Li Shuk-wan. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (leaves 196-203). / Abstracts in English and Chinese. / ABSTRACT --- p.I / 摘要 --- p.II / ACKNOWLEDGEMENTS --- p.III / Chapter CHAPTER 1. --- INTRODUCTION --- p.1 / Statement of Goals --- p.1 / The Feminization of The Occupation --- p.4 / Setting： The Development of Gender Rights in Hong Kong --- p.10 / Literature Review --- p.11 / Methodology --- p.20 / Field Observation --- p.23 / About Skyhawk Air --- p.24 / Questionnaires with the General Public --- p.25 / Media Data --- p.25 / Field and Thesis Languages --- p.26 / Ethical Issues --- p.26 / Outline of Thesis --- p.27 / Chapter CHAPTER 2. --- "NEGOTIATING ""HUNGJE"" STEREOTYPES IN PUBLIC DISCOURSE" --- p.30 / "Discourse, Ideologies, and the Normalized Public" --- p.30 / Images of Hungje in the Media： The Public/Private Dichotomy --- p.33 / Kind and Caring Mothers --- p.35 / Friendly Neighbors --- p.37 / Agents of Smile --- p.38 / Beauty Icon --- p.41 / Sex Icon --- p.44 / Stereotypical Images of Hungje in Public Discourse --- p.47 / FAs' Responses to Stereotypical Images in Public Discourse --- p.49 / """Hungje and the Public/Private Dichotomy" --- p.50 / """I am a Flight Attendant"" and ""I Work in the Airline Industry """ --- p.52 / Chapter CHAPTER 3. --- RECRUITING THE RELEVANT BODY --- p.62 / Experiences of Recruitment --- p.62 / """To See and To Be Seen""" --- p.66 / Phoenix Air Recruitment --- p.68 / The Face --- p.68 / "A ""“Pro ´ح Dress Code" --- p.70 / The Arm-Reach --- p.71 / "The ""Official"" FA Image" --- p.72 / Tiger Air Recruitment --- p.73 / The Arm-Reach --- p.73 / The Standing Posture --- p.73 / The FA Image --- p.74 / The Sitting Posture --- p.75 / "The ""Official"" FA Image" --- p.76 / The Skin --- p.77 / The Hairstyle --- p.78 / Body Gestures --- p.79 / Pre-Employment Briefing --- p.81 / Conclusion --- p.82 / Chapter CHAPTER 4. --- CREATING AN APPROPRIATE MARKETABLE IMAGE --- p.84 / The Training Course --- p.85 / Image Management at Work --- p.87 / Behavioral Management --- p.88 / Emotional Management --- p.91 / "Teaching the Essence of ""“Heart""" --- p.92 / Quality Control on Workers' Smiles --- p.95 / Smile War: Keeping Smiles in Difficult Times --- p.97 / Body Image Management --- p.103 / Practicing Sexually-Dichotomized Gender Images --- p.104 / Interacting with the Make-up and Dress Codes --- p.111 / Chapter CHAPTER 5. --- BODY IN SERVICE: INTERACTING WITH CO-WORKERS --- p.123 / Ethnography of FAs' Work Life --- p.123 / Going to Work and Meeting the Public --- p.124 / Pre-Flight Work --- p.126 / Pseudo-Kin System --- p.127 / Pre-Flight Briefing --- p.129 / Leaving for the Ramp and Ground Preparation --- p.130 / Welcome On Board --- p.131 / Rush Hours --- p.132 / Body Contact in the Galley --- p.132 / Other In-Flight Work and FAs' Rest Time --- p.133 / Landing --- p.134 / Interacting with Co-workers --- p.134 / Expected Gender Roles --- p.135 / Embodying the Socialized Gender Responsibilities --- p.144 / Chapter CHAPTER 6. --- EMBODYING GENDER AND ETHNICITY: INTERACTING WITH PASSENGERS --- p.149 / Teaching the Relationship with Passengers --- p.149 / Maintaining a Physical Distance from Passengers --- p.151 / In-Flight Violence --- p.153 / Sexual Harassment --- p.159 / Verbal Harassment --- p.160 / Optical Harassment --- p.160 / Physical Harassment --- p.161 / In-Flight Courtship --- p.164 / Chapter CHAPTER 7. --- CONCLUSION --- p.172 / between work and family： individuality vs. motherhood --- p.176 / "Changing Attitude Towards The Conventional ""“Mother"" Role " --- p.180 / "The ""Traditional"" Gender Concepts " --- p.182 / "Gender Politics Between ""Traditional"" and ""New"" Concepts " --- p.186 / The Future of Gender Relations in Hong Kong --- p.189 / APPENDIX 1. INTERVIEW PROTOCOL FOR FLIGHT ATTENDANTS --- p.191 / APPENDIX 2. QUESTIONNAIRE FOR THE HONG KONG CHINESE PUBLIC --- p.194 / APPENDIX 3. QUESTIONNAIRE FOR THE HONG KONG CHINESE PUBLIC (ENGLISH TRANSLATION) --- p.195 / REFERENCE CITED --- p.196

The purpose of this study was to identify the need for a training programme and to develop the training programme to meet the needs of traditional birth attendants in the management of pregnancy, labour and puerperium. The study was conducted in the Flagstaff district which is one of the districts of the north eastern region (region E) of the Eastern Cape. The target group consisted of all the traditional birth attendants who availed themselves at the residential clinics of Flagstaff district and the number is not known as not all traditional birth attendants who presented themselves are recognized by their communities as traditional birth attendants. The study was a quantitative descriptive design and the data was collected by means of structured interviews using a questionnaire that was designed by the researcher. According to the findings the traditional birth attendants are functioning without being formally trained before. They lack knowledge and skill in the management of pregnancy, labour and puerperium. Some of their practices are reason for concern, for example cephalic versions and not using protective devices. There is a need for the development of the training programme in the Flagstaff district. This programme was developed from the information obtained from the data-analysis and is given as annexure F / Health Sciences / M.A. (Advanced Nursing Sciences)

Maternal mortality is a global health concern but inequalities in utilization of maternal health care are not clearly understood. Severe morbidity (near-miss) is receiving increased attention due to methodological difficulties in maternal mortality studies. The present thesis seeks to increase understanding of factors that impede utilization of emergency obstetric care (EmOC) in Bolivia and Guatemala. Studies I and IV employed qualitative interviews to explore the role of traditional birth attendants (TBAs) and the care-seeking behaviour of women who arrived at hospital with a near-miss complication. Studies II–III documented maternal mortality and near-miss morbidity at the hospital level and investigated the influence of socio-demographic factors and antenatal care (ANC) on near-miss upon arrival. The studies identified unfamiliarity with EmOC among TBAs and a lack of collaboration with formal care providers. A perception of being dissociated from the health care system and a mistrust of health care providers was common among near-miss women from disadvantaged social backgrounds. In the Bolivian setting, 187 maternal deaths per 100,000 live births and 50 cases of near-miss per 1000 were recorded. Causes of near-miss differed from those of maternal deaths. Most women with near-miss arrived at hospital in critical condition: severe preeclampsia, complications after childbirth at home and abortions were mostly encountered among them. Lack of ANC, low education, and rural residence were interactively associated with near-miss. ANC reduced socio-demographic differentials for near-miss. Complementing maternal mortality reviews with data on near-miss morbidity increases the understanding of priority needs and quality of maternal health care. Additionally, focusing on near-miss upon arrival was found useful in exploring pre-hospital barriers to EmOC. The findings identified subgroups of women who seemed especially vulnerable to pre-hospital barriers. They also underscored the need for initiatives to reduce the effect of social marginalization and to acknowledge the influential role of formal and informal care providers on the utilization of EmOC. / La mortalidad materna es un tema de inquietud global, sin embargo la comprensión de las desigualdades en la utilización de los servicios de salud materna es limitada. La morbilidad obstétrica severa (near-miss) está recibiendo creciente atención, producto de problemas metodológicos en los estudios de mortalidad materna. El objetivo de la presente tesis es aumentar la comprensión de factores que impiden la utilización de la atención obstétrica de emergencia en Bolivia y Guatemala. Los estudios I y IV usaron metodologías cualitativas en un esfuerzo por explorar el rol de las parteras tradicionales y las estrategias de las mujeres que arriban a los hospitales con una morbilidad obstétrica severa. Los estudios II–III documentaron la mortalidad materna y la morbilidad obstétrica severa en el marco hospitalario e investigaron el impacto de los factores socio-demográficos y el control prenatal en la llegada a los establecimientos de salud con complicaciones severas. Los estudios identificaron la falta de familiaridad con atención obstétrica de emergencia entre las parteras tradicionales y la falta de cooperación con los profesionales de salud formales. La sensación de estar distanciadas del sistema de salud y la desconfianza hacia los profesionales de la salud eran aspectos comunes entre las mujeres de sectores marginales con experiencias de complicaciones severas. En el contexto boliviano, 187 muertes maternas por cada 100,000 nacidos vivos y 50 casos de morbilidad obstétrica severa por cada 1000 fueron registradas. Las causas de la morbilidad obstétrica severa y las muertes maternas se distinguieron. La major parte de las mujeres con morbilidad obstétrica severa llegaron al hospital en condiciones críticas: preeclampsia severa, complicaciones después de partos domiciliarios y abortos eran causas más frecuentes en esta categoría. Combinaciones del bajo nivel de educación con la falta de controles prenatales o la residencia en zonas rurales fueron asociadas con la morbilidad obstétrica severa. El control prenatal redujo diferencias socio-demográficas en lo concerniente a la morbilidad obstétrica severa. La complementación de estudios de mortalidad materna con datos sobre morbilidad obstétrica severa aumenta la comprensión de las prioridades y de la calidad en la atención de la salud materna. Además, centrándose en la morbilidad obstétrica severa a la llegada al establicimiento de salud, ha sido útil para investigar las barreras pre-hospitalarias en relación a la atención de emergencia obstétrica. Los resultados permiten identificar categorías específicas de mujeres que parecen ser especialmente vulnerables a las barreras pre-hospitalarias. Los resultados, también subrayan la necesidad de iniciativas que reduzcan los efectos de la marginalización social, y que reconozcan el importante rol que tanto el personal de salud formal como informal cumplen en la utilización de los servicios de atención obstétrica de emergencia.

Haiti's political and economy history has led to a maternity care system that lies out of reach, geographically and financially, of most Haitians, resulting in excessively high maternal and infant mortality. The most common birth practitioners are homebirth midwives (matwòns), who attend roughly three-fourths of all births in Haiti (UNICEF), often without the benefit of emergency obstetric services. In this ethnographic study, I examine how matwòns experience caring for mothers and babies in extraordinarily low-resource and high-risk settings. This qualitative research employed a critical approach and feminist research methodologies. In in-depth interviews I asked participants to describe the challenges they find in their work. Then, in an innovative style of group meeting called Open Space, matwòns reflected on those challenges collectively, with an aim to ameliorate their current situations. Data analysis utilized a modified grounded theory approach, which allowed the matwòns' own narratives to determine the categories of analysis. Emergent themes resulting from this analysis revealed four main challenges in the work of matwòns, as well as matwòns' own strategies to mitigate those challenges. The four broad challenges, which include physical risks, social/spiritual threats, a lack of livelihood, and an obligation to practice, are experienced either as episodic hazards or chronic stressors. Matwòns' personal mitigation strategies centered on two broad approaches, providing protection, and offering service. However, the Open Space meeting created an opportunity for matwòns to strategize collective mitigation efforts through professional organization. Based on these findings, I argue that a more nuanced understanding of matwòns' experiences reveals their adaptive skills, which, in part, resemble Davis Floyd's (2007) notion of a postmodern midwife, and offers opportunities for mutual accommodation (Jordan 1997[1978]). Recommendations include support and advocacy for the self-organization of Haitian matwòns, as well as their greater inclusion in efforts to improve maternal and infant health outcomes in post-earthquake Haiti. / Graduation date: 2013

This project analyzes the sexual and gender politics of flight attendants, especially the men who did this work, since the 1930s. It traces how and why the flight attendant corps became the nearly exclusive domain of white women by the 1950s, then considers the various legal battles under the 1964 Civil Rights Act to re-integrate men into the workforce, open up greater opportunities for African-Americans, and liberate women from onerous age and marriage restrictions that cut short their careers. While other scholars have emphasized flight attendants' contributions in battling sexism in the courts, this project is unique in expanding such consideration to homosexuality. Male flight attendants' status as gender pariahs in the workforce (as men performing "women's work")--combined with the fact that many of them were gay--made them objects of "homosexual panic" in the 1950s, both in legal proceedings and in various forms of extra-legal intimidation. A decade later, aspirant flight attendants were participants in some of the first cases brought by men under Title VII of the Civil Rights Act. Their victories in the courts greatly benefited the gay community, among others, which thereby enjoyed greater freedom to enter a highly visible, public-relationsoriented corporate career. As such, my project helps to recast the legal legacy of the civil rights movement as a three-pronged reform, confronting homophobia as well as racism and sexism. Beyond legal considerations, Manhood Up in the Air also examines how both labor unions and the airlines negotiated a legal environment and public sentiment that largely condoned firing homosexuals, while nonetheless accommodating gay employees. This form of accommodation existed in the 1950s, though much more precariously than in the post-Stonewall decade of the 1970s. Thus, the project records the pre-history to the current reality, in which both corporations (with airlines at the forefront) and labor unions have become core supporters of the contemporary gay rights movement. / text

In Uganda, there are an estimated 200,000 women suffering from obstetric fistula, with 1,900 new cases expected annually. These figures, combined with a persistently high maternal mortality rate, have led to an international discourse that claims the solution to improving maternal health outcomes is facility-based delivery with a skilled birth attendant. In accord with this discourse, the Ugandan government criminalized traditional birth attendants in 2010. In this study, I examine the lived experience of traditional birth attendants and women who have suffered from an obstetric fistula in eastern Uganda. Using data collected from open-ended, semi-structured interviews, focus groups, and participant-observation, I describe the biocultural determinants of obstetric fistula. Based on findings, I argue that although emergency obstetric care is critical to prevent obstetric fistula in cases of obstructed labor, the criminalization of the locally constructed system of care, TBAs, serves as yet another layer of structural violence in the lives of rural, poor women. Results demonstrate how political-economic and cultural determinants of obstetric fistula are minimized in favor of a Western prescribed, bio-medical solution, which is heavily resource dependent. This solution is promoted through a political economy of hope fueled by the obstetric imaginary, or the enthusiastic belief in Western-style biomedical obstetric care’s ability to deliver positive health outcomes for women and infants regardless of local context and constraints. Recommendations include increased obstetric fistula treatment facilities with improved communication from medical staff, decriminalization of traditional birth attendants and renewed training programs, and engaging local populations in maternal health discourse to ensure culturally competent programs. / Graduation date: 2013

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