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Wright DR, Bekessy SA, Lentini PE, Garrard GE, Gordon A, Rodewald AD, Bennett RE, Selinske MJ. Sustainable coffee: A review of the diverse initiatives and governance dimensions of global coffee supply chains. Ambio 2024:10.1007/s13280-024-02003-w. [PMID: 38684628 DOI: 10.1007/s13280-024-02003-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 11/06/2023] [Accepted: 02/20/2024] [Indexed: 05/02/2024]
Abstract
With a global footprint of 10 million hectares across 12.5 million farms, coffee is among the world's most traded commodities. The coffee industry has launched a variety of initiatives designed to reduce coffee's contribution to climate change and biodiversity loss and enhance the socio-economic conditions of coffee producers. We systematically reviewed the literature on the sustainability and governance of coffee production and developed a typology of eleven sustainability initiatives. Our review shows that coffee sustainability research has focused primarily on the economic outcomes of certification schemes. The typology expands our knowledge of novel sustainability initiatives being led by coffee farming communities themselves, allowing for an improved consideration of power dynamics in sustainability governance. Sustainability initiatives governed by local actors can improve sustainability outcomes by empowering local decision makers to assess direct risks and benefits of sustainable practices to the local environment, economy, and culture.
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Affiliation(s)
- Dale R Wright
- ICON Science, School of Global, Urban and Social Studies, RMIT University, VIC 3000, Melbourne, Australia.
| | - Sarah A Bekessy
- ICON Science, School of Global, Urban and Social Studies, RMIT University, VIC 3000, Melbourne, Australia
| | - Pia E Lentini
- ICON Science, School of Global, Urban and Social Studies, RMIT University, VIC 3000, Melbourne, Australia
- Department of Energy, Environment, and Climate Action, Arthur Rylah Institute for Environmental Research, Heidelberg, VIC, 3084, Australia
- School of Ecosystem and Forest Sciences, University of Melbourne, Parkville, VIC, 3010, Australia
| | - Georgia E Garrard
- School of Ecosystem and Forest Sciences, University of Melbourne, Parkville, VIC, 3010, Australia
| | - Ascelin Gordon
- ICON Science, School of Global, Urban and Social Studies, RMIT University, VIC 3000, Melbourne, Australia
| | - Amanda D Rodewald
- Department of Natural Resources and the Environment, Cornell University, Ithaca, NY, USA
- Cornell Laboratory of Ornithology, Ithaca, NY, USA
| | - Ruth E Bennett
- Migratory Bird Center, Smithsonian's National Zoo and Conservation Biology Institute, Washington, DC, 20013, USA
| | - Matthew J Selinske
- ICON Science, School of Global, Urban and Social Studies, RMIT University, VIC 3000, Melbourne, Australia
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2
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Maras SA. "You just want to feel safe when you go to a healthcare professional:" Intimate partner violence and patient safety. Soc Sci Med 2023; 331:116066. [PMID: 37441976 DOI: 10.1016/j.socscimed.2023.116066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 06/12/2023] [Accepted: 06/30/2023] [Indexed: 07/15/2023]
Abstract
Since the early 1990s, researchers and policymakers in the United States have addressed the concept of patient safety in healthcare systems. Traditionally, scholars have conceptualized patient safety as health care that is free from medical error and harm. However, sociologists have called for a more complex understanding of patient safety that includes relational aspects of safety. Although marginalized groups face unique threats to safety, intimate partner violence (IPV) survivors have been largely overlooked within the literature on patient safety. This study addresses that gap. Using the case of IPV, I find that survivors construct healthcare spaces as ideologically safe, but their experiences do not reflect this. Survivors' narratives reveal that patient safety is complex, multi-faceted, and relational. I argue that experiences of safety, or lack thereof, are situated within larger systems of organizational power, relational power hierarchies, and systems of inequalities. These findings have implications when considering how to improve IPV survivors' safety in healthcare settings.
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Affiliation(s)
- Shelly A Maras
- University of North Carolina at Chapel HIll, United States.
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Patel G, Phung VH, Trueman I, Orner R, Siriwardena AN. Common hierarchies, varied rules - the problem of governing community first responders in prehospital care for quality standards: documentary discourse analysis. BMC Health Serv Res 2023; 23:38. [PMID: 36647122 PMCID: PMC9841939 DOI: 10.1186/s12913-022-08960-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 12/12/2022] [Indexed: 01/18/2023] Open
Abstract
A key focus is placed on engaging communities to become involved in making decisions to support health and care services in healthcare policies in England, UK. An example is the deployment of volunteers such as community first responders (CFRs), who are members of the public with basic life support skills, trained to intervene in emergency situations prior to the arrival of ambulance services. CFR policies have been devised by National Health Service (NHS) Trusts as a way of governing these and related activities. This paper critically examines the discourse around CFR policies to understand how CFR roles are organised and monitoring governance mechanisms are delineated in ensuring quality care delivery. We collected ten CFR policies from six ambulance services. Inductive analysis, guided by Foucault's theory, enabled the identification of themes and subthemes. We found that Trusts have a common goal to make care quality assurances to regulatory bodies on CFR roles, and this is depicted in common hierarchies of individual responsibilities across Trusts. However, policies that govern approaches to CFRs activity vary. Firstly, the paper highlights institutional approaches to ensuring public safety through the application of organised surveillance systems to monitor CFR activities, and draws parallels between such surveillance and Foucault's docile bodies. Secondly, the paper discusses how varying rules in the surveillance system compromises safety by decentralising knowledge to regulatory bodies to whom NHS Trusts must make safety assurances. We suggest that stronger interrelationships between Trusts in considering the CFR role has potential to increase public safety and outline a clearer direction for CFRs.
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Affiliation(s)
- Gupteswar Patel
- grid.36511.300000 0004 0420 4262Community and Health Research Unit, School of Health and Social Care, Lincoln Medical School, University of Lincoln, Lincoln, LN6 7TS, UK
| | - Viet-Hai Phung
- grid.36511.300000 0004 0420 4262Community and Health Research Unit, School of Health and Social Care, Lincoln Medical School, University of Lincoln, Lincoln, LN6 7TS, UK
| | - Ian Trueman
- grid.36511.300000 0004 0420 4262Community and Health Research Unit, School of Health and Social Care, Lincoln Medical School, University of Lincoln, Lincoln, LN6 7TS, UK
| | - Roderick Orner
- grid.36511.300000 0004 0420 4262Community and Health Research Unit, School of Health and Social Care, Lincoln Medical School, University of Lincoln, Lincoln, LN6 7TS, UK
| | - Aloysius Niroshan Siriwardena
- grid.36511.300000 0004 0420 4262Community and Health Research Unit, School of Health and Social Care, Lincoln Medical School, University of Lincoln, Lincoln, LN6 7TS, UK ,grid.36511.300000 0004 0420 4262LMS 3006, Lincoln Medical School, University of Lincoln, 3006, LN6 7TS Lincoln, UK
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Al-Sheyab NA, Al Nsour M, Khader YS, Yousif H, Alyahya MS, Taha H, Bardus M, Al Kattan M, Amiri M. Midwives and women's perspectives on family planning in Jordan: human rights, gender equity, decision-making and power dynamics. Heliyon 2021; 7:e07810. [PMID: 34458635 PMCID: PMC8379452 DOI: 10.1016/j.heliyon.2021.e07810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Revised: 04/02/2021] [Accepted: 08/12/2021] [Indexed: 10/27/2022] Open
Abstract
OBJECTIVES This study explored midwives' and Jordanian and Syrian women's perceptions towards family planning (FP) counseling and the process of FP decision making mechanism to provide evidence for expanding the access and improving the quality and utilization of FP services in Jordan. METHODS Explorative qualitative study that purposively recruited 24 women for 4 focus group discussions (FDGs) and 17 midwives for in-depth interviews from two governorates in Jordan. The transcribed narratives were subjected to deductive content analysis. RESULTS Two themes were extracted from the narratives: The power dynamics in FP decision-making process and the barriers and motivators of FP decision making. The first theme was built on the perceived influence of gender equity and social pressures and gender-based violence on FP decision making. The second theme was constructed on the respondents' beliefs about reproductive health including FP as a human right and their perceptions of the obstacles and facilitators of FP Decision Making. Overall, husbands have an influential role, and perhaps the final say, in deciding whether to use FP services or not as well as the type of method to use. However, wives must initiate the family planning conversation with her husband and do so in a way that will be pleasing to the husband. Whether the husband agrees with the wife's idea to use family planning and gives her permission and funds for use, depends largely on her presentation of the idea, her husband's education level, and his personality. CONCLUSIONS This study revealed several relevant issues that play a role in Jordanian and Syrian women's decision to seek FP services. While cultural and social norms related to family planning and decision making continue to exert pressure on women, women have a deep interest in continuing to broaden their knowledge about family planning services. Engaging men and incorporating digital technology in family planning counselling has the potential to improve shared FP decision-making process among Jordanian couples and overcome some of the barriers.
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Affiliation(s)
- Nihaya A. Al-Sheyab
- Allied Medical Sciences, Department/Faculty of Applied Medical Sciences, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box (3030), Irbid 22110, Jordan
| | - Mohannad Al Nsour
- Global Health Development (GHD), Eastern Mediterranean Public Health Network (EMPHNET), 4 Abu Al Ataheya St. apt 5, Sport City, Amman, Jordan
| | - Yousef S. Khader
- Department of Community Medicine, Public Health and Family Medicine/ Faculty of Medicine, Jordan University of Science & Technology, Irbid 22110, Jordan
| | - Hind Yousif
- Global Health Development (GHD), Eastern Mediterranean Public Health Network (EMPHNET), 4 Abu Al Ataheya St. apt 5, Sport City, Amman, Jordan
| | - Mohammad S. Alyahya
- Faculty of Medicine, Jordan University of Science and Technology, P.O. Box (3030), Irbid 22110, Jordan
| | - Hana Taha
- Global Health Development (GHD), Eastern Mediterranean Public Health Network (EMPHNET), 4 Abu Al Ataheya St. apt 5, Sport City, Amman, Jordan
| | - Marco Bardus
- Department of Health Promotion & Community Health, Faculty of Health Sciences, American University of Beirut, Van Dyck - Room 302, P.O. Box (11-0236), Riad El-Solh, Beirut 1107 2020, Lebanon
| | - Malika Al Kattan
- Department of Health Promotion & Community Health, Faculty of Health Sciences, American University of Beirut, Van Dyck - Room 302, P.O. Box (11-0236), Riad El-Solh, Beirut 1107 2020, Lebanon
| | - Mirwais Amiri
- Global Health Development (GHD), Eastern Mediterranean Public Health Network (EMPHNET), 4 Abu Al Ataheya St. apt 5, Sport City, Amman, Jordan
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Crosschild C, Huynh N, De Sousa I, Bawafaa E, Brown H. Where is critical analysis of power and positionality in knowledge translation? Health Res Policy Syst 2021; 19:92. [PMID: 34116685 PMCID: PMC8196505 DOI: 10.1186/s12961-021-00726-w] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 04/12/2021] [Indexed: 11/21/2022] Open
Abstract
In Canada, the Eurocentric epistemological foundations of knowledge translation (KT) approaches and practices have been significantly influenced by the Canadian Institutes of Health Research (CIHR) KT definition. More recently, integrated knowledge translation (IKT) has emerged in part as epistemic resistance to Eurocentric discourse to critically analyse power relations between researcher and participants. Yet, despite the proliferation of IKT literature, issues of power in research relationships and strategies to equalize relationships remain largely unaddressed. In this paper, we analyse the gaps in current IKT theorizing against the backdrop of the CIHR KT definition by drawing on critical scholars, specifically those writing about standpoint theory and critical reflexivity, to advance IKT practice that worked to surface and change research-based power dynamics within the context of health research systems and policy.
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Affiliation(s)
- Chloe Crosschild
- Faculty of Applied Science, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada.
| | - Ngoc Huynh
- Faculty of Applied Science, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
- School of Nursing, University of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada
| | - Ismalia De Sousa
- Faculty of Applied Science, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Eunice Bawafaa
- Faculty of Applied Science, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Helen Brown
- Faculty of Applied Science, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
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Alaran AJ, Adebisi YA, Badmos A, Khalid-Salako F, Gaya SK, Ilesanmi EB, Olaoye DQ, Bamisaiye A, Lucero-Prisno DE. Uneven power dynamics must be levelled in COVID-19 vaccines access and distribution. Public Health Pract (Oxf) 2021; 2:100096. [PMID: 33615282 PMCID: PMC7886626 DOI: 10.1016/j.puhip.2021.100096] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 02/07/2021] [Indexed: 12/14/2022] Open
Abstract
COVID-19 is one of the major global health threats of the 21st century, causing unprecedented humanitarian crises worldwide. Despite concerted efforts to curb the spread of the disease, the pandemic continues to strain healthcare systems globally and a safe, highly effective, and globally acceptable and equitable vaccination program, together with pre-existing precautionary measures, is essential to effectively contain the outbreak. We commented on the need to level any uneven power dynamics in COVID-19 vaccines access and distribution. The COVID-19 vaccines distribution must not allow for sovereignty which is tightly linked to historical imbalances in power and resources to result into discrimination between rich and poor countries. Poor countries must be supported in ensuring access to COVID-19 vaccines by levelling the power dynamics that perpetuate inequality and fuel inequity. We must ensure equity, fairness and transparency in COVID-19 vaccines distribution and gain public trust in COVID-19 vaccines through participatory community engagement. COVID-19 vaccines distribution and access must be equitable and not politicized.
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Affiliation(s)
| | | | - Abubakar Badmos
- Faculty of Clinical Sciences, University of Ilorin, Ilorin, Nigeria
| | - Fahd Khalid-Salako
- Faculty of Pharmaceutical Sciences, University of Ilorin, Ilorin, Nigeria
| | - Sa'id Khalid Gaya
- Department of Health Policy, London School of Economics and Political Science, United Kingdom
| | | | | | | | - Don Eliseo Lucero-Prisno
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom
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Scammell MK. Trust, Conflict, and Engagement in Occupational Health: North American Epidemiologists Conduct Occupational Study in Communities Affected by Chronic Kidney Disease of Unknown Origin (CKDu). Curr Environ Health Rep 2020; 6:247-255. [PMID: 31630378 DOI: 10.1007/s40572-019-00244-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
PURPOSE OF REVIEW Science has been used as a tool of colonialism, and aspects of science privilege researchers in the global North (USA and Europe). The environmental justice and worker health movements in the USA and globally have influenced aspects of how occupational and environmental health research is conceived and conducted so that it is more equitable. This review provides a case example of research in the area of chronic kidney disease of unknown origin (CKDu). RECENT FINDINGS In the present work, the author describes aspects of community-based participatory research and anti-colonial research that influence a current occupational epidemiology study of CKDu in Mesoamerica among workers in agriculture and non-agricultural industries. The research includes investigators from numerous countries in the global North and South and funding from the US government and corporations. The role of industry in science and the misuse of science by corporate interests remain substantial threats to research integrity. The ability of researchers to navigate potentially conflicting interests with industry and workers, and establish trust within and outside the scientific community, is essential for sustained engagement in longitudinal studies. Trust is about human relationships. It takes time and effort to build and is essential for creating equitable, empowering research relationships.
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Affiliation(s)
- Madeleine K Scammell
- Department of Environmental Health, Boston University School of Public Health, 715 Albany St., T442 West, Boston, MA, 02118, USA.
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Opiyo CO, Okeyo DO, Gumo S, Munde EO, Omungo ZO, Olyaro M, Ndirangu RK, Ogbureke N, Efange S, Ouma C. Power dynamics as a determinant of access and utilization of nutrition services by pregnant and lactating adolescent girls in Trans-Mara East Sub-County, Narok County, Kenya. BMC Public Health 2020; 20:537. [PMID: 32306983 PMCID: PMC7168838 DOI: 10.1186/s12889-020-08690-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2019] [Accepted: 04/13/2020] [Indexed: 11/16/2022] Open
Abstract
Background During pregnancy or lactating, adequate nutrition for adolescents becomes critical to reduce risks for both child and maternal-related morbidity and mortality. Power dynamics play a massive role in health outcomes. The main objective of this study was to examine the power dynamics in the families and communities and their impact on the pregnant and lactating adolescent girls’ access and utilization of nutrition services in Trans-Mara East Sub-County, Narok County. Methods A cross-sectional approach that employed mixed methods with both quantitative and qualitative research was adopted. Probability proportionate to size sampling techniques using cluster and simple random methods were used to practically access pregnant or lactating adolescents. Data was collected using questionnaires, in-depth interview and Focus Group Discussion. Quantitative data was analyzed descriptively using frequencies and inferentially using odds ratio and Z-test. Framework analysis was employed to analyze qualitative data. P ≤ 0.05 was considered statistically significant. Results In the power dynamics analyses, the intrinsic capability (Intrinsic capabilities are those adolescent driven initiatives that facilitate their access to nutrition services) was more likely to decrease awareness by half (OR = 0.52, 95% CI = 0.4–0.7, P < 0.01) whereas extrinsic dependency was likely to increase utilization by 1.2 times (OR = 1.2, 95% CI = 1.0–1.5, P = 0.055). From the stakeholder power matrix, the health personnel had observable visible power to influence access and utilization of nutrition services. Additional results revealed that adolescents who draw their support from significant others were more likely to utilize nutrition services as compared to those who attempted to make their own efforts to seek these services. Furthermore, health personnel have the most influential powers in ensuring adolescents access services and thus the most important actors in the stakeholder matrix. Other actors requiring focus included parents, political figures and governments while stakeholder engagement have higher potential of increasing access and utilization of services through dialogue. Conclusions Community access to nutritional services can be increased through use of multiple avenues to reach adolescents, including school-based, health system-based, community-based approaches and even marriage registries. A heightened engagement in the identified stakeholder network is necessary when planning community conversations, to ensure a multi-stakeholder approaches in meeting the nutrition needs of adolescents.
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Affiliation(s)
| | - David Omondi Okeyo
- Kenya Nutritionists and Dieticians Institute, P. O. Box 20436-00100, Nairobi, Kenya
| | - Sussy Gumo
- School of Arts and Social Science, Department of Religion, Theology and Philosophy, Maseno University, Maseno, Kenya
| | - Elly O Munde
- School of Public Health and Community Development, Department of Biomedical Science and Technology, Maseno University, Maseno, Kenya
| | | | | | | | | | - Sophie Efange
- Christian Aid-UK, 35 Lower Marsh, London, SE1 7RL, UK
| | - Collins Ouma
- School of Public Health and Community Development, Department of Biomedical Science and Technology, Maseno University, Maseno, Kenya.
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