Empowering Local Communities

Ahmed, Salehuddin

doi:10.4324/9780429434761-7

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…29 Consequently, urban and rural inequalities increased as the number of public hospitals decreased, and care provided by private hospitals was rendered too expensive for the majority of the population. [30][31][32] Finally, spending cuts in the education ministries-as guided by the SAP driven policies-saw the reduction of student enrollment into schools and the consequent drop out of trainees. 33,34 The addition of school dropouts put further stress on OAs who also took on the burden of these uneducated children; this resulted in increased financial demands for already strained OAs.…”

Section: Structural Adjustment Program (Saps)mentioning

confidence: 99%

Understanding influences on mental health among over 70-year-olds in Kenya using a life course theory

Lusambili,

Nyakundi,

Ngaruiya

et al. 2023

F1000Res

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World Health Organization (WHO) estimates that by 2050 “older adults” (OAs)—denoting those over 70 years old in this article—will constitute 21% of the global population, with over half living in low or middle-income countries (LMICs). Old age is associated with increased multiple chronic conditions (MCCs) such as cancer, hypertension, arthritis, diabetes and mental health. According to WHO, 20% of older adults in Africa are affected by mental health – and dementia and Alzheimer’s diseases are likely to increase, adding expenditure on public services. Knowledge and understanding of OAs experiences and histories and how they contribute to mental health are critical to informing measures and strategies to safeguard older adults. Like many sub-Saharan African (SSA), these experiences have not been documented in Kenya. In this article, we use a life course theory (LCT) to reflect on the intersection between historical and current environmental and socioeconomic factors and their effects on the mental health of OAs. We hope to enrich future researchers by providing core yet overlooked historicities to guide research and policies in an understudied population in sub-Saharan Africa. We conclude with policy and research recommendations on ageing and health.

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Section: Structural Adjustment Program (Saps)mentioning

confidence: 99%

Understanding influences on mental health among over 70-year-olds in Kenya using a life course theory

Lusambili,

Nyakundi,

Ngaruiya

et al. 2023

F1000Res

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“…While it is difficult to trace the numerical rise of SICY across colonizer-induced dynamics, urbanization is a necessary element for children to sleep on city streets. Further exacerbating disruptive inequities due to forced participation in the globalized economy, the structural adjustment programs inspired by the Washington Consensus and championed by the great powers in the late 1980s exacerbated the relative standing of rural communities, women and children with respect to health outcomes, income, education, and social cohesion ( Ahmed and Lipton, 1997 ; Craig and Porter, 2005 ; Thomson et al, 2017 ; Forster et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Enabling structural resilience of street-involved children and youth in Kenya: reintegration outcomes and the Flourishing Community model

Goodman,

Seidel,

Springer

et al. 2023

Front. Psychol.

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IntroductionMillions of children and youth live on city streets across the globe, vulnerable to substance use, abuse, material and structural neglect. Structural resilience, the re-establishment of access to structural goods within a society such as housing, education, and healthcare following some interruption, provides an orientation for research and interventional efforts with street-involved children and youth (SICY). Further, a structural resilience framework supports organizing interactions between levels and sectors of a socio-ecology.MethodsFollowing the expressed interests of Kenyan SICY, and consistent with emerging policy interests at national and global levels, we assess reintegration trajectories of Kenyan SICY (n = 227) participating in a new program intervention and model. The intervention combines two coordinated, parallel programs – one focused on the rescue, rehabilitation, reintegration and resocialization of SICY, and the other focused on empowering families and communities to provide better care for children and youth who are reintegrating from life on the streets to the broader community. Data were collected and analyzed from multiple stages across SICY involvement with the intervention.ResultsWe found 79% of SICY participants reintegrated with the broader community, and 50% reintegrated with families of origin and returned to school. Twenty-five percent of participants reintegrated to a boarding school, polytechnical school, or began a business. Probability of reintegrating successfully was significantly improved among participants whose families participated in the family- and community-oriented program, who were younger, with less street-exposure, expressed more personal interests, and desired to reintegrate with family.DiscussionTo our knowledge, these are the first quantitative data published of successful reintegration of SICY to the broader, non-institutionalized community in any low- or middle-income country. Future research should (1) identify factors across socio-ecological levels and sectors contributing to health and developmental outcomes of reintegrated children and youth, (2) mechanisms to support SICY for whom the interventional strategy did not work, (3) methods to prevent street-migration by children and youth, and (4) system development to coordinate follow-up and relevant investment by institutions, organizations and community leaders to continue reintegration work.

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Empowering Local Communities

Cited by 2 publications

References 8 publications

Understanding influences on mental health among over 70-year-olds in Kenya using a life course theory

Understanding influences on mental health among over 70-year-olds in Kenya using a life course theory

Enabling structural resilience of street-involved children and youth in Kenya: reintegration outcomes and the Flourishing Community model

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