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Content available
Article
Publication date: 2 November 2010

Cath Conn and Louise Waite

991

Abstract

Details

Journal of Health Organization and Management, vol. 24 no. 5
Type: Research Article
ISSN: 1477-7266

Content available
Article
Publication date: 2 November 2010

Cath Conn and Louise Waite

475

Abstract

Details

Journal of Health Organization and Management, vol. 24 no. 5
Type: Research Article
ISSN: 1477-7266

Article
Publication date: 7 September 2010

Suesanne Samara

This paper aims to explore the motivations of young women in Busoga, Uganda, engaging in “Something‐for‐something” love (SFSL) relationships. Something‐for‐something love is…

679

Abstract

Purpose

This paper aims to explore the motivations of young women in Busoga, Uganda, engaging in “Something‐for‐something” love (SFSL) relationships. Something‐for‐something love is defined as engaging in sex in exchange for money, favours, gifts and goods. This paper examines whether these relationships affect young women's ability to negotiate safe sex.

Design/methodology/approach

Qualitative methods were used with a group of six young women including participatory video, drawing, stories and life histories. In addition, semi‐structured interviews were conducted with each participant and two key informants. Data were analysed using an inductive thematic approach.

Findings

Peer pressure, financial gain, school fees, basic needs and family pressure were key motivations for SFSL. Power dynamics embedded in Ugandan local culture were found to play a significant role in SFSL and family pressure is suggested to assume a greater role than previously perceived. Transaction was considered to be part of what was expected within a “natural romantic relationship”. Condom use was less likely in relationships where a great amount of gifts were exchanged, as men were more likely to negotiate sex on their terms, and this often led to unprotected sex.

Originality/value

The study contributes much‐needed insight into motivations behind young women participating in SFSL. Young women involved in such relationships are portrayed along a spectrum ranging from vulnerable to empowered. The study emphasises the role parents and other kin play in influencing their children's sexual and reproductive health choices. The study highlights to policy makers that interventions aimed at improving parent‐child communication are needed; as well as a more informed approach to HIV prevention, taking onboard the complexities of SFSL.

Details

Journal of Health Organization and Management, vol. 24 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 7 September 2010

Manvir Kaur Hayer

This paper sets out to explore Ugandan young women's definitions and perceptions of sexual coercion.

577

Abstract

Purpose

This paper sets out to explore Ugandan young women's definitions and perceptions of sexual coercion.

Design/methodology/approach

A qualitative study was conducted with seven young women in rural Uganda. Participants filmed videos, wrote stories, made drawings and participated in transect walks before analysing their data through formal and informal discussions.

Findings

Forced sex is defined narrowly to mean only rape. Verbal forms of sexual coercion were recognised, but only after some discussion. Verbal coercion is referred to as “abusing” or “convincing”. Young women are commonly pressured into consenting to have sex, despite what they really want, owing to the socio‐cultural circumstances. Young women in Uganda are significantly tolerant of sexual coercion. This tolerance appears to arise from power differentials between genders, and the socio‐cultural environment shaping their lives.

Originality/value

The paper improves understanding of young women's definitions and perceptions of sexual coercion, which is essential to provide effective violence prevention programmes. It also suggests that further research is warranted in this field.

Details

Journal of Health Organization and Management, vol. 24 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 7 September 2010

Rebecca Nicholas

This study seeks to explore the perspectives of young women in Uganda with the aim of better informing re HIV prevention.

853

Abstract

Purpose

This study seeks to explore the perspectives of young women in Uganda with the aim of better informing re HIV prevention.

Design/methodology/approach

Group discussions and interviews were used to explore issues relating to HIV prevention. An inductive content analysis identified emerging themes and patterns in the participants' conversations.

Findings

The study revealed that, although young women were informed and motivated to prevent HIV, poverty and inequality were significant barriers, limiting their power to protect themselves.

Originality/value

The research adds evidence to the current argument that failure to address the disempowering effects of poverty and gender inequality limits the effectiveness of current HIV prevention for young women. HIV prevention must now address poverty and gender vulnerabilities, promoting a protective environment, rather than focusing on influencing individual sexual behaviour.

Details

Journal of Health Organization and Management, vol. 24 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 7 September 2010

Sinead Cook

This study seeks to explore what young women want from their school‐based sex education.

907

Abstract

Purpose

This study seeks to explore what young women want from their school‐based sex education.

Design/methodology/approach

Qualitative methods were used to explore the perspectives of two groups of young women from Uganda and Scotland.

Findings

Of particular importance to all the young women were: a diverse sex education curriculum appropriate to the ages of the students, being taught by an outside female facilitator, single‐sex classes and access to a female teacher. Furthermore, they proposed that discussion between small groups of friends is very useful. The Scottish group said that having a young teacher, teaching about emotions and relationships and being guided through their own decision making is also important. The Ugandan group emphasized the importance of being taught by female family members and having written materials provided on sex education.

Originality/value

The study showed that young women from different backgrounds have strong opinions about sex education, and are an important resource for policy makers.

Details

Journal of Health Organization and Management, vol. 24 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 7 September 2010

Natasha Lovell

This study aims to explore the life experiences and expectations of young women of Busoga in Eastern Uganda.

608

Abstract

Purpose

This study aims to explore the life experiences and expectations of young women of Busoga in Eastern Uganda.

Design/methodology/approach

Using qualitative methods, a small group of young women drew, wrote stories and made videos together. The data which emerged from this exercise were analysed alongside the researcher's own observations.

Findings

Basoga society's main expectation of young women is that they will work in the home. Yet, young women describe very different ideas of what they want from their lives; this includes a desire for access to a good educational experience, and different expectations for family life than cultural norms. They find, however, that there are many barriers to meeting those expectations.

Originality/value

The study is important because it acknowledges and forefronts Ugandan young women's life expectations. Typically, development focuses on “outsider” considerations rather than “insider” views and desires. The desires of the marginalised, such as young women in Africa, are a particularly neglected subject. There is a need for continued efforts to explore and include young women's experiences and expectations countering gender inequality and as part of ongoing gender empowerment and sexual health strategies.

Details

Journal of Health Organization and Management, vol. 24 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 7 September 2010

Anil Joshi

This study seeks to explore the perceptions of young men in Uganda regarding their sexual behaviour, which is normally understood as “high risk” in terms of HIV/AIDS…

439

Abstract

Purpose

This study seeks to explore the perceptions of young men in Uganda regarding their sexual behaviour, which is normally understood as “high risk” in terms of HIV/AIDS. Specifically, the paper aims to look at the practice of engaging with multiple sexual partners (MSP).

Design/methodology/approach

Six 15‐19 year old school‐going young men in rural Uganda played an attribute‐ranking game, wrote personal stories and acted in small dramas as part of the data collection.

Findings

The participants of the study spoke about love and sex being important in a relationship, which is why they engaged in MSP, to maximise their experience of both. MSP also allowed the young men to gain pleasure, experience and control: three necessary and sought‐after attributes inherent in their notion of masculinity. The features that challenged these three factors (i.e. money, manipulative girls, parental control), which threatened their ideals of masculinity, were identified by participants as the primary risks of MSP, rather than health threats.

Originality/approach

A more open‐minded and positive emphasis is needed regarding the use of condoms, where pleasure and issues of “manliness” are incorporated. By understanding the experiential views of young men, HIV/AIDS prevention programmes can be adapted accordingly to better reflect their lived realities.

Details

Journal of Health Organization and Management, vol. 24 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 7 September 2010

Jennifer Ann Naylor

This study proposes to examine whether tales from childhood influence the psyche and self of the adult in their professional role as a leader in a large organization. It is…

1149

Abstract

Purpose

This study proposes to examine whether tales from childhood influence the psyche and self of the adult in their professional role as a leader in a large organization. It is positioned within a social constructionist and postmodernist framework.

Design/methodology/approach

The methodology development was challenging; to capture the level of abstraction within which it was positioned. Using narrative inquiry allowed for a less rigid methodology, data collection and analysis. The data were collected using a non‐structured single interview with a known subject, the data analysed using an initial thematic analysis followed by an in‐depth analysis of the themes against the background of an Enid Blyton novel.

Findings

This research project has shown how all are products of their whole life experiences to date; thus the tales from childhood must also impact on adult lives. This project identified links between the adult professional self and the characters in the tales, which were read as children. Leadership can be read as an adventure story or fairy tale, a myth born out of the narratives and language often used to describe it, reflecting tales of quest and achievement.

Originality/value

The interpretations on offer are only one version; another reader or teller would experience a different interpretation; finding her own story, while constructing herself as a researcher, was unexpected and surprising. There are at least two stories running throughout predominantly: the subjects’ story and the story of the research.

Details

Journal of Health Organization and Management, vol. 24 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 7 September 2010

Rosemary Exton

This paper seeks to investigate conditions under which entrepreneurs emerge as agents of effective and sustainable change in UK National Health Service Trusts.

2329

Abstract

Purpose

This paper seeks to investigate conditions under which entrepreneurs emerge as agents of effective and sustainable change in UK National Health Service Trusts.

Design/methodology/approach

The research synthesises literature on changing regulatory structures (“post‐bureaucracy”) and entrepreneurial behaviour to understand how individual identity construction is informed both by context and by individual attributes. Thematic analysis of interview data involving managers from 11 NHS Trusts, including detailed analysis of six transcripts, focuses on regulatory processes, the emergence of entrepreneurial behaviour and outcome variations in workplace innovation and improvement.

Findings

This study identifies co‐existing modes of regulation, which interact with individual behaviour, generating strategies differentiated as entrepreneurial or conformist. Four ideal types are identified: organisational entrepreneurship, resisted or dissonant entrepreneurship, conformity, and symbolic entrepreneurship. Analysis reinforces those literature findings, which suggest that the interaction of regulatory structures and the identity work of individuals influence the emergence of entrepreneurial behaviour and the effectiveness of change.

Practical implications

The ability to achieve effective and sustainable outcomes varies considerably even between NHS Trusts faced with comparable challenges in implementing nationally prescribed targets. This variance is explained in terms of the organisation's ability to generate the structures, processes, individual competence and motivation which enable employees at all levels to act entrepreneurially with the ability and legitimacy to achieve strategic goals by working creatively in the spaces between formal organisational structures.

Originality/value

The study identifies specific conditions, which stimulate the emergence of entrepreneurs as agents of effective and sustainable change in the NHS, identifying factors that policymakers should consider when implementing change.

Details

Journal of Health Organization and Management, vol. 24 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

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