This thesis examines the local waterscapes of two smallholder irrigation farming systems in the dry lands of East African in a context of socio-ecological changes. It focuses on three aspects: institutional arrangements, gender relations and landscape investments.  This thesis is based on a reflexive analysis of cross-cultural, cross-language research, particularly focusing on the role of field assistants and interpreters, and on member checking as a method to ensure validity. Flexible irrigation infrastructure in Sibou, Kenya, and Engaruka, Tanzania, allow farmers to shift the course of water and to extend or reduce the area cultivated depending on seasonal rainfall patterns. Water conflicts are avoided through a decentralized common property management system. Water rights are continuously renegotiated depending on water supply. Water is seen as a common good the management of which is guided by mutual understanding to prevent conflicts through participation and shared information about water rights. However, participation in water management is a privilege that is endowed mostly to men. Strict patriarchal norms regulate control over water and practically exclude women from irrigation management. The control over water usage for productive means is a manifestation of masculinity. The same gender bias has emerged in recent decades as men have increased their engagement in agriculture by cultivating crops for sale. Women, because of their subordinated position, cannot take advantage of the recent livelihood diversification. Rather, the cultivation of horticultural products for sale has increased the workload for women who already farm most food crops for family consumption. In addition, they now have to weed and harvest the commercial crops that their husbands sell for profit. This agricultural gender divide is mirrored in men´s and women´s response to increased climate variability. Women intercrop as a risk adverting strategy, while men sow more rounds of crops for sale when the rain allows for it. Additionally, while discursively underestimated by men, women´s assistance is materially fundamental to maintaining of the irrigation infrastructure and to ensuring the soil fertility that makes the cultivation of crops for sale possible. In sum, this thesis highlights the adaptation potentials of contemporary smallholder irrigation systems through local common property regimes that, while not inclusive towards women, avoid conflicts generated by shifting water supply and increased climate variability. To be able to assess the success and viability of irrigation systems, research must be carried out at a local level. By studying how local water management works, how conflicts are adverted through common property regimes and how these systems adapt to socio-ecological changes, this thesis provides insights that are important both for the planning of current irrigation schemes and the rehabilitation or the extension of older systems. By investigating the factors behind the consistent marginalization of women from water management and their subordinated role in agricultural production, this study also cautions against the reproduction of these discriminatory norms in the planning of irrigation projects. / <p>At the time of the doctoral defense, the following paper was unpublished and had a status as follows: Paper 4: Manuscript.</p><p> </p>

This thesis argues that truth-telling in high level (nursing home) aged care is a undamentally important aspect of care that ought to reside equally alongside instrumental care. The health of the resident in a nursing home, as with individuals in other care contexts, is directly linked to care provision that allows the resident to be self determining about their care and thus allows them to make reasonable choices and decisions. This qualitative study explores the meaning of truth-telling in the care providerresident dyad in high level (nursing home) aged care. Grounded within the epistemology of social constructionism and the theoretical stance of symbolic interactionism, this study relied on oral and written text from care providers (personal care assistants and registered nurses) and residents. Thematic analysis of data relied on practices within grounded theory to determine their understanding and the conditions and consequences of their understanding about truth-telling in the nursing home. Through an understanding of the relationship-role-residency trinity, truth-telling in high level (nursing home) care comes to be understood. It has been determined that the link between truth-telling and the nature of the care provider-resident (and residents' families) relationship is that both personal carers and nurses in this study premise their understanding of truth disclosure on knowing a resident's (and resident's family's) capacity for coping with the truth and therefore catering for the resident's or family's best interests. The breadth and depth of this knowing and how the relationship is perceived and described determine what care providers will or will not tell. That is, the perceptions both personal carers and nurses have about the relationship - how they describe themselves as 'family like', 'friend' and 'stranger', has implications for the way disclosure operates and is described. Additionally, how care providers perceive and understand their role determines what care providers will or will not tell. That is, the perceptions both carers and nurses have about their own and each other's role - how they describe themselves for example as 'hands-on' carer and 'happy good nurse' has implications for the way disclosure operates and is described. Furthermore, care providers' meaning and understanding of truth-telling in aged care is not possible in the absence of an appreciation of how the care providers give meaning to and come to understand the care circumstance - residency, the aged care facility, the nursing home. That is, the perceptions both personal carers and nurses have about the aged care facility - how they describe residency as 'Home away from Home' (and what this means), as a place of little time and a plethora of situations have implications for the operation of truth-telling as a whole. Recommendations from the study include the implementation of a telling audit to better serve the truth-telling preferences of residents and the reorientation of care practices to emphasise affective care (talk rather than tasks). Furthermore, it is recommended that changes occur to the care provider roles, that care providers define themselves as facilitators rather than protectors, and education be ongoing to improve communication with and care of residents with dementia and those dying. Finally, the language of residency as 'home' needs to capture an alternate philosophy and attendant practices for improved open communication.