title: Medicinal commodities and the gift of a caring mother

authors: Hodgetts, Darrin

subjects: medications

abstract: Today, medications are central to both formal and familial healthcare systems. This article examines medications as ingrained and socio-culturally significant features of domestic landscapes. We consider the everyday medicative practices of four mothers who care for their chronically ill children in the home. Our analysis examines how these mothers navigate an information-rich environment to make decisions on what medications their children will consume. We document how participants develop expertise, research and administer medications, monitor their children’s reactions to medications and revise their efforts to care accordingly. Ideas about gifting provide new insights into the appropriation and transformation of medications within familial caregiving practices.

text: Medicinal commodities and the gift of a caring mother Today, medications are central to both formal and familial healthcare systems. This article examines medications as ingrained and socio-culturally significant features of domestic landscapes. We consider the everyday medicative practices of four mothers who care for their chronically ill children in the home. Our analysis examines how these mothers navigate an information-rich environment to make decisions on what medications their children will consume. We document how participants develop expertise, research and administer medications, monitor their children’s reactions to medications and revise their efforts to care accordingly. Ideas about gifting provide new insights into the appropriation and transformation of medications within familial caregiving practices.

year: 2013

title: Which households are most distant from health centers in rural China? Evidence from a GIS network analysis

authors: Gibson, John

subjects: health access

abstract: In this paper we have two objectives - one empirical; one methodological. Although China’s leaders are beginning to pay attention to health care in rural China, there are still concerns about access to health services. To examine this issue, we use measures of travel distances to health services to examine the nature of coverage in Shaanxi Province, our case study. The mean distance by road to the nearest health center is still more than 6 kilometers. When we use thresholds for access of 5 and 10 kilometers we find that more than 40 (15) percent of the rural population lives outside of these 5 (10) kilometer service areas for health centers. The nature of the access differs by geographical region and demographic composition of the household. The methodological contribution of our paper originates from a key feature of our analysis in which we use Geographic Information System (GIS) network analysis methods to measure traveling distance along the road network. We compare these measures to straight-line distance measures. Road distances (produced by network analysis) produce measures (using means) that are nearly twice as great as straight-line distances. Moreover, the errors in the measures (that is, the difference between road distances and straight-line distances) are not random. Therefore, traditional econometric methods of ameliorating the effects of measurement errors, such as instrument variables regression, will not produce consistent results when used with straight-line distances.

text: Which households are most distant from health centers in rural China? Evidence from a GIS network analysis In this paper we have two objectives - one empirical; one methodological. Although China’s leaders are beginning to pay attention to health care in rural China, there are still concerns about access to health services. To examine this issue, we use measures of travel distances to health services to examine the nature of coverage in Shaanxi Province, our case study. The mean distance by road to the nearest health center is still more than 6 kilometers. When we use thresholds for access of 5 and 10 kilometers we find that more than 40 (15) percent of the rural population lives outside of these 5 (10) kilometer service areas for health centers. The nature of the access differs by geographical region and demographic composition of the household. The methodological contribution of our paper originates from a key feature of our analysis in which we use Geographic Information System (GIS) network analysis methods to measure traveling distance along the road network. We compare these measures to straight-line distance measures. Road distances (produced by network analysis) produce measures (using means) that are nearly twice as great as straight-line distances. Moreover, the errors in the measures (that is, the difference between road distances and straight-line distances) are not random. Therefore, traditional econometric methods of ameliorating the effects of measurement errors, such as instrument variables regression, will not produce consistent results when used with straight-line distances.

year: 2008-12

title: Hōmai te Waiora ki Ahau: te ara whakamua - towards the establishment of construct validity

authors: Palmer, Stephanie

abstract: Hōmai te Waiora ki Ahau: te ara
whakamua, is about the development of a
tool to measure psychological wellbeing
among Māori. Why is it relevant? Because
a quick look at the June 2002 edition of
New Zealand’s Journal of Psychology will
show you that the wellbeing measures
being used in this country are not responsive to the needs of
Māori, are not based on Māori concepts or
Constructs, do not facilitate Māori participation in
te ao Māori and do not provide pathways through
which Māori can develop a positive Māori
identity.
It is highly unlikely that the tools
which psychologists use to measure
wellbeing among Māori will help Māori to
experience whānau ora and that, as we all
know, is the paramount health objective for
Māori (Ministry of Health, 2002). In this
regard, it would seem that the powers that
be in psychology are failing to meet their
Treaty obligations to Māori. Therefore,
Hōmai te Waiora ki Ahau simply aims to assist change. This presentation will briefly
describe the context of the development of
this measure, the methodologies used to
develop this tool, the outcomes of a small
pilot-study, and current challenges and
future directions for Hōmai te Waiora ki
Ahau.

text: Hōmai te Waiora ki Ahau: te ara whakamua - towards the establishment of construct validity Hōmai te Waiora ki Ahau: te ara
whakamua, is about the development of a
tool to measure psychological wellbeing
among Māori. Why is it relevant? Because
a quick look at the June 2002 edition of
New Zealand’s Journal of Psychology will
show you that the wellbeing measures
being used in this country are not responsive to the needs of
Māori, are not based on Māori concepts or
Constructs, do not facilitate Māori participation in
te ao Māori and do not provide pathways through
which Māori can develop a positive Māori
identity.
It is highly unlikely that the tools
which psychologists use to measure
wellbeing among Māori will help Māori to
experience whānau ora and that, as we all
know, is the paramount health objective for
Māori (Ministry of Health, 2002). In this
regard, it would seem that the powers that
be in psychology are failing to meet their
Treaty obligations to Māori. Therefore,
Hōmai te Waiora ki Ahau simply aims to assist change. This presentation will briefly
describe the context of the development of
this measure, the methodologies used to
develop this tool, the outcomes of a small
pilot-study, and current challenges and
future directions for Hōmai te Waiora ki
Ahau.

year: 2003