Economic empowerment, HIV risk and AIDS-related stigma appear intricately intertwined for women in Kenya. Their interaction must be understood in order to implement effective economic interventions that also decrease HIV risk and stigma. We conducted a qualitative study amongst women in a rural Kamba-speaking community of southeastern Kenya to pursue whether engagement in an economic empowerment initiative (a basket weaving cooperative) influences women's perspectives and experiences with HIV risk and AIDS-related stigma. We conducted seven women's focus groups: participants in the local basket-weaving cooperative comprised four focus groups and non-participants comprised the remaining three groups. The HIV status of the women was not known. Three dominant themes emerged from the focus groups: empowerment, pervasive vulnerability and unanticipated social paradoxes. Contradictions found in these themes suggest that economic empowerment can become a double-edged sword. Economic empowerment enhanced perceived individual, domestic and social community status. However, this enhancement was not protective of domestic violence and perceived HIV risk. Social perceptions may have paradoxically contributed barriers to HIV testing and treatment putting women at greater HIV risk. In conclusion, economic empowerment initiatives for women in developing countries in the context of the HIV epidemic should be coupled with peer mediated support and HIV-risk education.
Children are living through the COVID-19 pandemic and the traumatic changes the virus has had on the structure and schedule of their daily existence. They are struggling to cope with the loss of the normalcy of their lives and the resulting sense of grief. As the loneliness and isolation required by social distancing can worsen grief, it is important to increase communication with children and include strategies to reduce stress and increase resilience. Storytelling is the oldest form of teaching and has multiple benefits, including identifying emotional states, developing a vocabulary to allow self-advocacy, encouraging the use of strategy, and promoting a sense of hope. In addition, models of positive psychological attitude can diminish anxiety and divert attention to a more productive and positive outlook. Stories are powerful tools and convey thoughts, ideas, and values while encouraging purposeful discussion. For children, hearing stories is a rich avenue to gain insight, resources, and approaches to cope with these unprecedented times. It would be helpful to explore the long-term effects on children of COVID-19–related confinement and loss. [
Journal of Psychosocial Nursing and Mental Health Services, 59
(2), 13–15.]
This is a frightening time for all of us, but especially for children. Children are living through COVID‐19 and the traumatic changes the virus has had on the routine and schedule of their daily lives. School is a primary source of structure and socialization for most youngsters. As the pandemic continues to unfold, children are experiencing unprecedented shifts in school openings, learning models, extracurricular activities, and even access to play dates and other socialization venues. Without teachers, friends, coaches, or even time outside of the home, children are experiencing tremendous loss and are struggling to understand their new reality.
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