Kampala women getting by: wellbeing in the time of Aids
What do ordinary women in an African city do in the face of 'serious enough' infections in themselves and signs of acute illness in their young children? How do they manage? What does it take to get by? How do they maintain the wellbeing of the household in a setting without what would be...
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
London
Currey [u.a.]
1996
|
| Ausgabe: | 1. publ. |
| Schriftenreihe: | Eastern African studies
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | What do ordinary women in an African city do in the face of 'serious enough' infections in themselves and signs of acute illness in their young children? How do they manage? What does it take to get by? How do they maintain the wellbeing of the household in a setting without what would be considered a basic health provision in an American or European city? Professor Wallman focuses on women in a densely-populated part of Kampala called Kamwokya. With the help of a team of Ugandans and non-Ugandans a vivid picture emerges, enhanced by colour photographs, sketches and maps. Women are largely responsible for the management of illness in all member of the family. Young children are at particular risk and the women have to take the first crucial decisions about treatment. Formal health resources are scarce and so they most often resort to an extraordinary range of treatments provided in the informal economy. A holistic picture of all the options that local people recognize is drawn, and an enriched understanding of problems and opportunities for health care in tropical cities emerges. Multidisciplinary work on sexually transmitted disease is rare, even in this time of AIDS, and the book effectively maps the social contexts of its perception and management. Moreover, it focuses on women as ordinary citizens, selected by residence and not by reference to known medical conditions or high risk behaviour. It is important too that the field strategies have encouraged local informants to become active participants in the definition of local problems and their solutions. |
| Beschreibung: | X, 246 S. Ill., graph. Darst., Kt. |
| ISBN: | 0852552424 0852552416 |
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| 520 | 3 | |a What do ordinary women in an African city do in the face of 'serious enough' infections in themselves and signs of acute illness in their young children? How do they manage? What does it take to get by? How do they maintain the wellbeing of the household in a setting without what would be considered a basic health provision in an American or European city? Professor Wallman focuses on women in a densely-populated part of Kampala called Kamwokya. With the help of a team of Ugandans and non-Ugandans a vivid picture emerges, enhanced by colour photographs, sketches and maps. Women are largely responsible for the management of illness in all member of the family. Young children are at particular risk and the women have to take the first crucial decisions about treatment. Formal health resources are scarce and so they most often resort to an extraordinary range of treatments provided in the informal economy. A holistic picture of all the options that local people recognize is drawn, and an enriched understanding of problems and opportunities for health care in tropical cities emerges. Multidisciplinary work on sexually transmitted disease is rare, even in this time of AIDS, and the book effectively maps the social contexts of its perception and management. Moreover, it focuses on women as ordinary citizens, selected by residence and not by reference to known medical conditions or high risk behaviour. It is important too that the field strategies have encouraged local informants to become active participants in the definition of local problems and their solutions. | |
| 650 | 7 | |a AIDS |2 gtt | |
| 650 | 7 | |a Anthropologie médicale - Ouganda |2 ram | |
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| 650 | 7 | |a Gezondheidszorg |2 gtt | |
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| 650 | 7 | |a Santé publique - Ouganda - Kampala |2 ram | |
| 650 | 7 | |a Sida - Ouganda - Kampala |2 ram | |
| 650 | 7 | |a Vrouwen |2 gtt | |
| 650 | 4 | |a Frau | |
| 650 | 4 | |a Gesundheitswesen | |
| 650 | 4 | |a AIDS (Disease) |z Uganda |z Kampala | |
| 650 | 4 | |a Acquired Immunodeficiency Syndrome |z Uganda | |
| 650 | 4 | |a Delivery of Health Care |z Uganda | |
| 650 | 4 | |a Health behavior |z Uganda |z Kampala | |
| 650 | 4 | |a Public health |z Uganda |z Kampala | |
| 650 | 4 | |a Sexually Transmitted Diseases |z Uganda | |
| 650 | 4 | |a Sexually transmitted diseases |z Uganda |z Kampala | |
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Datensatz im Suchindex
| _version_ | 1804125614811119616 |
|---|---|
| adam_text | Contents
List of Photographs, Sketches, Maps Figures viii
Acknowledgements ix
Notes on Contributors x
1 Introduction
Preamble 1
The Problem 2
Uganda Setting 4
Recent history Repercussions in the health sector A short note on local
government and Kamwokya
Analytical Background 8
The Development of African Cities 9
Health Care in the Household 11
Varieties of the Urban System 13
The Form of the Book 15
2 Kamwokya
Preamble 17
The Physical Setting 20
Time perspective Land prices, landowners and landlords Roads, tracks
and pathways Dwellings and other buildings Water and sanitation
Communal, commercial and service premises
The Urban System 28
The distribution of difference The movement of people
3 People in Place
VALDO PONS
Preamble 47
Introduction: Kampala and Kamwokya 48
Population growth and declining sex ratios Composition by age and sex
Household size Places of birth and the migrant nature of the population
as a whole Religious and ethnic affiliations Activity status and
occupations School attendance
Conclusions and Comments 69
4 Community Life I
Observers views
Preamble 73
The Market and Shopping 75
Activity around a Protected Spring 77
Sunday Morning 79
Football 82
Drinking 83
v
Contents
An RC Court Case 85
Neighbouring 88
5 Household Wellbeing
Ethnographic Women s Survey Responses
Preamble 90
Income Potential 92
Conditions of Housing, Hygiene and Sanitation 94
Illness and Disease 98
Immunization of Children 104
Fertility and Childbirth 104
Support and Advice During Illness 106
Feeling Good about Kamwokya 108
6 Treatment Options
Preamble 111
Theoretical Perspectives 112
Modernization Economic approach Homophily
Treatment Sources Survey, Kamwokya II (1993) 114
Personal characteristics of the treatment providers Therapeutic situation
Payment — Symptoms treated
Observations of the Visible Health Units 122
Clinics — Drug shops
Interviews with Ten Traditional Healers 129
Profiles
7 Home Treatment
JESSICA OGDEN GRACE BANTEBYA KYOMUHENDO
Preamble 142
The Household as the Locus of Health 142
The Home Treatment Process 144
Drug shops, clinic dispensaries and pharmacies
Illness as a Moral Category: Invisibility, Stigma and Secrecy 148
Health and Agency: Home Treatment and Autonomy 150
Conclusion: Implications of Home Treatment 151
8 Children s Illnesses
Mothers definition management of serious enough symptoms
JESSICA JITTA
Preamble 152
Introduction 153
Findings 154
Common perceptions and beliefs aboul acute symptoms in young children
Home treatment of acute symptoms of children Factors mothers
consider in determining severity of symptoms Treatment options and
factors influencing choice of treatment Perception of treatment outcomes
Respondents recommendations for improvements in caring for sick children
Conclusion and Recommendations 165
I
vi
Contents
9 Private Disease
Perception Management of STD
FRANK KAHARUZA OTHERS
Preamble 166
links Between HIV and STD 167
The STD Situation in Uganda: Treatment Provision 168
Specific diseases — Clinics Findings and recommendations
The STD Situation in Kamwokya: Treatment Seeking 175
Summary of treatment seekers views on STD Treatment and diagnosis
Why delay? Treatment seekers views: notes from Focus Group discussions
A lew words about discipline
Appendix: Local Glossary and Symptomatology 187
10 Six Women
Individual women s accounts of treatment seeking
GRACE BANTEBYA KYOMUHENDO JESSICA OGDEN
Preamble 189
Case Study 1: Betty 190
Case Study 2: Rose 193
Case Study 3: May 195
Comparison and Analysis of Cases 1, 2 and 3 196
Case Study 4: Mary 198
Case Study 5: Sally 201
Case Study 6: Ann 202
Comparison and Analysis of Cases 4, 5, and 6 204
Conclusions 205
11 Community Life II
Participants views (The video project)
SOLVEIG FREUDENTHAL
Preamble 206
Introduction
The Ethnography of the Video Production Process 207
Stage I: Planning Stage II: Shooting Stage III: Editing
Stage IV: Viewing of Kamwokya 1994
The Making of a Commentary
Concluding Remarks 224
Epilogue 225
12 Summary Conclusions
Preamble 226
Scientific and Technical Objectives 226
Results and Interpretations of Findings 227
Last Words 230
References 236
Index 241
vii
Photographs, Sketches, Maps
Figures
Photographs between pp. 6 7
Sketches by Abraham Kqfeero between pp. 37^t6
Maps
I Uganda 16
II Kampala with zones and parishes 18
III Kamwokya and surrounding parishes 19
IV Kamwokya II, 1991: Buildings, roads and footpaths 30
V Communal, commercial and service premises 31
VI Kamwokya II: Population densities in each enumeration area 32
VII Ethnic groups (by region) 33
VIII Housing tenure 33
IX Income levels 33
X Cityscapes 33
Figures
1.1 Recent events in Uganda 5
2.1 Time chart showing highlights in the growth and development 20
of Kamwokya II (1960 94)
2.2 Ethnic distribution, Kamwokya, 1993 29
2.3 Place of other origin: home area 29
3.1 Population pyramids for Kamwokya II and Kampala in 1991 51
3.2 Population pyramid for Kamwokya, 1993 54
3.3 Population pyramids for Kamwokya II in 1969 and 1991 54
3.4 Population pyramids for the migrant and market areas of 57
Kamwokya II, 1991
3.5 Population pyramids for the migrant and permanent house areas of 57
Kamwokya II, 1991
3.6 Population pyramids for residents of the migrant area born 61
in Kampala and elsewhere
3.7 Population pyramids for residents of the market area born in 61
Kampala and elsewhere
4.1 Court case layout 86
5.1 Reasons for coming to Kamwokya 108
5.2 Other reasons for coming to Kamwokya 109
5.3 Household types: Status of children in relation to parents 110
5.4 Where the heart is 110
10.1 Treatment seeking diagram 190
viii
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| discipline | Soziologie |
| edition | 1. publ. |
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| id | DE-604.BV011123621 |
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| indexdate | 2024-07-09T18:04:22Z |
| institution | BVB |
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| owner_facet | DE-12 DE-703 DE-188 DE-11 |
| physical | X, 246 S. Ill., graph. Darst., Kt. |
| publishDate | 1996 |
| publishDateSearch | 1996 |
| publishDateSort | 1996 |
| publisher | Currey [u.a.] |
| record_format | marc |
| series2 | Eastern African studies |
| spelling | Kampala women getting by wellbeing in the time of Aids Sandra Wallman ... 1. publ. London Currey [u.a.] 1996 X, 246 S. Ill., graph. Darst., Kt. txt rdacontent n rdamedia nc rdacarrier Eastern African studies What do ordinary women in an African city do in the face of 'serious enough' infections in themselves and signs of acute illness in their young children? How do they manage? What does it take to get by? How do they maintain the wellbeing of the household in a setting without what would be considered a basic health provision in an American or European city? Professor Wallman focuses on women in a densely-populated part of Kampala called Kamwokya. With the help of a team of Ugandans and non-Ugandans a vivid picture emerges, enhanced by colour photographs, sketches and maps. Women are largely responsible for the management of illness in all member of the family. Young children are at particular risk and the women have to take the first crucial decisions about treatment. Formal health resources are scarce and so they most often resort to an extraordinary range of treatments provided in the informal economy. A holistic picture of all the options that local people recognize is drawn, and an enriched understanding of problems and opportunities for health care in tropical cities emerges. Multidisciplinary work on sexually transmitted disease is rare, even in this time of AIDS, and the book effectively maps the social contexts of its perception and management. Moreover, it focuses on women as ordinary citizens, selected by residence and not by reference to known medical conditions or high risk behaviour. It is important too that the field strategies have encouraged local informants to become active participants in the definition of local problems and their solutions. AIDS gtt Anthropologie médicale - Ouganda ram Femmes - Soins médicaux - Ouganda - Kampala ram Gezondheidszorg gtt Habitudes sanitaires - Ouganda ram Maladies sexuellement transmissibles - Ouganda - Kampala ram Santé publique - Ouganda - Kampala ram Sida - Ouganda - Kampala ram Vrouwen gtt Frau Gesundheitswesen AIDS (Disease) Uganda Kampala Acquired Immunodeficiency Syndrome Uganda Delivery of Health Care Uganda Health behavior Uganda Kampala Public health Uganda Kampala Sexually Transmitted Diseases Uganda Sexually transmitted diseases Uganda Kampala Women's Health Uganda Women's health services Uganda Kampala Frau (DE-588)4018202-2 gnd rswk-swf Aids (DE-588)4112470-4 gnd rswk-swf Gesundheitsverhalten (DE-588)4020774-2 gnd rswk-swf HIV-Infektion (DE-588)4203852-2 gnd rswk-swf Psychosoziale Belastung (DE-588)4140199-2 gnd rswk-swf Kampala (DE-588)4109986-2 gnd rswk-swf Kampala (DE-588)4109986-2 g HIV-Infektion (DE-588)4203852-2 s Gesundheitsverhalten (DE-588)4020774-2 s Frau (DE-588)4018202-2 s DE-604 Aids (DE-588)4112470-4 s Psychosoziale Belastung (DE-588)4140199-2 s Wallman, Sandra Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007453172&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Kampala women getting by wellbeing in the time of Aids AIDS gtt Anthropologie médicale - Ouganda ram Femmes - Soins médicaux - Ouganda - Kampala ram Gezondheidszorg gtt Habitudes sanitaires - Ouganda ram Maladies sexuellement transmissibles - Ouganda - Kampala ram Santé publique - Ouganda - Kampala ram Sida - Ouganda - Kampala ram Vrouwen gtt Frau Gesundheitswesen AIDS (Disease) Uganda Kampala Acquired Immunodeficiency Syndrome Uganda Delivery of Health Care Uganda Health behavior Uganda Kampala Public health Uganda Kampala Sexually Transmitted Diseases Uganda Sexually transmitted diseases Uganda Kampala Women's Health Uganda Women's health services Uganda Kampala Frau (DE-588)4018202-2 gnd Aids (DE-588)4112470-4 gnd Gesundheitsverhalten (DE-588)4020774-2 gnd HIV-Infektion (DE-588)4203852-2 gnd Psychosoziale Belastung (DE-588)4140199-2 gnd |
| subject_GND | (DE-588)4018202-2 (DE-588)4112470-4 (DE-588)4020774-2 (DE-588)4203852-2 (DE-588)4140199-2 (DE-588)4109986-2 |
| title | Kampala women getting by wellbeing in the time of Aids |
| title_auth | Kampala women getting by wellbeing in the time of Aids |
| title_exact_search | Kampala women getting by wellbeing in the time of Aids |
| title_full | Kampala women getting by wellbeing in the time of Aids Sandra Wallman ... |
| title_fullStr | Kampala women getting by wellbeing in the time of Aids Sandra Wallman ... |
| title_full_unstemmed | Kampala women getting by wellbeing in the time of Aids Sandra Wallman ... |
| title_short | Kampala women getting by |
| title_sort | kampala women getting by wellbeing in the time of aids |
| title_sub | wellbeing in the time of Aids |
| topic | AIDS gtt Anthropologie médicale - Ouganda ram Femmes - Soins médicaux - Ouganda - Kampala ram Gezondheidszorg gtt Habitudes sanitaires - Ouganda ram Maladies sexuellement transmissibles - Ouganda - Kampala ram Santé publique - Ouganda - Kampala ram Sida - Ouganda - Kampala ram Vrouwen gtt Frau Gesundheitswesen AIDS (Disease) Uganda Kampala Acquired Immunodeficiency Syndrome Uganda Delivery of Health Care Uganda Health behavior Uganda Kampala Public health Uganda Kampala Sexually Transmitted Diseases Uganda Sexually transmitted diseases Uganda Kampala Women's Health Uganda Women's health services Uganda Kampala Frau (DE-588)4018202-2 gnd Aids (DE-588)4112470-4 gnd Gesundheitsverhalten (DE-588)4020774-2 gnd HIV-Infektion (DE-588)4203852-2 gnd Psychosoziale Belastung (DE-588)4140199-2 gnd |
| topic_facet | AIDS Anthropologie médicale - Ouganda Femmes - Soins médicaux - Ouganda - Kampala Gezondheidszorg Habitudes sanitaires - Ouganda Maladies sexuellement transmissibles - Ouganda - Kampala Santé publique - Ouganda - Kampala Sida - Ouganda - Kampala Vrouwen Frau Gesundheitswesen AIDS (Disease) Uganda Kampala Acquired Immunodeficiency Syndrome Uganda Delivery of Health Care Uganda Health behavior Uganda Kampala Public health Uganda Kampala Sexually Transmitted Diseases Uganda Sexually transmitted diseases Uganda Kampala Women's Health Uganda Women's health services Uganda Kampala Aids Gesundheitsverhalten HIV-Infektion Psychosoziale Belastung Kampala |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007453172&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT wallmansandra kampalawomengettingbywellbeinginthetimeofaids |