To feel at home and to find your place identity in a completely different setting than you are used too requires a whole new type of coping with changes. In order to cope, there are different aspects that can help you. Either it be your personality, the physical surroundings or the people that you have by your side. This thesis has had the aim of examining how and why refugees feel at home in the city of Umeå, Sweden. What has been clear is that the interviewed refugees do feel at home in Umeå, this mostly because of social activities with friends and family, not as much because of the physical attributes Umeå has as a city. Place identity, seen from different theoretical perspectives, has been clear in that identity is mostly created in harmony with a place and what the place has to offer socially and not always due to the physical attraction of the place, which has been visible in discussion with the refugees in the study. Instead, place identity for the interviewed individuals has been created through the conceptions, interpretations, ideas and related feelings the individuals have to Umeå.

Magister Artium (Development Studies) - MA (DVS) / Formal microfinance institutions have been an important tool in the fight against poverty in developing countries, but their reach for rural people and urban slum poor are limited. Following this, Village Savings and Loan Associations (VSLAs) are established as an alternative, informal mechanism for saving and borrowing that do not require external capital or ongoing financial or administrative support from a founding organization or government bodies. Thus, this study aimed to assess the effects of women participation in VSLA on poverty reduction with a case study in Hawassa city, Ethiopia. Using a mixed qualitative and quantitative research methodology, the study tried to focus on examining the effects of VSLAs contribution to economic and social wellbeing of households, and decision makings, and women participation in community activities. The study used 254 samples (127 VSLA participants, and 127 non-participants) and collected data using questionnaire and focus group discussion. The study used propensity score matching (PSM) to estimate the impact of women participation in VSLA on average monthly household income, and the result indicated the average effect of women participation in VSLA on average monthly household income of participant women is positive and significant at 5% significant level, ranging from 169.63 Birr/month (nearest neighbor matching) to 141.55 Birr/month (Kernel matching), on average. Besides, comparison between participants and non-participants using hypothesis testing shows that women participation in VSLA has a significant positive association with improvements in household diet, health, children's education, and women’s involvement in household decisions. However, although hypothesized, no significant association is found in relation to women participation in community activities. Findings from the focus group discussions are also consistent with the results from the PSM and hypothesis testing. Following the findings, the study recommends government and nongovernmental organizations to provide regular, timely and need based capacity building trainings for VSLA participants; Link VSLA participants with formal microfinance institutions; conduct regular monitoring and follow ups by either the city or sub-cities Women Children Affairs Department/offices or concerned government body; different concerned stakeholders in the city including government, nongovernmental organizations, microfinance institutions and others need to work in coordinated manner to solve the recurrent challenges of VSLA participants in Hawassa city; and finally government and/or nongovernmental organizations need to take best practices and lessons from existing VSLAs and expand the VSLA initiative to address more impoverished women in the city.

Objectives: The objectives of the study was to describe how people who face partner violence against women, either as volunteers or as professionals in their everyday work, explain violence against women in intimate relationships and their suggestions for preventive activities. Methods: Twenty men and twenty women were strategically selected for five focus-group discussions. The interviews were analysed following the procedure for qualitative thematic content analysis. Findings: The study shows that the participants acknowledged violence against women as a multifaceted phenomenon grounded in the interplay betweenindividual, family-related factors and local community and socio-cultural factors. Men’s level of education, ‘social evils’, women challenging gender role expectations and women’s extensive work load were discussed as factors at individual and family level. Poverty in the local community and ‘feudal ideologies’ were referred to as explanatory factors at structural level. The informants suggested two main ways of preventing violence against women; improved gender equality through information, education and communication, and enforcing policies and law. Examples pertaining to different levels of society were given. Conclusions: This study shows that behind all of the explanations to intimate partner violence laid the culturally constructed messages about the proper roles of men and women mirroring gender inequality and women’s power disadvantage. A hesitation to intervene was found among some of the informants, the medical doctors, while all the others were eager to discuss activities but mainly those they were already undertaking and it seems the local level require further support to better handle this problem. / <p>ISBN 91-7997-161-x</p>

No description available.

Background: For indeterminate reasons, there have been major variations in sick leave in Sweden, and many physicians have perceived sick leave assignments as burdensome. Aim: To gain more knowledge and understanding, from a perspective of primary health care, about factors in health care and patients that affect sick leave. Thereby help patients in the best way, facilitate the work of physicians and other health professionals involved in the rehabilitation process, and use the health care resources optimally. Methods: This thesis is based on a randomised controlled trial (RCT) in a primary health care centre with participants on short-term sick leave, due to pain and/or mental illness, who received a multidisciplinary assessment. Qualitative focus-group discussions with physicians in primary health care centres. A cohort of women on very long-term sick leave due to pain and/or mental illness, who lost sickness benefits due to a new time limit on sickness insurance, were randomised to multidisciplinary assessment and multimodal intervention (TEAM), or to Acceptance and Commitment Therapy (ACT). In an extended cohort, including some men on very long-term sick leave due to pain and/or mental illness, the importance of the motivation for return to work (RTW) was investigated. Results. Very early multidisciplinary assessment increased days on sick leave in the first three month period. Physicians at primary health care centres perceived sick leave assignments as burdensome, but clearer rules and cooperation with other professionals have made sick leave assignments less burdensome. TEAM intervention resulted in an increase in working hours per week as well as an increase in work-related engagements, compared to control in the RCT. Motivation for RTW was associated with RTW or increased employability in the rehabilitation of patients Conclusions: Continued studies are needed to find those who are at risk of long-term sick leave, the time when rehabilitation efforts should be started, and the content of rehabilitation. Collaboration in teams facilitates sick leave assignments for physicians at primary care health centres. Motivation for RTW might be a factor of importance for the effect of rehabilitation and needs to be studied further.

La présente étude vise à décrire les représentations sociales que des jeunes francophones en santé au Nouveau-Brunswick ont à l’égard du diabète. Cette étude découle d’un partenariat, initié entre l’Université de Moncton et divers organismes et collèges communautaires du Nouveau-Brunswick, qui ont identifié l’importance d’intervenir auprès des jeunes francophones en milieu scolaire pour prévenir le diabète. La théorie des représentations sociales est le cadre théorique utilisé pour décrire la vision que les jeunes ont du diabète, de son origine et des facteurs associés à sa prévention. À notre connaissance, cette étude est la première à examiner le concept du diabète chez des adolescents non atteints de diabète. Hypothèse principale: étant donné que l’expérience que les adolescents ont du diabète est limitée à leur environnement social et qu’ils ont de la difficulté à définir les concepts de santé et de maladie, ils ne seront pas capables de décrire le diabète en profondeur. Pour ce faire, des groupes de discussion, incluant une technique d’association libre, ont été réalisés, entre novembre et décembre 2005, auprès d’adolescents de 5e, 8e et 10e année recrutés dans quatre écoles francophones du Nouveau-Brunswick (Districts 1 et 11). Les réponses des élèves aux groupes de discussion et à l’association libre ont été classées dans des catégories et sous-catégories (analyse de contenu), et des tests de Khi-deux et de «Fisher» ont permis de déterminer les différences entre les sexes et les niveaux scolaires. Cent-trente adolescents (70 filles et 60 garçons) de 5e (n=44), 8e (n=46) et 10e année (n=40) ont participé à 19 groupes de discussion. Lors de l’activité d’association libre, les catégories les plus fréquemment mentionnées étaient : sucre (cité par 66% des participants), traitement (48%), nature du diabète (45%), nutrition (41%), sang (38%), complications (18%), manifestations physiologiques (11%), obésité (6%) et activité physique (6%). Aucune différence significative n’a été observée entre les sexes mais les élèves de 10e année ont cité plus fréquemment les catégories «traitement», «sang» et «obésité». Lors des groupes de discussion, les adolescents ont décrit le diabète comme une maladie (13/19 groupes) reliée au sucre (15/19 groupes) et au sang (13/19 groupes). Cependant, seulement quelques groupes ont discuté en profondeur de la nature du diabète (ex.: rôle de l’insuline et pancréas), des types de diabète (types 1 et 2) et des symptômes et des complications. Ils ont aussi cité ce que les gens atteints de diabète devaient faire pour traiter leur diabète (ex.: manger bien: 18 groupes; se piquer: 17 groupes; prendre des pilules: 5 groupes; et faire de l’activité physique: 5 groupes), mais ils n’ont pas discuté des stratégies à entreprendre pour y arriver. Les représentations de l’origine du diabète incluaient l’hérédité et l’âge (13/19 groupes), l’obésité et l’alimentation (12/19 groupes) et l’activité physique (13/19 groupes). Dans la moitié des groupes, les adolescents ont mentionné se sentir à risque de diabète; les filles plus que les garçons. Treize groupes ont fait référence aux comportements observés chez des diabétiques connus, ce qui démontre l’importance de l’environnement social sur les représentations. Les résultats de cette étude appuient l’hypothèse que les adolescents sont limités dans leur description du diabète en matière de définitions, origines et prévention du diabète. Ces résultats fournissent des pistes de réflexion aux professionnels de la santé pour identifier le contenu et les stratégies que devraient contenir les programmes éducatifs en matière de prévention du diabète chez les jeunes. / The purpose of this study is to describe healthy francophone adolescents’ social representations of diabetes. This study stems from a partnership, initiated between the University of Moncton and various college and community organizations in New Brunswick, which identified the importance of intervening among young francophone students to prevent diabetes. The theory of social representations is the conceptual framework used to describe adolescents’ vision about diabetes, its origin and factors associated with its prevention. To our knowledge, this study is the first to examine the concept of diabetes among adolescents without diabetes. Principal hypothesis: given that the experience adolescents have with diabetes is limited to their social environment and given that they have difficulty in defining the concepts of health and disease, they will not be able to describe diabetes in an in depth fashion. Focus groups, which included an activity using the Free Association technique, were conducted, between November and December 2005, with adolescents in grade 5, 8 and 10, recruited in four francophone schools in New Brunswick (Districts 1 and 11). Students’ responses, obtained during the focus groups and the Free Association activity, were classified into categories and sub-categories (content analysis); Chi-square and Fisher Exact tests were used to determine differences between sex and grade levels. One hundred and thirty adolescents (70 girls and 60 boys) in grade 5 (n=44), 8 (n=46) and 10 (n=40) participated in 19 focus group discussions. During the Free Association activity, the categories most frequently mentioned were: sugar (cited by 66% of participants), treatment (48%), nature of diabetes (45%), nutrition (41%), blood (38%), complications (18%), physiological manifestations (11%), obesity (6%), and physical activity (6%). No significant differences were observed between boys and girls but students in grade 10 were more likely to cite the categories of ‘treatment’, ‘blood’ and ‘obesity’. During the focus group discussions, adolescents described diabetes as a disease (13/19 groups) related to sugar (15/19 groups) and blood (13/19 groups). However, only a few groups discussed, in detail, the nature of diabetes (e.g.: role of insulin and pancreas), the types of diabetes (type 1 and 2), and the symptoms and complications of diabetes. They also cited what individuals with diabetes should do to treat their disease (e.g.: eat well: 18 groups; have injections: 17 groups; take pills: 5 groups; and be physically active: 5 groups), but they did not discuss the strategies to manage these behaviours. Representations of diabetes related to the origin of the disease included heredity and age (13/19 groups), obesity and nutrition (12/19 groups) and physical activity (13/19 groups). In half of the groups, adolescents mentioned feeling at risk for diabetes; girls more likely than boys. Thirteen groups referred to behaviours which they had observed among diabetics they knew, demonstrating the importance of the social environment in their representations. The results of this study support the hypothesis that adolescents are limited in their description of diabetes with respect to its definition, origins and prevention. These results provide direction for health professionals in identifying the content and strategies that should be included in diabetes prevention programs for youth.

<p>The thesis studies one method, focus group discussions, for public participation in the starting of implementing the European Community Water Framework Directive at a catchment level. Focus group discussions can be used as a method for bringing relevant stakeholder-groups into the discussion and evaluation of different possible solutions to problems of managing local waters in order to lower nutrient emissions and stop eutrophication. Of special interest in the study is the participants’ development of collaboration and collaborative learning in the focus groups. Also of interest is their change in attitudes during the focus group process and their will to participate in similar settings. The thesis assesses the results of three questionnaires responded by focus group participants in a study carried out by the Swedish Water Management Research Programme, VASTRA. The participants represent stakeholders in Rönne å catchment in Skåne, and also the results from ten focus group discussions with the same participants.</p>

La présente étude vise à décrire les représentations sociales que des jeunes francophones en santé au Nouveau-Brunswick ont à l’égard du diabète. Cette étude découle d’un partenariat, initié entre l’Université de Moncton et divers organismes et collèges communautaires du Nouveau-Brunswick, qui ont identifié l’importance d’intervenir auprès des jeunes francophones en milieu scolaire pour prévenir le diabète. La théorie des représentations sociales est le cadre théorique utilisé pour décrire la vision que les jeunes ont du diabète, de son origine et des facteurs associés à sa prévention. À notre connaissance, cette étude est la première à examiner le concept du diabète chez des adolescents non atteints de diabète. Hypothèse principale: étant donné que l’expérience que les adolescents ont du diabète est limitée à leur environnement social et qu’ils ont de la difficulté à définir les concepts de santé et de maladie, ils ne seront pas capables de décrire le diabète en profondeur. Pour ce faire, des groupes de discussion, incluant une technique d’association libre, ont été réalisés, entre novembre et décembre 2005, auprès d’adolescents de 5e, 8e et 10e année recrutés dans quatre écoles francophones du Nouveau-Brunswick (Districts 1 et 11). Les réponses des élèves aux groupes de discussion et à l’association libre ont été classées dans des catégories et sous-catégories (analyse de contenu), et des tests de Khi-deux et de «Fisher» ont permis de déterminer les différences entre les sexes et les niveaux scolaires. Cent-trente adolescents (70 filles et 60 garçons) de 5e (n=44), 8e (n=46) et 10e année (n=40) ont participé à 19 groupes de discussion. Lors de l’activité d’association libre, les catégories les plus fréquemment mentionnées étaient : sucre (cité par 66% des participants), traitement (48%), nature du diabète (45%), nutrition (41%), sang (38%), complications (18%), manifestations physiologiques (11%), obésité (6%) et activité physique (6%). Aucune différence significative n’a été observée entre les sexes mais les élèves de 10e année ont cité plus fréquemment les catégories «traitement», «sang» et «obésité». Lors des groupes de discussion, les adolescents ont décrit le diabète comme une maladie (13/19 groupes) reliée au sucre (15/19 groupes) et au sang (13/19 groupes). Cependant, seulement quelques groupes ont discuté en profondeur de la nature du diabète (ex.: rôle de l’insuline et pancréas), des types de diabète (types 1 et 2) et des symptômes et des complications. Ils ont aussi cité ce que les gens atteints de diabète devaient faire pour traiter leur diabète (ex.: manger bien: 18 groupes; se piquer: 17 groupes; prendre des pilules: 5 groupes; et faire de l’activité physique: 5 groupes), mais ils n’ont pas discuté des stratégies à entreprendre pour y arriver. Les représentations de l’origine du diabète incluaient l’hérédité et l’âge (13/19 groupes), l’obésité et l’alimentation (12/19 groupes) et l’activité physique (13/19 groupes). Dans la moitié des groupes, les adolescents ont mentionné se sentir à risque de diabète; les filles plus que les garçons. Treize groupes ont fait référence aux comportements observés chez des diabétiques connus, ce qui démontre l’importance de l’environnement social sur les représentations. Les résultats de cette étude appuient l’hypothèse que les adolescents sont limités dans leur description du diabète en matière de définitions, origines et prévention du diabète. Ces résultats fournissent des pistes de réflexion aux professionnels de la santé pour identifier le contenu et les stratégies que devraient contenir les programmes éducatifs en matière de prévention du diabète chez les jeunes. / The purpose of this study is to describe healthy francophone adolescents’ social representations of diabetes. This study stems from a partnership, initiated between the University of Moncton and various college and community organizations in New Brunswick, which identified the importance of intervening among young francophone students to prevent diabetes. The theory of social representations is the conceptual framework used to describe adolescents’ vision about diabetes, its origin and factors associated with its prevention. To our knowledge, this study is the first to examine the concept of diabetes among adolescents without diabetes. Principal hypothesis: given that the experience adolescents have with diabetes is limited to their social environment and given that they have difficulty in defining the concepts of health and disease, they will not be able to describe diabetes in an in depth fashion. Focus groups, which included an activity using the Free Association technique, were conducted, between November and December 2005, with adolescents in grade 5, 8 and 10, recruited in four francophone schools in New Brunswick (Districts 1 and 11). Students’ responses, obtained during the focus groups and the Free Association activity, were classified into categories and sub-categories (content analysis); Chi-square and Fisher Exact tests were used to determine differences between sex and grade levels. One hundred and thirty adolescents (70 girls and 60 boys) in grade 5 (n=44), 8 (n=46) and 10 (n=40) participated in 19 focus group discussions. During the Free Association activity, the categories most frequently mentioned were: sugar (cited by 66% of participants), treatment (48%), nature of diabetes (45%), nutrition (41%), blood (38%), complications (18%), physiological manifestations (11%), obesity (6%), and physical activity (6%). No significant differences were observed between boys and girls but students in grade 10 were more likely to cite the categories of ‘treatment’, ‘blood’ and ‘obesity’. During the focus group discussions, adolescents described diabetes as a disease (13/19 groups) related to sugar (15/19 groups) and blood (13/19 groups). However, only a few groups discussed, in detail, the nature of diabetes (e.g.: role of insulin and pancreas), the types of diabetes (type 1 and 2), and the symptoms and complications of diabetes. They also cited what individuals with diabetes should do to treat their disease (e.g.: eat well: 18 groups; have injections: 17 groups; take pills: 5 groups; and be physically active: 5 groups), but they did not discuss the strategies to manage these behaviours. Representations of diabetes related to the origin of the disease included heredity and age (13/19 groups), obesity and nutrition (12/19 groups) and physical activity (13/19 groups). In half of the groups, adolescents mentioned feeling at risk for diabetes; girls more likely than boys. Thirteen groups referred to behaviours which they had observed among diabetics they knew, demonstrating the importance of the social environment in their representations. The results of this study support the hypothesis that adolescents are limited in their description of diabetes with respect to its definition, origins and prevention. These results provide direction for health professionals in identifying the content and strategies that should be included in diabetes prevention programs for youth.

The thesis studies one method, focus group discussions, for public participation in the starting of implementing the European Community Water Framework Directive at a catchment level. Focus group discussions can be used as a method for bringing relevant stakeholder-groups into the discussion and evaluation of different possible solutions to problems of managing local waters in order to lower nutrient emissions and stop eutrophication. Of special interest in the study is the participants’ development of collaboration and collaborative learning in the focus groups. Also of interest is their change in attitudes during the focus group process and their will to participate in similar settings. The thesis assesses the results of three questionnaires responded by focus group participants in a study carried out by the Swedish Water Management Research Programme, VASTRA. The participants represent stakeholders in Rönne å catchment in Skåne, and also the results from ten focus group discussions with the same participants.

Im Zuge der rasanten Verbreitung von Mikrokrediten und Mikrosparprodukten werden seit etwa einem Jahrzehnt auch Mikroversicherungen an einkommensschwache Haushalte in Entwicklungsländern verkauft. Sie stellen für diese Haushalte eine Möglichkeit dar, mit den Folgen von Risiken besser umzugehen und somit ihren Wohlstand zu steigern. Diese Arbeit verwendet quantitative und qualitative Analysemethoden – basierend auf eigenen Haushaltsumfragen und Fokusgruppendiskussionen –, um die Aufnahmebedingungen von Mikroversicherung in Ghana zu untersuchen. Die Ergebnisse zeigen erstens, dass über Standarddeterminanten der Versicherungsnachfrage hinaus Faktoren informeller Vertrauensbildung und die subjektive Risikoeinschätzung eine entscheidende Rolle spielen. Dies begründet sich in bestehenden Informationsasymmetrien und einer geringen Erfahrung mit dem Versicherungsprodukt und dem Versicherer. Ferner steht die Nutzung von Mikrolebensversicherung in einer sich verstärkenden Beziehung zu der Nutzung anderer formaler Finanzdienstleistungen. Zweitens wird deutlich, dass der Wert (Client Value), den die Zielgruppe in Mikroversicherung sieht, nicht allein auf Kosten- und Nutzenerwägungen basiert. Vielmehr spielen auch emotionale- und soziale Aspekte eine Rolle. Der Kundenwert wird dabei von Faktoren wie (geringen) Finanz- und Versicherungskenntnissen, der Beeinflussung durch die soziale Gruppe und dem Vergleich mit alternativen Risikomanagementstrategien beeinflusst. Drittens bestehen genderspezifische Muster in der Aufnahme von Mikrolebensversicherung, die mit dem Haushaltstyp und regional unterschiedlichen soziokulturellen Bedingungen zusammenhängen. Die Ergebnisse weisen darauf hin, dass Präferenzen bezüglich Lebensversicherung innerhalb von Haushalten variieren und die Wahrscheinlichkeit eines Versicherungskaufs mit wachsender Verhandlungsstärke der Frau zunimmt. Die Ergebnisse legen nahe, dass Frauen eine besonders wichtige Zielgruppe für Mikrolebensversicherungen sind. / Microinsurance has been the third financial service – following microcredit and microsavings - to enter emerging financial markets in the developing world. It is widely regarded as a promising innovation that could provide high welfare gains, given that low-income people often lack efficient strategies to manage and cope with risks. This thesis applies quantitative econometric and qualitative methods – based on own household and individual survey data and focus group discussions – to investigate participation patterns and perceived value in micro life insurance in Ghana. The results of this thesis show that household, first, uptake of micro life insurance does not entirely follow the predictions made by standard insurance theories. Informal trust-building mechanisms and subjective risk perceptions turn out to play an important role in the context of information asymmetries and limited experience with formal insurance. Furthermore, there is a mutually reinforcing relationship between micro life insurance and other formal financial services available in the rural and semi-urban study areas in Ghana. Second, the perceived value of microinsurance consists not only of the expected or experienced benefits and costs, but also of quality, emotional and social dimensions. Perceptions of high or low value are driven by large discrepancies between expectations and experiences, clients’ knowledge about insurance, their interaction with peers, and the availability and effectiveness of alternative risk management options. Third, there are gender-specific patterns of market participation between and within households that are intertwined with the household type and regionally varying sociocultural conditions. Spousal preferences on insurance differ and women with a higher bargaining power are more likely to purchase insurance on their own. The results suggest that women are an important target group for the provision of micro life insurance.