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Globally, between 15-71 percent of women will experience physical and/or sexual abuse from an intimate partner at some point in their lifetime. Too often this preventable form of violence is repetitive in nature, occurring at multiple points across the lifespan. The prevalence of intimate partner violence is on the higher end of this spectrum in East Africa, with in-country demographic and health surveys indicating that approximately half of all women between the ages of 15-49 in Uganda, Kenya, and Tanzania having experienced physical or sexual abuse within a partnership. It is now widely accepted that preventing intimate partner violence is possible and can be achieved through a greater understanding of the problem; its risk and protective factors; and effective evidence-informed primary, secondary, and tertiary prevention. To that end, on August 11-12, 2014, the Institute of Medicine's Forum on Global Violence Prevention, in a collaborative partnership with the Uganda National Academy of Sciences, convened a workshop focused on informing and creating synergies within a diverse community of researchers, health workers, and decision makers committed to promoting intimate partner violence-prevention efforts that are innovative, evidence-based, and crosscutting. This workshop brought together a variety of stakeholders and community workers from Uganda, Kenya, and Tanzania to engage in a meaningful, multidirectional dialogue regarding intimate partner violence in the region. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania summarizes the presentations and discussion of the workshop.
This book is a groundbreaking exploration of public opinion in sub-Saharan Africa. Based on the Afrobarometer, a survey research project, it reveals what ordinary Africans think about democracy and market reforms, subjects on which almost nothing is otherwise known. The authors find that support for democracy in Africa is wide but shallow and that Afrcns feel trapped between state and market. While Africans are learning about reform on the basis of knowledge, reasoning, and experience, few countries are likely to attain full-fledged democracies and markets anytime soonn.
How can we prevent intimate partner violence (IPV)? And how do we define and measure “success” in preventing it? This book brings together researchers and practitioners from a wide range of fields to examine innovative strategies and programs for preventing IPV. The authors discuss evaluations of current prevention efforts, paying particular attention to underserved groups, including racial and ethnic minorities, immigrants and refugees. Among the issues addressed are primary prevention programs that target adolescents and young adults, strategies designed to engage men and boys, IPV screening in different settings, the impact of the criminalization of IPV on minority populations, restorative justice programs, interventions for women who use violence, and innovative shelter programming to prevent re-victimization. The volume concludes by identifying the gaps in knowledge about effective prevention and highlighting the most promising future directions for prevention research and strategies.
This edited book includes new policy-relevant research on women’s health issues in Africa. Scholars explore critical topics from different disciplinary traditions using a variety of research methodologies and data sources. The contributors include African scholars with in-depth knowledge of their home contexts, who can furnish nuanced interpretations of local health issues and trends; international researchers who bring vigorous comparative viewpoints; emerging scholars adding to scientific knowledge; and more established researchers with a deep global knowledge of women’s health issues. The range of women’s health issues is vast, including the HIV epidemic and its impacts; domestic violence; the persistence of homebirths; and abortion. In addition, the book investigates emerging health concerns such as CVDs and cancers. Readers will learn that, while old health issues have persisted and assumed new dimensions, newer concerns have materialized and are gaining momentum. The inability of health systems to tackle these issues complicates matters in Africa, creating a sense of desperation that can only be successfully confronted through strong political will and strategic planning, grounded in further research. This book was originally published as several special issues of Health Care for Women International.
Perceptions of Africa have changed dramatically. Viewed as a continent of wars, famines and entrenched poverty in the late 1990s, there is now a focus on “Africa rising†? and an “African 21st century.†? Two decades of unprecedented economic growth in Africa should have brought substantial improvements in well-being. Whether or not they did, remains unclear given the poor quality of the data, the nature of the growth process (especially the role of natural resources), conflicts that affect part of the region, and high population growth. Poverty in a Rising Africa documents the data challenges and systematically reviews the evidence on poverty from monetary and nonmonetary perspectives, as well as a focus on dimensions of inequality. Chapter 1 maps out the availability and quality of the data needed to track monetary poverty, reflects on the governance and political processes that underpin the current situation with respect to data production, and describes some approaches to addressing the data gaps. Chapter 2 evaluates the robustness of the estimates of poverty in Africa. It concludes that poverty reduction in Africa may be slightly greater than traditional estimates suggest, although even the most optimistic estimates of poverty reduction imply that more people lived in poverty in 2012 than in 1990. A broad-stroke profile of poverty and trends in poverty in the region is presented. Chapter 3 broadens the view of poverty by considering nonmonetary dimensions of well-being, such as education, health, and freedom, using Sen's (1985) capabilities and functioning approach. While progress has been made in a number of these areas, levels remain stubbornly low. Chapter 4 reviews the evidence on inequality in Africa. It looks not only at patterns of monetary inequality in Africa but also other dimensions, including inequality of opportunity, intergenerational mobility in occupation and education, and extreme wealth in Africa.
“This remarkable volume...is both conceptually robust and highly practical...The book promises to heighten awareness among clinicians around the world about the diagnostic and therapeutic importance of family relationships in human health and disease. It also will serve as a roadmap for the critically important work that lies ahead.” —David G. Addiss Arcus Center for Social Justice Leadership Kalamazoo, MI Family problems and family violence are major global concerns that have a vast impact on both psychological and physical health, and economic well-being. This text, the only book of its kind, describes recent innovations in defining and assessing family problems and family violence. It provides a framework for improving global assessment of relational processes as addressed in the International Classification of Diseases (ICD-11). The book includes a complete set of practical clinical and public health tools—easily implemented across a wide range of setting—for defining, screening, and assessing family violence in accordance with these new definitions. It reviews the impact of family violence on all aspects of physical and mental health and economic well-being, including global considerations of cross-cultural relationship assessment, and provides recommendations for modifications and cross-cultural validation. The book is consistently organized for ease of use and consolidates ICD codes into four scientifically based categories: intimate partner violence, partner relationship distress, child maltreatment, and parent-child relation problems. Clinicians who assess and treat family violence and students and policymakers will benefit from several new state-of-the-art screening tools and structured interviews that can be easily administered in hospitals, clinics, and other health care settings. This text will also be an important addition to graduate training programs across many disciplines regarding the assessment of family maltreatment, parent-child problems, and relationship discord. Key Features: Contains a wealth of current validated screening and interview tools that can be used in clinical or research settings Provides a global perspective on assessing and treating family violence Provides recommendations for surveillance of family problems and family violence addressed in the ICD-11 Highlights the implications of relational problems for mental and physical health and economic well-being in a global context
It has now been 25 years since the apocryphal report in the CDC Morbidity and Mortality Weekly Report dated June 5, 1981 entitled, “Pneumocystis Pneumonia - Los Angeles”, which announced what was to become HIV/AIDS. HIV has now affected virtually all countries that have looked for it and has had a devastating impact on the public health and medical care infrastructure around the world. HIV/AIDS has also disproportionately affected nations with the least capacity to confront it, especially the developing world nations in Sub-Saharan Africa, South and Southeast Asia, and the emerging republics of Eastern and Central Asia. The pandemic, unlike any other disease of our time, has had profound impacts on the practice of public health itself: bringing affected communities into decision making; demanding North-South partnerships and collaborations; and changing the basic conduct of clinical and prevention trials research. While much has been written in scholarly publications for medical, epidemiologic and disease control specialists, there is no comprehensive review of the public health impact and response to HIV/AIDS in the developing world. This edited volume seeks to systematically describe the emergence and form of the epidemics (epidemiology), the social, community and political response, and the various measures to confront and control the epidemic, with varying levels of success. Of particular importance are strategies that appear to have been useful in ameliorating the epidemic, while contrasting the situation in a neighboring country or region where contrasting prevention or care initiatives have had a deleterious outcome. Common to all responses has been the international multi-sectoral response represented by the Global Fund for HIV/AIDS, Malaria and Tuberculosis, the President's Emergency Plan for AIDS Relief, and the Gates Foundation, among others, to promote HIV pharmacologic therapy in resource-poor settings. The chapter authors will explore the political challenges in meeting HIV/AIDS prevention and care in concert with the public health realities in specific country and regional context.
This handbook provides an authoritative and comprehensive overview of African population dynamics, variations, causes and consequences, demonstrating the real-world applications of research in policies and programmes. African demography has come of age. Over 50 years, the discipline has grown exponentially in the number of training and research institutions, specialist experts and academic output, all with an aim of addressing the enormous demographic challenges faced by the continent. The book draws on old and emerging analytical tools to explore the relationships between population dynamics and social, economic, cultural and political environments from African perspectives. Key topics include fertility, sexual behaviours, healthcare, ageing, mortality, migration, displacement, the causes and consequences of demographic changes and teaching and research developments in African demography. The Routledge Handbook of African Demography will be an essential resource for students and researchers of African demography, sociology, development and cultural studies.