Suchergebnisse

The majority of sex workers are mothers. Although participation in sex work is primarily driven by the prioritization of their children's needs over their own, mothers are stigmatized, subject to poorer health, and lack access to quality health care and social services. Interviews with 25 mothers in Mumbai, India, were analyzed using theory-driven coding to reexamine participation in sex work in context of Gilligan's three-stage ethic of care, a feminist theory of moral reasoning. Stage 1 (decision making focused on self) themes were (a) sex work served as a means to survival and (b) exploitative and unfulfilling relationships required a focus on self. The transition from Stage 1 to 2 theme was language of selfishness versus responsibility. Stage 2 (selflessness is goodness) themes characterizing the majority of narratives were (a) sex work is justified, (b) duty to prioritize care of others, and (c) self-sacrifice to achieve aspirations for children. The transition from Stage 2 to 3 had one theme: consideration of self. While Stage 3 represents women taking holistic care of themselves and others, the data did not reflect this. Reframing mothers' participation in sex work using the ethic of care framework may support destigmatization, decriminalization, and security of human rights.

Our objective was to explore how factors, such as backbone organization changes and COVID-19, affected a collective impact (CI) initiative's progression through the five CI phases and its components of success. We conducted a case study using semistructured interviews with 17 representatives from the action committee, community-based organization, and health department between January and February 2023 in Santa Clara County, California. Participants were asked how internal and external factors affected their engagement and experiences with the CI initiative. We analyzed the data using structural and holistic coding. Results showed that the initiative's progression was impacted by intersecting factors; overall findings supported a reconceptualization of CI whereby progression through each component of success was cyclical, not linear. Specifically, governance and infrastructure and community engagement significantly contributed to a backward shift in progress along the five CI phases. As CI matures as a model, programs implementing a CI framework have an opportunity and responsibility to test the tenets of the approach. Our study provides a test case through which the theoretical foundations of CI can be examined and refined to build the research literature and strengthen other CI initiatives.