Suchergebnisse

This paper describes the implementation of a large-scale systemic participatory action research program which was designed to encourage community-based solutions to bonded labor in India. The program focuses on workers in brick kilns and stone quarries and, to some extent, on sex workers in Bihar and Uttar Pradesh, and on cotton-mill workers in Tamil Nadu. It runs in parallel to programmatic interventions by local NGOs. The paper looks at the methodological challenges of fully engaging a mostly illiterate, extremely marginalized population on a highly political and complex issue in order to generate community-led solutions, and the process of taking that to scale. The program resulted in extensive methodological innovation and substantive changes to the lives of villagers.

Maternity for opiate users in Vietnam is challenging due to the criminalization of drug use, stigmatization, and poor specialist knowledge among health providers. This article outlines action research conducted among Vietnamese women who had experienced pregnancy while opiate-dependent. Misguided fears that their baby would be a "monstrosity" drove some women to seek out abortion. For those who chose to continue with their pregnancy, communication with health professionals was poor and misinformation concerning advised maternal practices and newborn care was common. Often women made intuitive decisions; few attempted to go "cold turkey" and withdrew suddenly from opiates while pregnant, and most new mothers chose to breastfeed—a healthy choice—despite being advised against this. The study revealed the importance of support provided outside of state services and culminated in new information for female drug users and training materials for peer counselors. The participatory process by which these outputs were developed is outlined.

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