Community health workers (CHWs) participate in advocacy as a crucial means to empower clients in overcoming health disparities and to improve the health and social well-being of their communities. Building on previous studies, this article proposes a new framework for conceptualising CHW advocacy, depending on the intended impact level of CHW advocacy. CHWs participate in three ‘levels’ of advocacy, the micro, the macro, and the professional. This article also details the challenges they face at each level. As steps are taken to institutionalise these workers throughout the United States and abroad, there is a danger that their participation in advocacy will diminish. As advocacy serves as a primary conduit through which to empower clients, enshrining this role in steps to integrate these workers is essential. Finally, this article provides justification for the impacts of CHWs in addressing the social determinants of health and in helping their communities strive towards health equity.
Participation, Perceptions, and Challenges in Advocacy
Ryan I. Logan
Participating in and Witnessing Fair Trade and Women’s Empowerment in Transnational Communities of Practice
our workers’ lives. (Mr Pradhan, manager, Sonakheti tea plantation) These celebratory comments about how effectively nongovernmental organisations (NGOs) involve volunteers and visitors from Western countries in plantation reform came from the
How Social Workers Influence What It Means to Be a Refused Asylum Seeker
Kathryn Tomko Dennler
migrants’ access to social goods, but also in how status is deployed by a wide range of people whose legal consciousness shapes their ways of relating to refused asylum seekers. In this article, I use the example of interactions between social workers and
A Study in Cameroon
The aim of this study was (a) to use anthropological research tools to produce a thorough description of health providers' working conditions in a low-income country; (b) sketch the impact of a specific dimension of the national HIV/AIDS programme on this environment and (c) sketch the existence and examine the extent of burnout among health workers. We conducted intensive fieldwork in a large public hospital in one major town of the far-north region. We relied on three research tools: observations, in-depth interviews and the Maslach Burnout Inventory (MBI). The data were analysed manually. We found a working environment characterised by an acute lack of equipment, lack of recognition and equity, lack of community and fairness, and value conflict, all of which are factors implicated in burnout. This was exacerbated by the implementation of a psychosocial dimension in care for people with HIV/AIDS, which created exclusion and reinforced feelings of unfairness. However, despite their challenging working environment, health-care providers were not 'burned out', leading us to suggest that burnout is a syndrome of 'rigid' working environments, as opposed to 'porous' working environments.
Bulgarian and Romanian student workers in the UK
This article is based on fieldwork conducted among Romanian and Bulgarian students working under the Seasonal Agricultural Workers Scheme in the UK. It shows how a public discourse on the benefits of and for immigrant seasonal workers silences the voices of these workers. It also discusses how a hidden transcript of the student workers shows they are deeply frustrated about their exploitation in terms of wages, living conditions, and the fact that they have come to the UK on false promises of cultural exchange and learning. The confinement of Bulgarian and Romanian immigrants—such as these student workers—to the unskilled and underpaid labor sector in the UK, which continues despite Romania and Bulgaria's recent accession to the EU, not only reproduces the dual labor market in the UK itself but it also reduces Romania and Bulgaria to 'second-hand' EU members states.
Articulation of Political Subjectivities among Workers
The article examines the political mobilisation and construction of modern political identities among workers during the 1905-1907 Revolution in the Kingdom of Poland. Political process, creation and alternation of the political subjectivities of workers are explained in terms of hegemonic articulations as presented by the political discourse theory of Ernesto Laclau. While social claims merged with resistance against the national oppression of the Tsarist regime and the struggle for social and political recognition, political subjectivities took various contingent and competitive forms; thus the same demands could be integrated into different political narratives and collective identities. Combining discourse theory and process tracing makes alternations of the political field in time intelligible.
Formative Experiences and Identity in Peasant Childhood
debated for the past 40 years among social researchers who refer to colonos as peasants (field workers without land or capital resources), farmers (land owners and agrarian producers with small properties) and categories in between as in Eduardo Archetti
Producing East European Geosexual Backwardness in the Drop-In Centre for Male Sex Workers in Berlin
In this article I examine the negotiations of national and sexual belonging of a Romanian gay sex worker in Berlin in the contemporary geosexual context defined by binarism between ‘modern’, ‘liberal’ and ‘tolerant’ Western Europe and its ‘traditionalist’ and ‘homophobic’ East European Other. I analyse how, by means of an overt display of his own homosexuality, the sex worker symbolically distances himself from his native country. By extension, this reinforces the image of the East and its inhabitants as inherently homophobic and, therefore, backwards. The article is based on ethnographic research in the drop-in centre for male sex workers in Berlin, an environment that reveals how deeply contemporary geosexual differences are anchored in the cultural logic of everyday life.
This chapter analyzes some of the major labor reforms implemented by the Renzi government in 2015 in relation to youth employment, with reference to the Jobs Act. The strategy pursued by the executive has been to concentrate on combating the segmentation of the labor market by liberalizing individual and collective dismissals and by introducing a new type of contract, which offers a generous incentive for new permanent hires. The main goal of this strategy is to decrease the divisions between insiders and outsiders in the hope that this measure will encourage employers to stabilize workers, especially the younger ones, and invest in the development of human capital. Such a strategy, however, rests on weak foundations, which might call into question its effectiveness and with it the stability of Renzi’s leadership.
Annabel Erulkar and Girmay Medhin
( Population Council 2016 ). The aim of this study 1 was to analyze the educational and health impacts of a program for girls, including child domestic workers and rural-urban migrants residing in poor urban areas or informal settlements. Biruh Tesfa Ethiopia