Purpose-Today, low-income people seeking resources from the federal government must often work through non-profit organizations. The purpose of this paper is to examine the constraints that the poor must face today to secure resources through non-profit organizations. Design/methodology/approach-This is a conceptual paper. The authors review cases of non-profit organizations providing federally supported resources to the poor across multiple sectors. Findings-The authors find that to accept government contracts serving the poor, nonprofit organizations must often engage in one or several practices: reject clients normally consistent with their mission, select clients based on likely outcomes, ignore problems in clients' lives relevant to their predicament, or undermine client progress to manage funding requirements. To secure government-supported resources from nonprofits, the poor must often acquiesce to intrusions into one or more of the following: their privacy (disclosing sensitive information), their self-protection (renouncing legal rights), their identity (avowing a particular self-understanding) or their self-mastery (relinquishing authority over daily routines). Originality/value-The authors show that the nonprofits' dual role as brokers, both liaisons transferring resources and representatives of the state, can complicate their relation to their clients and the predicament of the poor themselves; the authors suggest that two larger trends, toward increasing administrative accountability and demonstrating deservingness, are having both intended and unintended consequences for the ability of low-income individuals to gain access to publicly funded resources.
Statement of purposeThis study aims to investigate associations between intimate partner violence (IPV), reproductive coercion (RC), and contraception, and to understand IPV and RC intervention preferences, barriers to uptake, and implementation issues. Past work suggests that fear of violence/sabotage of contraceptives may explain contraceptive choice and utilisation.Methods/approachUtilising an explanatory mixed methods design, quantitative data about IPV, RC, and contraception were first collected via web-based survey from 194 English-speaking adult-women in a reproductive healthcare setting. Subsequently, qualitative data were collected via semi-structured interviews with fourteen clinic patients with experiences of IPV and RC to elucidate the quantitative findings and assess intervention preferences and barriers. Associations between IPV, RC, and contraception were estimated with bivariate and multivariate analyses.ResultsAlmost 38% of patients experienced IPV and over 25% experienced RC in their current relationship. Further, 34% of those experiencing IPV experienced RC, and 50% of those experiencing RC experienced IPV. Women experiencing IPV or RC were more likely to depend on withdrawal or condoms. Over 90% of patients who experienced IPV reported they had not discussed these experiences with a healthcare professional. Patients expressed strong desire for providers to regularly ask about their relationships, including experiences of IPV and RC, using open-ended questions that probe beyond physical well-being. For an intervention, patients wanted a ‘human connexion,’ to feel empowered to recognise signs of unhealthy relationships.ConclusionsThe prevalence of IPV and RC among patients in this setting, corroborated by interviews with patients, suggests that an intervention within a reproductive health setting is warranted.Significance/Contribution to Injury and Violence Prevention ScienceIPV and RC are significant public health problems. This work suggests that a reproductive health clinic would be an acceptable setting for an intervention to address the effects of IPV and RC on contraceptive use and patient well-being.
While prior research foregrounds the economic and political conditions that shape cultural globalization, we focus on the effects of culture. We argue that diffusion itself is a cultural practice, and that two types of cultural schemas – ways of conceptualizing national belonging, on the one hand, and geopolitical ideologies, on the other – shape the people, policies, and infrastructures actors deploy to insert their cultural products into the global art and literary worlds. Based on fieldwork in Argentina, South Korea, and Lebanon, we show how two forms of trans-border nationalism – those that incorporate the diaspora based on ethnic or ancestral similarity, and those that incorporate regional neighbors based on common civic norms – are mobilized to circulate art and literature internationally. Who participates in these diasporic and regional networks, however, depends on diffusers’ ideological commitments. We identify two types of aspirational visions for a global (art) world order, which influence which people and institutions cultural makers and managers draw on to diffuse art and literature: a reformative vision, in which the core institutions in traditional centers of power maintain their centrality but become more inclusive of creators from historically underrepresented countries, and a transformative vision, in which the global art and literary world are restructured and power redistributed via new nodes and circuits that circumvent these traditional centers.
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