Socio-cultural Foundations of Caregiver Institutions: Lineage and Community Networks in Zimbabwe’s Health Care System
DOI:
https://doi.org/10.18034/ajhal.v2i1.294Keywords:
Caregiver, children, mainstream health, belief systemAbstract
This study sought to investigate factors that affect caregiver compliance to professional health advice with reference to children. An anthropological approach was used and clients were observed from mainstream health facilities to their homes to analyze the broader social structures, in familial settings, that influence decision making and final practices of the caregiver who visits the health centres. The study revealed a more complex pattern with a sophisticated cultural structure of caregivers who control and make decisions other than the person who visits the facility. Often this structure is unknown to mainstream health professionals with consequences on efficacy. In addition to the social structures is a powerful belief system that conditions the caregiver. This significantly compromises the advice by mainstream health professionals in a dual health care delivery system as Zimbabwe's. The study recommends that to improve on caregiver compliance mainstream health professionals need to know and engage this other invisible caregiver structure.
Downloads
References
Almeida J. Molnar B.E. Kawachi I. Subramanian S.V. (2009). "Ethnicity and natitivity status as determinants of perceived social support:Testing the concept of familism." Social Science and Medicine. DOI: https://doi.org/10.1016/j.socscimed.2009.02.029
Awasu V,O. Anyanwu, E, B. Okeleke V undated Determinants of antenatal care services utilization in Emevor village Nigeria. Benin Journal of post graduate Medicine. Accessed 23.02.2014 www.learning matters.co.
Bassett MT, Bijmakers L. And Sanders D.M., 1997, Professionalism, Patient Satisfaction and Quality of Health Care: Experience during Zimbabwe’s Structural Adjustment Programme, Social Science and Medicine Vol. 45, No.12 pp 1845-1852. DOI: https://doi.org/10.1016/S0277-9536(97)00122-6
Bhila H.H.K. (1982). Trade and Politics in a Shona Kingdom: The Manyika and their African and Portuguese Neighbours 1575 - 1902. Harare, Longman.
Chavunduka G.L. (1998), The Professionalisation of Traditional Medicine in Zimbabwe p8, Harare. Chigwedere A. (1985). The Karanga Empire Harare, Books for Africa.
Chavunduka G.L. (1998), The Professionalization of Traditional Medicine in Zimbabwe p8, Harare, ZINATHA.
Jansen I. 2006 Decision making in child birth : the influence of traditional structures in a Ghanaian village accessed 16. 01 2012 http://inten-ationalnursing.reviewpdf
Kadir , Fikfee, Khan and Sajan 2003, Do mothers in law matter ? family dynamics an fertility decision making in urban squatter settlements of Karachi Pakistan. Abstract http://biosocdo:10:1017/s002cambridgeuniversitypress
Khan M. Education and Health Status of Child Workers of Dhaka City Global Disclosure of Economics and Business. 2014;3(2):16-23. DOI: https://doi.org/10.18034/gdeb.v3i1.172
Mann G, Bokosi M, Sangala W, 2006, why are pregnant women dying? An equity analysis of maternal mortality in Malawi. Malawi medical journal 18 (1) accessed 10.10. 2012 elearning DOI: https://doi.org/10.4314/mmj.v18i1.10904
Mudenge S.I.G. (1988). A Political History of Munhumutapa c 1400-1902. Harare, Zimbabwe Publishing House. Mwewa D.Michelo C. 2010 Factors associated with home deliveries in a low in come rural setting – observations from Nchelenge district , Zambia. Medical journal of Zambia Vol 37 No 4 accessed 22.10.2013 elearning.
Olarenwaju O.F. 2013 women empowerment as a determinant of investments in children in selected rural communities in Nigeria. Multidisciplinary Journal , Ethopia Vol. 7 (4) accessed on 12.01.2014 on http://dxdoi.org/104314/afrrev.7i4.9
Oluwatuyi O, 2010 Health seeking behavior among the rural dwellers in Ekiti State, Nigeria. An International Multi –Disciplinary Journal , Ethopia Vol 4 (2) online journal DOI: https://doi.org/10.4314/afrrev.v4i2.58296
Quintero GA. Lilliott E. and Wilging C. (2007). "Substance Abuse Treatment Provider Views of "Culture": Implications of Behavioural Health Care in Rural Settings." Qualitative Health Research(17). DOI: https://doi.org/10.1177/1049732307307757
Rahman MM, Chowdhury S. Does Micro Health Insurance Solve the Problem of Providing Accessible Healthcare to the Poor? Evidence from Niramoy Project, Bangladesh Global Disclosure of Economics and Business. 2014;3(2):7-15.
Sadomba WZ., 1999, The Impact of Settler Colonisation on Indigenous Agricultural Knowledge of Zimbabwe: Fusion, confusion or negation? MSc. Thesis, Wageningen University, Management of Agricultural Knowledge Systems.
Sadomba WZ., 2000, Factors affecting Caregiver compliance in Zaka District of Zimbabwe, UNICEF Harare and New York.
Sadomba WZ., 2008, War Veterans in Zimbabwe’s Land Occupations: Complexities of a liberation movement in an African post-settler society, Wageningen University PhD thesis, Technology and Agrarian Development.
Schimdt E. (1992). Peasants, Traders and Wives: Shona women in the history of Zimbabwe 1870-1939. Harare, Baobab.
Venter A., Caregiver’ expectations of services at Baragwanath Hospital, Soweto and their understanding of the child’s disability, Developmental Medicine & Child Neurology 1997, 39: 815-820 DOI: https://doi.org/10.1111/j.1469-8749.1997.tb07549.x
Zahan N. 2014. Factors Influencing Women’s Reproductive Health ABC Journal of Advanced Research, 3, 38-46.
--0--
Downloads
Published
Issue
Section
License
How to Cite
