Den här studien belyser hur fritidslärare definierar, uppfattar och arbetar med utomhuspedagogik. Vi upplever en viss otydlighet vad gäller utomhuspedagogiken - handlar det om styrda eller ostyrda aktiviteter eller kanske både ock? Syftet med studien är att nå en förståelse för hur fritidslärare arbetar med utomhuspedagogik och därigenom synliggöra deras uppfattningar om lärandet både vad gäller styrd och ostyrd verksamhet ute. Vi har intervjuat sex fritidslärare. Studiens resultat visar att fritidslärarna har liknande arbetsmetoder och definitioner av utomhuspedagogik. Detta tror vi beror på att de alla gått samma utbildning på universitet, vid olika år, och ett kollegialt samarbete där samma metoder används. Fritidslärarnas uppfattningar är att både i de styrda och ostyrda aktiviteterna utomhus finns ett lärande. I de styrda aktiviteterna finns planerade mål med verksamheten som eleverna ska uppnå medans de ostyrda aktiviteterna ger måluppfyllelse och utveckling utan att det är planerat. Genom den oplanerade utomhusvistelsen gäller det att fritidslärare fångar upp de tillfällen som ges till lärande utan att detta planerats i förväg. / This study illustrates how teachers define, perceive and work with outdoor education. We are experiencing some uncertainty regarding outdoor education - is it about planned or unplanned activities or a combination of both? The purpose of the study is to clarify the understanding of how teachers work with outdoor education and thereby visualize there opinion about learning by planned or unplanned activities. We have interviewed six teachers. The study's results show that teachers have similar working methods and definitions of outdoor education. This we believe is due to the fact that they all have had the same education at universities, at different years, and collegial cooperation using the same methods. Teachers' perceptions are that both planned and unplanned outdoor activities are positive for learning. In the planned activities there are certained goals wich the students will achieve while the unplanned activities also provide goal fulfillment and development although not being planned. Through the unplanned outdoor activity, it is important that the teachers capture the upcoming opportunities and guide the student without this being planned in advance.

Made available in DSpace on 2015-05-14T13:16:21Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 2344571 bytes, checksum: a34cac467b290bb43b44cd146c6b32a7 (MD5) Previous issue date: 2013-03-07 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Questões socioculturais e econômicas aumentam a vulnerabilidade dos jovens à infecção pelas DSTs/HIV e ao risco de uma gravidez não planejada, devendo ser abordados nas estratégias de prevenção, tendo em vista que a educação se desenvolve em espaços formais e não formais desde que haja interação entre as pessoas e saberes. Partindo destes pressupostos, este estudo está fundamentado na teoria da Vulnerabilidade e na teoria do Comportamento Planejado, tendo como objetivo elaborar e verificar os efeitos da aplicação de uma estratégia de intervenção psicoeducativa para a prevenção das DSTs e gravidez não planejada para adolescentes jovens, enfocando de modo abrangente e integrado os aspectos da vulnerabilidade individual, social e programático. Trata-se de um estudo com delineamento quase-experimental com grupo de controle, que se divide em 03 estudos: (1) Construção e Validação de um instrumento de avaliação da percepção de vulnerabilidade adolescente jovem para uso no pré e pós-teste. (2) Construção de uma estratégia de intervenção psicoeducativa. (3) Aplicação e avaliação da intervenção psicoeducativa. A população do estudo é constituída por jovens de 14 a 24 anos, matriculados em escolas públicas e privada de ensino médio da cidade de João Pessoa. Para o primeiro estudo, a amostra foi constituída por 432 estudantes, no qual foi aplicada a escala de Percepção frente à Vulnerabilidade. A escala foi construída através das bases teóricas da teoria da Vulnerabilidade e os seus itens foram delineados a partir de estudo anterior. A partir da Análise Fatorial dos Componentes Principais e o alpha de Crombach, obteve-se um instrumento com 29 itens, dividido em três fatores de vulnerabilidade individual, social e programático -, confirmando os pressupostos teóricos e evidencias empíricas. No segundo estudo foi construída uma intervenção psicoeducativa nos moldes de oficinas, com base na Teoria da Vulnerabilidade e Teoria do comportamento Planejado. A intervenção resultou em três encontros em dias consecutivos no qual foram discutidas a iniciação sexual, as ideologias de gênero, negociação e uso do preservativo, DST e gravidez, crenças e normas sociais. Para análise dos resultados foram gravados os 15 minutos finais de cada dia, no qual foi discutida a percepção dos participantes sobre a intervenção, transcritos e analisados por categorização temática. Os dados demonstraram sua adequação ao publico alvo. O terceiro estudo ocorreu em quatro instituições escolares pública e privada, onde foram formados randomicamente dois grupos (experimental e controle), compostos em média por 10 alunos, equiparados em relação a sexo. Após a aplicação do pré-teste, o grupo experimental participou da oficina psicoeducativa, enquanto para o grupo controle foram realizadas palestras informativas. Os debates realizados no grupo experimental foram gravados (autorização dos participantes). Passados 4 meses da intervenção, foi aplicado o pós-teste, cuja eficácia foi verificada através do test t para amostras emparelhadas. Para os dados qualitativos referentes aos relatos dos participantes durante o processo de Intervenção Psicoeducativa, foi utilizada Análise Categorial Temática. Os resultados provenientes do grupo experimental e controle demonstraram que a intervenção psicoeducativa se mostrou eficaz na mudança da percepção de vulnerabilidade individual (p<0,05), decréscimo no primeiro e aumento no segundo grupo. No que tange os dados qualitativos emergiram quatro Classes Temáticas: Vulnerabilidade Social (Crenças Normativas); Vulnerabilidade Programática (Acesso ao Insumo); Vulnerabilidade Individual (Uso do Preservativo, Crenças de Gênero e Informação); e Ressignificação após Intervenção (Autopercepção e Autocuidado). Conclui-se, portanto, que a presente pesquisa alcançou o objetivo proposto, demonstrando a necessidade de intervenções que priorize as relações intersubjetivas, o que possibilita a construção de sujeito-cidadão.

Introdução: A anticoncepção de emergência é um método contraceptivo usado após a relação sexual desprotegida. Apesar da sua alta eficácia e de estar disponível gratuitamente na rede pública de saúde, ainda é subutilizada. Objetivo: Identificar as razões e analisar os determinantes do não uso da anticoncepção de emergência quando indicada. Método: Estudo quantitativo, do tipo transversal, realizado com amostra probabilística de mulheres grávidas usuárias de 12 Unidades Básicas de Saúde da Supervisão Técnica de Saúde do Butantã, São Paulo (n=515), entre março e junho de 2013. O não uso da anticoncepção de emergência quando indicada foi considerado quando as mulheres eram classificadas como tendo gravidez não planejada ou ambivalente segundo o London Measure of Unplanned Pregnancy (n=366). No Stata 12.0, os dados foram analisados por meio de regressão logística multinomial. O grupo de mulheres que usou a anticoncepção de emergência para prevenir a gravidez em curso foi comparado com dois grupos: o de mulheres que estava usando algum método contraceptivo, mas não anticoncepção de emergência no mês em que ficou grávida, e o grupo de mulheres que não usou métodos contraceptivos nem anticoncepção de emergência nesse período. Resultados: Apesar da maioria conhecer a anticoncepção de emergência (96,7%), apenas 9,8% a usou para prevenir a gravidez em curso. A principal razão para o não uso foi pensar que não iria engravidar (47,6%). Outras razões, como querer engravidar/ter um filho no futuro e não pensar ou não se lembrar do método também foram amplamente referidas pelas mulheres. Os determinantes do não uso da anticoncepção de emergência para as mulheres que usavam métodos contraceptivos foram a não consciência do risco de engravidar [OR=3,44; IC95%: 1,48-8,03] e morar com o parceiro [OR=3,23; IC95%: 1,43-7,28]. Para aquelas que não usavam métodos contraceptivos, morar com o parceiro [OR= 3,19; IC95%: 1,40-7,27], gravidez ambivalente [OR: 3,40; IC95%: 1,56-8,54] e o não uso prévio do método [OR=3,52; IC95%: 1,38-8,97] foram associados ao não uso da anticoncepção de emergência. Conclusões: Viver com um parceiro pode fazer com que a mulher se sinta menos preocupada em evitar uma gravidez, ou seja, menos propensa a usar a anticoncepção de emergência. De toda forma, reconhecer as situações em que corre o risco de engravidar, saber por experiência própria como obter e usar o método e ter claras intenções reprodutivas podem aumentar o uso da anticoncepção de emergência quanto indicada / Introduction: Emergency contraception is a contraceptive method to be used after unprotected intercourse. Despite its high efficacy, availability both at primary health care and private pharmacies in Brazil, it is still underutilized. Objective: To identify the reasons and analyze the determinants of emergency contraception non-use when indicated. Method: Cross-sectional, quantitative study conducted with a probabilistic sample of pregnant women from 12 Primary Health Facilities at the Health Supervision of Butantã, São Paulo, Brazil (n=515), from March to June 2013. We considered an emergency contraception non-use when indicated women who were either in an unplanned or ambivalent pregnancy according to the London Measure of Unplanned Pregnancy (n=366). In Stata 12.0, we used multinomial logistic regression to analyze the data. Women who used the method to prevent the current pregnancy were the reference and were compared to two groups of women: those who did not use emergency contraception, but used another method; and those who used no method at all. Results: Although there was a high proportion of emergency contraception awareness (96.7%), only 9.8 % used it to prevent the current pregnancy. The main reason for non-use was believing that she would not become pregnant (47.6%); but wanting to become pregnant in the future and not remembering to use the method were also largely reported. Associated aspects to emergency contraception non-use among women who used a method were not being aware of pregnancy risk [OR=3,44; IC95%: 1,48-8,03] and cohabitation with a partner [OR=3,23; IC95%: 1,43-7,28]. Among women that did not use any contraception, cohabitation with a partner [OR= 3,19; IC95%: 1,40-7,27], ambivalent pregnancy [OR: 3,40; IC95%: 1,56-8,54] and no previous use of emergency contraception [OR=3,52; IC95%: 1,38-8,97] were associated with the method non-use. Conclusions: Living with a partner can make a woman feel less concerned about preventing a pregnancy, which means, less likely to use emergency contraception. Eventually, having skills to recognize pregnancy risk situations, having experience on how to use and when to obtain the pill and a clear pregnancy intention can increase the use of emergency contraception when indicated

A gestação, o parto e o puerpério são saberes especiais no universo da mulher, do parceiro, da família e de sua comunidade. A gestação pode gerar diversos sentimentos, tais como: o de surpresa, o de castigo, o de prêmio, o de motivação para continuar a viver, o de realização de um projeto antigo, o de competição em família, o de problema, o de estorvo, o de descuido ou de irresponsabilidade. Confirmada a gravidez, a mulher, o parceiro e os familiares podem vivenciar diferentes reações diante dessa novidade. A reação inicial depende do desejo e planejamento da gravidez (gestação), podendo ser desejada, planejada, ou acidental, não planejada e, até mesmo indesejada. Gravidez não planejada é toda a gestação que não foi programada pelo casal ou, pelo menos, pela mulher. A sua ocorrência tem impacto importante na oferta de cuidados de pré-natal, na orientação sobre aleitamento materno, no estado nutricional infantil e nas taxas de morbimortalidade materno-infantil. Embora pouco estudada, a gravidez não planejada representa risco aumentado de ansiedade e de depressão, sobretudo no período puerperal. Tendo em vista estes aspectos, o objetivo deste estudo foi compreender como as gestantes vivenciaram/experienciaram uma gravidez não planejada e suas consequências à vida familiar/conjugal. O estudo baseou-se na metodologia de análise de dados qualitativos, na análise destes dados, utilizou-se a abordagem metodológica do Discurso do Sujeito Coletivo (DSC), por meio do software Atlas.ti. A população em estudo foi constituída de gestantes em idade fértil, entre 18 e 49 anos de idade, pois essa faixa etária assegura maioridade às mulheres. Foi utilizada para organizar os dados verbais, entrevista semiestruturada, realizada com 11 gestantes. Partindo dos depoimentos das gestantes copiados no software, a análise dos discursos teve início com a identificação das expressões-chave, nas quais estão contidas as ideias centrais de cada discurso que foram escritas de forma breve e objetiva. Foi evidenciado que as gestantes apresentaram reações iniciais negativas com relação à descoberta da gravidez não planejada, vivenciaram conflitos, devido ao medo de enfrentar a família, o companheiro e os pais. Também ficou evidente que a gravidez não planejada tem como principal consequência a problemática nos níveis biopsicossociais. Evidenciaram altos níveis de ansiedade, estresse e depressão no decurso da gestação. Quanto aos métodos contraceptivos, a maioria estava em uso quando da descoberta da gravidez. Considera-se que este estudo ganha relevância pelo impacto que exerce sobre o bem-estar pessoal, familiar e socioeconômico das mulheres e seus companheiros, em virtude das possíveis gestações não planejadas / Pregnancy, childbirth and the postpartum period are special knowledge in the world of woman\'s partner, family and your community. Pregnancy can cause many feelings, such as: the surprise, the punishment, the premium, the motivation to continue living, the realization of an old design, the competition in the family, the problem of the hindrance, to carelessness or irresponsibility. Confirmed pregnancy, the woman, her partner and family members may experience different reactions to this news. The initial reaction depends on the planning and desire of pregnancy (gestation), and may be desired, planned or accidental, unplanned and even unwanted. Unplanned pregnancy is any pregnancy that was not planned by the couple, or at least the woman. Its occurrence has important impact on the provision of prenatal care, the guidance on breastfeeding, the nutritional status and rates of maternal and child morbidity and mortality. Although little studied, unplanned pregnancy is increased risk of anxiety and depression, especially in the postpartum period. Considering these aspects, the aim of this study was to understand how pregnant women experienced / experienced an unplanned pregnancy and its consequences for family life / marriage. The study was based on the methodology of qualitative data analysis, the analysis of these data, we used the methodological approach of the Collective Subject Discourse (CSD), using the software Atlas.ti. The study population consisted of pregnant women of childbearing age, between 18 and 49 years of age, because this age ensures age women. Was used to organize the verbal data, semi-structured interviews conducted with 11 pregnant women. Based on the testimonies of the women copied the software, discourse analysis began with the identification of key expressions, in which are contained the main ideas of a speech that was written briefly and objectively. It was shown that pregnant women had initial negative reactions regarding the discovery of unplanned pregnancy, experienced conflict due to fear of facing the family, spouse, and parents. It was also evident that unplanned pregnancy is mainly due to problematic levels biopsychosocial. Showed high levels of anxiety, stress and depression during pregnancy. As for contraception, the majority was in use when the discovery of the pregnancy. It is considered that this study becomes relevant for the impact it has on the well -being, family and socioeconomic status of women and their partners, because of possible unintended pregnancies

This study investigated the relationships among family environment, demographic measures, the decisions made by unintentionally pregnant adolescents regarding post-delivery plans (stay single, get married, adoption), and the certainty with which these decisions were made. The Information Sheet, Family Environment Scale (Moos & Moos, 1981), and Multiple Affect Adjective Check List (Zuckerman & Lubin, 1965a) were administered to 17 5 pregnant adolescents, ages 14 through 22, who intended to carry their pregnancies to term. Pearson product-moment correlations and multiple regression analyses were utilized to assess the relationships between family environment and certainty of decision and between family environment and negative affect. Greater uncertainty was associated with nonwhite racial status and living with both natural parents or mother only. Higher levels of negative affect were related to lower levels of perceived family cohesion, independence, expressiveness, and intellectualcultural orientation. The demographic variables of age, trimester of pregnancy, and family constellation were also found to be useful in predicting levels of negative affect. Subjects who were older, further along in their pregnancies, and living with both natural parents or mother only tended to report greater negative affect. Findings of greater uncertainty and negative affect associated with living with the natural mother are consistent with previous reports of disturbed mother-daughter relationships among this population. Discriminant analysis revealed that subjects choosing adoption were more likely to be older and to be white than those choosing to keep the child. They also tended to perceive higher levels of expressiveness and independence in their families. Comparisons between the present sample and "normal" families revealed differences which were statistically significant, but quite small in terms of raw score units. Indeed, these groups may be more similar than has often been assumed. The implications of these findings for the delivery of services and for future research efforts in this area were discussed. More intensive assessment of family functioning is needed. Based upon present results, further investigation of the family constellation variable is warranted.

Background: Unplanned readmission has gained increasing interest as a quality marker for inpatient care, as it is associated with patient mortality and higher economic costs. Spinal neurosurgery is characterized by a lack of epidemiologic readmission data. The aim of this study was to identify causes and predictors for unplanned readmissions related to index diagnoses and surgical procedures. Methods: In this study, from 2015 to 2017, spinal neurosurgical procedures were recorded for surgical and non-surgical treated patients. The main reasons for an unplanned readmission within 30 days following discharge were identified. Multivariate logarithmic regression revealed predictors of unplanned readmission. Results: A total of 1172 patient records were examined, of which 4.27% disclosed unplanned readmissions. Among the surgical patients, the readmission rate was 4.06%, mainly attributable to surgical site infections, while it was 5.06% for the non-surgical patients, attributable to uncontrolled pain. A night-time surgery presented as the independent predictive factor. Conclusion: In the heterogeneous group of spinal neurosurgical patients, stratification into diagnostic groups is necessary for statistical analysis. Degenerative lumbar spinal stenosis and spinal abscesses are mainly affected by unplanned readmission. The surgical procedure dorsal root ganglion stimulation is an independent predictor of unplanned re-hospitalizations, as is the timing of surgery.

The healthcare system has been placed under an enormous burden by the SARS-CoV-2 (COVID-19) pandemic. In addition to the challenge of providing sufficient care for COVID-19 patients, there is also a need to ensure adequate care for non-COVID-19 patients. We investigated neurosurgical care in a university hospital during the pandemic. We examined the second wave of the pandemic from 1 October 2020 to 15 March 2021 in this retrospective single-center study and compared it to a pre-pandemic period from 1 October 2019 to 15 March 2020. Any neurosurgical intervention, along with patient- and treatment-dependent factors, were recorded. We also examined perioperative complications and unplanned readmissions. A statistical comparison of the study groups was performed. We treated 535 patients with a total of 602 neurosurgical surgeries during the pandemic. This compares to 602 patients with 717 surgeries during the pre-pandemic period. There were 67 fewer patients (reduction to 88.87%) admitted and 115 fewer surgeries (reduction to 83.96%) performed, which were essentially highly elective procedures, such as cervical spinal stenosis, intracranial neurinomas, and peripheral nerve lesions. Regarding complication rates and unplanned readmissions, there was no significant difference between the COVID-19 pandemic and the non-pandemic patient group. Operative capacities were slightly reduced to 88% due to the pandemic. Nevertheless, comprehensive emergency and elective care was guaranteed in our university hospital. This speaks for the sufficient resources and high-quality processes that existed even before the pandemic.

Submitted by Rosina Valeria Lanzellotti Mattiussi Teixeira (rosina.teixeira@unisantos.br) on 2018-09-01T14:31:28Z No. of bitstreams: 1 Andre Leandro da Silva Nascimento.pdf: 10559995 bytes, checksum: 8bb0e7854509f4343c5110b589caa02c (MD5) / Made available in DSpace on 2018-09-01T14:31:28Z (GMT). No. of bitstreams: 1 Andre Leandro da Silva Nascimento.pdf: 10559995 bytes, checksum: 8bb0e7854509f4343c5110b589caa02c (MD5) Previous issue date: 2018-08-06 / Morar em áreas consideradas desconformes ou de ocupação mista tem sido fato cada vez mais frequente nos grandes centros urbanos. A especulação imobiliária expulsa a população de mais baixa renda, criando áreas de exclusão social, cujo deslocamento não é acompanhado de infraestrutura de saneamento básico, saúde e educação. A Zona Noroeste de Santos é o típico exemplo dessa situação. Residências cercadas por indústrias químicas convivem com pouca atenção das autoridades municipais. Viver essa realidade pode impactar negativamente na saúde de seus moradores. Este estudo tem por objetivo comparar as taxas de internação hospitalar no Sistema Único de Saúde (SUS) entre comunidades com diferentes perfis de ocupação de solo e condições socioeconômicas, em Santos e Mongaguá, entre 2010 e 2014. Este estudo ecológico analisou dados de internação hospitalar de residentes na Zona Noroeste e na Zona Leste de Santos e na cidade de Mongaguá. Taxas de internação anuais, mensais e para todo o período foram construídas para toda a população de cada área e para grupos etários (crianças e adolescente ¿ até 19 anos; adultos ¿ entre 20 e 59 anos; e idosos ¿ 60 anos ou mais). Diferenças nas taxas entre as áreas, faixas etárias e sexo foram estimadas utilizando-se o teste U de Mann-Whitney e o teste de Kruskal-Wallis. O nível de significância adotado foi de 5%. Para os seis grupos de doenças analisados nas três áreas, as taxas observadas para moradores da Zona Noroeste superou as das outras duas, exceto para as internações por doenças hematológicas e imunológicas (p = 0,000). Na análise por faixa etária, as crianças da Zona Noroeste foram mais acometidas que as das outras duas áreas. As taxas de internação para os idosos de Mongaguá foram as mais baixas entre as áreas analisadas, enquanto as taxas da Zona Noroeste foram as maiores em relação a todas as doenças analisadas. De um modo geral, homens foram mais susceptíveis que mulheres. / Living around unplanned areas has been a really current trend, specially in urban areas. Royal state speculation tends to keep away low-income population, forming social segregation areas in where there is not appropriate infraestructure, health and quality education. Located in Santos City, Zona Noroeste Area is a typical portrait of it. Surrounded by chemical industries, local people do not count on authorities support or even city fiscalization. Such a reality might interfere on someone¿s health. This is the research¿s aim in order to compare SUS hospitalizations¿ level among distinct communities income and profiles in Santos and Mongagua Cities between 2010 and 2014. This ecological project has analyzed data hospitalization among Zonas Noroeste and Leste from Santos and Mongagua City. Annual, monthly and seasonal data were built to the whole population from its areas as well as for people from diferente ages (children and teenagers ¿ until 19 y.o.; adults ¿ from 20 to 59 y.o.; and elders ¿ 60 years old up). Different rates on different areas, ages or genres were estimated using Mann-Whitney and Kruskal-Wallis tests. Adopted relevance level was 5%. Considering the six diseases groups observed on the three areas, the results about Zona Noroeste surpassed the others, except for hospitalizations caused by hematological or immunidity factors (p = 0,000). Regarding to ages analysis, kids from Zona Noroeste have been more affected than children from the other parts. Mongagua elders hospitalization rates were the lowest while Zona Noroeste levels have shown to be the highest. As a matter of fact, men seemed to be more susceptible than women.

A significant risk area for project sponsors is managing unplanned change. Theorists of organisational behaviour have attempted to understand the circumstances of how activity change occurs on projects and have identified the significant impact that time has on activity. This current research takes the study of cognition into the real world setting of project management at a level of analysis that is viable across diverse projects and industries to study project manager regulation of unplanned change. The project managers' cognitive representation of meaningful aspects of a project (their 'cognitive schemata'), which guides activity change during the project, was investigated and the effect of feedback evaluated in order to address the central research question of what triggers change on group projects. In the present research, leading edge projects from six major Australian industries (telecommunications, banking and insurance, information technology, railway signalling, inorganic chemistry and construction) were monitored at three key points through their lifecycle to understand how feedback impacts on project activity through the project manager’s cognition leading to change. Six key categories of feedback were identified, which potentially represented the foci of project-related schemata, within a project management mental model. These were validated as important indicators for project management performance by a panel of Australia's leading experts in project management. Sixteen project managers participated in the field study, with their verbal reports being collected through structured interviews (incorporating a 'laddered' interview technique), which were developed and piloted across diverse projects for this purpose. Interview data were coded for analysis in terms of sensitivity to each of the six feedback foci and one control category, for five types of feedback and five types of change. Reliability of the content coding was checked through independent coding and found to be high. The research investigation was conducted within a schematic information processing conceptual framework developed for application within the domain of project management. Strong evidence was found that linked key schemata to the hypothesized effects of feedback. Overall, the effects were found to be general across all industries, individuals and projects. A contrasting effect was observed for one type of feedback where schemata were poorly developed in inexpert project managers, which raised the issue of measurable differences in behaviour arising from project management competency. The findings of strong relationships between the variables led to the proposed model of project manager cognition, which reveals an underlying structure in the schemata between key areas of sensitivity to feedback and unplanned change. The model is proposed as underpinning observed behaviour in this and prior research and suggests a relationship between competency and change regulation.

A high proportion of urban residents in Tanzanian cities are tenants who rent rooms in privately owned houses in unplanned settlements. However, in housing policy and in urban planning rental tenure gets very little attention. This study focuses on the reasons for and consequences of this discrepancy between policy and practice. Perspectives and actions of different actors involved in the housing provision process in Mwanza City, Tanzania, have been central to the research. The examined actors are residents in various housing tenure forms as well as government officials and representatives at different levels, from the neighbourhood level to UN-Habitat. The main methods have been interviews and discussions with actors as well as studies of policy documents, laws and plans. Among government actors, private rental tenure is largely seen as an issue between landlords and tenants. Tanzanian housing policy focuses more on land for housing than on shelter. This means that house-owners who control land have a more important role in urban planning and policies than tenants have. In Tanzania in general and in Mwanza in particular, housing policy focuses on residents’ involvement in upgrading unplanned areas by organising in Community Based Organisations. This means that owners who live for a longer period in an area benefit more from settlement improvements than tenants. Tenants are relatively mobile and do not take for granted that they will stay in the same house for long. This raises the question of tenants’ possibilities to influence as well as their rights as citizens as compared to that of owners. The question of citizens’ rights for dwellers in informal settlements has received increased attention during the last years in international housing policy discussions. There is an evident need to intensify and diversify this discussion.