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Alsager A, McCann JK, Bhojani A, Joachim D, Joseph J, Gibbs A, Kabati M, Jeong J. "Good fathers": Community perceptions of idealized fatherhood and reported fathering behaviors in Mwanza, Tanzania. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0002587. [PMID: 38990961 PMCID: PMC11238964 DOI: 10.1371/journal.pgph.0002587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 06/14/2024] [Indexed: 07/13/2024]
Abstract
Globally, perceptions of idealized fatherhood have been expanding beyond men's breadwinning roles to also value men's engagement in nurturing care. While fathers' caregiving behaviors are increasing, most childcare activities are still largely performed by mothers. In this study, we unpacked community members' beliefs about the meaning of "good fathers" and explored the degree to which these values aligned with the main caregiving behaviors reported about fathers with young children under age 2 years in Mwanza, Tanzania. Qualitative data were collected as part of a broader formative research study for which we conducted in-depth interviews with 29 fathers, 23 mothers, 4 village leaders and 4 community health workers as well as 3 focus group discussions with fathers, 2 with mothers, and 6 with both fathers and mothers combined. For this secondary data analysis, we used a grounded theory approach combined with thematic content analysis to investigate the nature of fatherhood. We discovered four key ideals associated with "good fathers": fathers as providers, nurturers, supportive partners, and authoritarians. The primary ideal of fathers as breadwinners was strongly aligned with the main reported practice of fathers trying hard to financially providing for their families. However, paternal behaviors reflecting ideals of fathers as nurturers and supportive partners were less practiced. Although ideals towards good fathers as authoritarian were least explicitly valued, many fathers were reported as engaging in controlling behaviors and using violence. The links between fatherhood ideals and behaviors was influenced by various factors, including poverty, men's limited time availability at home, and restrictive gender norms. Overall, our results reveal some alignment but also inconsistencies between the ideal version of fatherhood and commonly reported paternal practices. These discrepancies highlight the need for further investigation into the underlying factors that both enable and constrain the links between fatherhood ideals and behaviors. Our study results have important implications for the design of interventions that seek to enhance fatherhood to improve the development and wellbeing of children and families.
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Affiliation(s)
- Alya Alsager
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America
- Department of Social and Behavioral Sciences, College of Public Health, Kuwait University, Kuwait City, Kuwait
| | - Juliet K McCann
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America
| | - Alina Bhojani
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America
| | - Damas Joachim
- Tanzania Home Economics Organization, Mwanza, Tanzania
| | | | - Andrew Gibbs
- Faculty of Health and Life Sciences, Department of Psychology, University of Exeter, Exeter, United Kingdom
- Institute for Global Health, University College London, London, United Kingdom
- Gender and Health Research Institute, South African Medical Research Council, Pretoria, South Africa
- Centre for Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
| | - Mary Kabati
- Tanzania Home Economics Organization, Mwanza, Tanzania
| | - Joshua Jeong
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America
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Cassiani SHDB, Dias BM, Beltran MPB, Gualdrón LMV, Pérez TR, Aguilar GMV, Loli Ponce RA, Valdivia ARC. Concepts and issues related to adolescent health in nursing education. Rev Lat Am Enfermagem 2022; 30:e3652. [PMID: 36197386 PMCID: PMC9647881 DOI: 10.1590/1518-8345.6166.3652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 05/10/2022] [Indexed: 06/16/2023] Open
Abstract
OBJECTIVE analyze the structure of teaching programs and contents of the adolescent health and its development in nursing education. METHOD descriptive observational study conducted in Colombia, Ecuador and Peru. Data was collected by the Instrument for (self-)evaluation of the adolescent health and development component in undergraduate nursing programs, and investigated using descriptive statistics. RESULTS A total of 95 nursing schools participated in the study (84.1% of the total). Of the faculty responsible for teaching contents relating to adolescent health, 31.6% had no specific training on the topic and 18.9% had no educational/pedagogical training. Behavior, gender identity and sexual orientation, bullying and cyberbullying, use of digital technologies, partner violence, parenting, and pubertal delay were the main topics which could be incorporated into nursing education. CONCLUSION the faculty of the schools analyzed have limited education in pedagogical/educational topics and specific adolescent health issues. Curricula should be updated, including knowledge of laws and policies, thus expanding nurses' ability to generate, analyze and use data for decision making. UNLABELLED (1) 31.6% of faculty have no specific education in adolescent health. (2) 18.9% of faculty have no educational/pedagogical training. (3) Progress is needed in the use of active methodologies and interactive multimedia. (4) Knowledge of laws and policies for the adolescent population must be expanded. (5) Current and relevant adolescent health issues need to be addressed in nursing education.
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Affiliation(s)
| | - Bruna Moreno Dias
- Organización Panamericana de la Salud, Departamento de Sistemas y Servicios de Salud, Washington, DC, Estados Unidos da América
| | | | | | - Taycia Ramírez Pérez
- Universidad de Guayaquil, Escuela de Enfermería, Guayaquil, Provincia del Guayas, Equador
| | | | - Rudi Amalia Loli Ponce
- Universidad Nacional Mayor de San Marcos, Escuela de Profesional de Enfermería, Lima, Provincia de Lima, Peru
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Cassiani SHDB, Dias BM, Beltran MPB, Gualdrón LMV, Pérez TR, Aguilar GMV, Loli Ponce RA, Valdivia ARC. Conceptos y temas relacionados a la salud de los adolescentes en la formación en enfermería. Rev Lat Am Enfermagem 2022. [DOI: 10.1590/1518-8345.6166.3650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Resumen Objetivo: analizar la estructura de los programas de enseñanza y los contenidos del componente de salud y desarrollo del adolescente en la formación de los estudiantes de enfermería. Método: estudio observacional descriptivo, realizado en Colombia, Ecuador y Perú. Se aplicó el Instrumento para (auto)evaluar el componente de salud y desarrollo del adolescente en la formación de pregrado de los proveedores de salud. Se utilizaron estadísticas descriptivas. Resultados: participaron 95 escuelas (84,1% del total). De los docentes encargados de la enseñanza de la salud de los adolescentes, el 31,6% no tenía formación específica en la materia y el 18,9% no tenía formación en el ámbito de la educación/pedagogía. Los principales temas que podrían incorporarse a la formación son: comportamiento, identidad de género y orientación sexual, bullying y cyberbullying, uso de las tecnologías digitales, violencia en el noviazgo, paternidad y retraso puberal. Conclusión: el profesorado tiene una formación limitada en temas pedagógicos/educativos y en temas específicos de la salud del adolescente. El plan de estudios debe actualizarse con contenidos del desarrollo y salud del adolescente, incluir conocimientos sobre las leyes y políticas, y ampliar la capacidad de las enfermeras para generar, analizar y utilizar datos para la toma de decisiones.
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Christian BJ. Translational Research - Discovering New Knowledge to Improve Pediatric Nursing Care of Children and Families and Change Practice. J Pediatr Nurs 2021; 58:96-99. [PMID: 33836936 DOI: 10.1016/j.pedn.2021.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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