The changing dynamics of community care and support in rural Malawi : the impact on Women's health and wellbeing at end of life

dc.contributor.authorHawkins, Maren M.
dc.contributor.authorDressel, Anne
dc.contributor.authorKendall, Nancy
dc.contributor.authorWendland, Claire
dc.contributor.authorHawkins, Stephen
dc.contributor.authorWalker, Kimberly
dc.contributor.authorMkandawire, Elizabeth
dc.contributor.authorKirungi, Jackline
dc.contributor.authorKako, Peninnah
dc.contributor.authorMkandawire-Valhmu, Lucy
dc.date.accessioned2022-12-15T12:49:07Z
dc.date.issued2022-05
dc.description.abstractIn this critical ethnographic study, we examined women's end of life experiences in Malawi, one of the few countries in the world with a national palliative care policy. Specifically, we explored how women's and their caregivers' experiences were shaped by family and community care, and material needs. Interviews and observations with female clients of a non-governmental organization in rural Central Malawi, and with their caregivers, revealed that community-level support was both precarious and critical. We found three main themes: (1) I stay with them well, (2) we eat together, and (3) everyone is for themselves. The analysis illustrates the centrality of community care, social in/exclusion, and availability of stable food, shelter, medical, and caregiving resources on health and wellbeing at end of life. We provide recommendations to strengthen community care opportunities and women's resource bases.en_US
dc.description.departmentAgricultural Economics, Extension and Rural Developmenten_US
dc.description.embargo2023-04-01
dc.description.librarianhj2022en_US
dc.description.sponsorshipThe University of Wisconsin-Milwaukee Center for Global Health Equity and Sustainable Peacebuilding Program.en_US
dc.description.urihttps://www.elsevier.com/locate/socscimeden_US
dc.identifier.citationHawkins, M.M., Dressel, A., Kendall N. et al. 2022, 'The changing dynamics of community care and support in rural Malawi: The impact on Women's health and wellbeing at end of life', Social Science & Medicine, vol. 301, art. 114934, pp. 1-8, doi : 10.1016/j.socscimed.2022.114934.en_US
dc.identifier.issn0277-9536 (print)
dc.identifier.issn1873-5347 (online)
dc.identifier.other10.1016/j.socscimed.2022.114934
dc.identifier.urihttps://repository.up.ac.za/handle/2263/88837
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.rights© 2022 Elsevier Ltd. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in Social Science and Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. A definitive version was subsequently published in Social Science and Medicine, vol. 301, art. 114934, pp. 1-8, doi : 10.1016/j.socscimed.2022.114934.en_US
dc.subjectMalawien_US
dc.subjectPalliative careen_US
dc.subjectEnd of life careen_US
dc.subjectCommunity careen_US
dc.subjectQualitative researchen_US
dc.subjectCritical ethnographyen_US
dc.titleThe changing dynamics of community care and support in rural Malawi : the impact on Women's health and wellbeing at end of lifeen_US
dc.typePostprint Articleen_US

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