violence against women: a concept analysis

Violence against Women in Pakistan: Contributing Factors and New Interventions

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