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Ahlberg, Beth Maina
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Publikasjoner (10 av 29) Visa alla publikasjoner
Ahlberg, B. M., Hamed, S., Thapar-Björkert, S. & Bradby, H. (2019). Invisibility of Racism in the Global Neoliberal Era: Implications for Researching Racism in Healthcare. Frontiers in Sociology, 4, Article ID 61.
Åpne denne publikasjonen i ny fane eller vindu >>Invisibility of Racism in the Global Neoliberal Era: Implications for Researching Racism in Healthcare
2019 (engelsk)Inngår i: Frontiers in Sociology, ISSN 2297-7775, Vol. 4, artikkel-id 61Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

This paper describes the difficulties of researching racism in healthcare contexts as part of the wider issue of neoliberal reforms in welfare states in the age of global migration. In trying to understand the contradiction of a phenomenon that is historical and strongly felt by individuals and yet widely denied by both institutions and individuals, we consider the current political and socioeconomic context of healthcare provision. Despite decades of legislation against racism, its presence persists in healthcare settings, but data on these experiences is rarely gathered in Europe. National systems of healthcare provision have been subject to neoliberal reforms, where among others, cheaper forms of labor are sought to reduce the cost of producing healthcare, while the availability of services is rationed to contain demand. The restriction both on provision of and access to welfare, including healthcare, is unpopular among national populations. However, the explanations for restricted access to healthcare are assumed to be located outside the national context with immigrants being blamed. Even as migrants are used as a source of cheap labor in healthcare and other welfare sectors, the arrival of immigrants has been held responsible for restricted access to healthcare and welfare in general. One implication of (im)migration being blamed for healthcare restrictions, while racism is held to be a problem of the past, is the silencing of experiences of racism, which has dire consequences for ethnic minority populations. The implications of racism as a form of inequality within healthcare and the circumstances of researching racism in healthcare and its implication for the sociology of health in Sweden are described.

Emneord
racism, neoliberalism, globalization, migration, healthcare, sociology, inequalities, collaborative research
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-390895 (URN)10.3389/fsoc.2019.00061 (DOI)
Tilgjengelig fra: 2019-08-15 Laget: 2019-08-15 Sist oppdatert: 2019-11-15bibliografisk kontrollert
Bradby, H., Thapar-Björkert, S., Hamed, S. & Ahlberg, B. M. (2019). Undoing the unspeakable: researching racism in Swedish healthcare using a participatory process to build dialogue. Health Research Policy and Systems, 17, Article ID 43.
Åpne denne publikasjonen i ny fane eller vindu >>Undoing the unspeakable: researching racism in Swedish healthcare using a participatory process to build dialogue
2019 (engelsk)Inngår i: Health Research Policy and Systems, ISSN 1478-4505, E-ISSN 1478-4505, Vol. 17, artikkel-id 43Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background:

Racism is difficult to discuss in the context of Swedish healthcare for various cultural and administrative reasons. Herein, we interpret the fragmentary nature of the evidence of racialising processes and the difficulty of reporting racist discrimination in terms of structural violence.

Methods:

In response to the unspeakable nature of racism in Swedish healthcare, we propose a phased participatory process to build a common vocabulary and grammar through a consultative framework involving healthcare providers and service users as well as policy-makers. These stakeholders will be involved in an educational intervention to facilitate discussion around and avoidance of racism in service provision.

Discussion:

Both the participatory process and outcomes of the process, e.g. educational interventions, will contribute to the social and political conversation about racism in healthcare settings. Creating new ways of discussing sensitive topics allows ameliorative actions to be taken, benefitting healthcare providers and users. The urgency of the project is underlined.

sted, utgiver, år, opplag, sider
BMC, 2019
Emneord
racism, healthcare, Sweden, participatory methods
HSV kategori
Forskningsprogram
Sociologi
Identifikatorer
urn:nbn:se:uu:diva-383016 (URN)10.1186/s12961-019-0443-0 (DOI)000465467100001 ()31014361 (PubMedID)
Forskningsfinansiär
Swedish Research Council, 2016-04078
Tilgjengelig fra: 2019-05-07 Laget: 2019-05-07 Sist oppdatert: 2019-05-14bibliografisk kontrollert
Hamed, S., Ahlberg, B. M. & Trenholm, J. E. (2017). Powerlessness, Normalization, and Resistance: A Foucauldian Discourse Analysis of Women’s Narratives On Obstetric Fistula in Eastern Sudan. Qualitative Health Research, 27(12), 1828-1841
Åpne denne publikasjonen i ny fane eller vindu >>Powerlessness, Normalization, and Resistance: A Foucauldian Discourse Analysis of Women’s Narratives On Obstetric Fistula in Eastern Sudan
2017 (engelsk)Inngår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 27, nr 12, s. 1828-1841Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Eastern Sudan has high prevalence of female circumcision and child marriage constituting a risk for developing obstetric fistula. Few studies have examined gender roles’ relation with obstetric fistula in Sudan. To explore the associated power-relations that may put women at increased risk for developing obstetric fistula, we conducted nine interviews with women living with obstetric fistula in Kassala in eastern Sudan. Using a Foucauldian discourse analysis, we identified three discourses: powerlessness, normalization, and covert resistance. Existing power-relations between the women and other societal members revealed their internalization of social norms as absolute truth, and influenced their status and decision-making power in regard to circumcision, early marriage, and other transformative decisions as well as women’s general behaviors. The women showed subtle resistance to these norms and the harassment they encountered because of their fistula. These findings suggest that a more in-depth contextual assessment could benefit future maternal health interventions.

sted, utgiver, år, opplag, sider
Sage Publications, 2017
Emneord
resilience, resistance, women’s health, gender, reproductive health, feminism, power/relations, qualitative discourse analysis, East Africa
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-327155 (URN)10.1177/1049732317720423 (DOI)000426471800007 ()28766375 (PubMedID)
Tilgjengelig fra: 2017-08-04 Laget: 2017-08-04 Sist oppdatert: 2019-09-19bibliografisk kontrollert
Kaime-Atterhög, W., Persson, L.-Å. & Ahlberg, B. M. (2017). “With An Open Heart We Receive the Children”: Caregivers’ strategies for reaching and caring for street children in Kenya. Journal of Social Work, 17(5), 579-598
Åpne denne publikasjonen i ny fane eller vindu >>“With An Open Heart We Receive the Children”: Caregivers’ strategies for reaching and caring for street children in Kenya
2017 (engelsk)Inngår i: Journal of Social Work, ISSN 1468-0173, E-ISSN 1741-296X, Vol. 17, nr 5, s. 579-598Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Summary:

The aim of the study was to explore how caregivers reach out and care for street children and understand their strategies and implication for outreach to the children, removal from the streets, rehabilitation and reintegration into society..  Data was collected over a period of two years using a semi-structured topic guide from seventy caregivers in 35 organisations in Kenya, identified using the snowball sampling strategy. Information generated was discussed with street children to help modify the interview and observation guides. To record interactions between the children and their caregivers, direct observation, video recording and photography were used at the caregivers’ workplaces on the streets and at institutions of care.

Findings:

Two themes were developed from the data, namely, the dedicated caregiver confronting street realities; and making a difference despite the limitations. The way caregivers interacted with the children on the streets and in the institutions greatly influenced the children’s decision to leave the streets, to be initiated into residential care, and attend rehabilitation and reintegration programmes. Children were more positive to caregivers who took time to understand them and were soft in establishing rapport with them.

Application:

The results suggest that caregivers’ strategies are potential contributors to declining trends of the street children phenomenon as they influence the children’s decision to leave the streets and undergo rehabilitation at institutions of care. Thus, we recommend the development of educational efforts focusing on helping caregivers develop healthy relationships and positive interactions with the children.

Emneord
street children, caregiver strategies, (re) habilitation, reflexive ethnography, Kenya
HSV kategori
Forskningsprogram
Socialmedicin; Omvårdnadsforskning med samhällsvetenskaplig inriktning
Identifikatorer
urn:nbn:se:uu:diva-178162 (URN)10.1177/1468017316651989 (DOI)000408531200005 ()
Tilgjengelig fra: 2012-07-30 Laget: 2012-07-30 Sist oppdatert: 2018-11-28bibliografisk kontrollert
Ahlberg, B. M., Maina, F., Kubai, A., Khamasi, W., Ekman, M. & Lundqvist-Persson, C. (2016). ‘"A child, a tree": Challenges in building collaborative relations in a community research project in a Kenyan context. Action Research, 14(3), 257-275
Åpne denne publikasjonen i ny fane eller vindu >>‘"A child, a tree": Challenges in building collaborative relations in a community research project in a Kenyan context
Vise andre…
2016 (engelsk)Inngår i: Action Research, ISSN 1476-7503, E-ISSN 1741-2617, Vol. 14, nr 3, s. 257-275Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

This paper highlights the potential for basing participatory action research on priorities identified by communities. The case builds on a research project by the Social Science Medicine Africa Network (Soma-net) focusing on AIDS prevention among school youth in Kajiado in Kenya during 2003-2006. It became clear from that study just how complex it is to promote open communication on issues of sexuality considered critical for sexual health promotion. Towards the end of that study a spin-off in the form of a concept a child, a tree or tree planting evolved and the research thereafter continued as a partnership between the school community and the researchers. The focus then was on understanding how health promotion could be integrated into other aspects of community life. The concept and tree planting when implemented created a sense of ownership among the pupils largely because they were placed at the centre of the development activities. The story illuminates the nature of change developing in the course of the project, but also the challenges and complexity of creating and maintaining collaborative relations in the face of cultural and gender power dynamics and interventions imposed from outside the community.

Emneord
Health promotion; collaborative relations; communicative action; community initiative; social innovation; sexuality
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-264194 (URN)10.1177/1476750315607607 (DOI)000383043200003 ()
Forskningsfinansiär
Sida - Swedish International Development Cooperation Agency
Tilgjengelig fra: 2015-10-07 Laget: 2015-10-07 Sist oppdatert: 2017-12-01bibliografisk kontrollert
Kalengayi, F. K., Hurtig, A.-K., Nordstrand, A., Ahlm, C. & Ahlberg, B. M. (2016). Perspectives and experiences of new migrants on health screening in Sweden. BMC Health Services Research, 16, Article ID 14.
Åpne denne publikasjonen i ny fane eller vindu >>Perspectives and experiences of new migrants on health screening in Sweden
Vise andre…
2016 (engelsk)Inngår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 16, artikkel-id 14Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: In Sweden, migrants from countries considered to have a high burden of certain infectious diseases are offered health screening to prevent the spread of these diseases, but also identify their health needs. However, very little is known about their experiences and perceptions about the screening process. This study aimed at exploring these perceptions and experiences in order to inform policy and clinical practice. Method: Using an interpretive description framework, 26 new migrants were interviewed between April and June 2013 in four Swedish counties. Thematic analysis was used to analyze data. Results: The three themes developed include: new country, new practices; new requirements in the new country; and unmet needs and expectations. Participants described what it meant for them to come to a new country with a foreign language, new ways of communicating with caregivers/authorities and being offered health screening without clarification. Participants perceived health screening as a requirement from the authorities to be fulfilled by all newcomers but conceded that it benefits equally the host society and themselves. However, they also expressed concern over the involvement of the Migration Board staff and feared possible collaboration with health service to their detriment. They further stated that the screening program fell short of their expectations as it mainly focused on identifying infectious diseases and overlooked their actual health needs. Finally, they expressed frustration over delay in screening, poor living conditions in reception centers and the restrictive entitlement to care. Conclusions: Migrants are aware of their vulnerability and the need to undergo health screening though they view it as an official requirement. Thus, those who underwent the screening were more concerned about residency rather than the actual benefits of screening. The issues highlighted in this study may limit access to and uptake of the screening service, and compromise its effectiveness. To maximize the uptake: (1) linguistically and culturally adapted information is needed, (2) other screening approaches should be tried, (3) trained medical interpreters should be used, (4) a holistic and human right approach should be applied, (5) the involvement of migration staff should be reconsidered to avoid confusion and worries. Finally, to improve the effectiveness, (6) all migrants from targeted countries should be offered screening and efforts should be taken to improve the health literacy of migrants and the living conditions in reception centers.

Emneord
Migrants, Screening, Infectious diseases, Interpretive description, Language barriers, Thematic analysis, Qualitative interview, Health policy, Migration policy, Sweden
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-276803 (URN)10.1186/s12913-015-1218-0 (DOI)000368073700001 ()
Forskningsfinansiär
Public Health Agency of Sweden , 640/2010/183Forte, Swedish Research Council for Health, Working Life and Welfare, 2006-1512
Tilgjengelig fra: 2016-02-16 Laget: 2016-02-16 Sist oppdatert: 2017-11-30bibliografisk kontrollert
Trenholm, J., Olsson, P., Blomqvist, M. & Ahlberg, B. M. (2016). The global, the ethnic and the gendered war: women and rape in eastern Democratic Republic of Congo. Gender, Place and Culture: A Journal of Feminist Geography, 23(4), 484-502
Åpne denne publikasjonen i ny fane eller vindu >>The global, the ethnic and the gendered war: women and rape in eastern Democratic Republic of Congo
2016 (engelsk)Inngår i: Gender, Place and Culture: A Journal of Feminist Geography, ISSN 0966-369X, E-ISSN 1360-0524, Vol. 23, nr 4, s. 484-502Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The purpose of this study was to illuminate the perspectives of women who experienced sexual violence perpetrated in the warscapes of eastern Democratic Republic of Congo. Civilians are targeted for rape, loot and pillage yielding deleterious effects on the social fabric and the sustenance the community provides. The article is based on 11 qualitative semistructured interviews and 4 written narratives from women of reproductive age, recruited from organizations providing support post-sexual violation. The study departs from a larger ethnographic project investigating the phenomenon of war-rape. Thematic analysis guided the analysis through the theoretical lenses of structural violence and intersectionality. The women expressed total insecurity and a multitude of losses from bodily integrity, health, loss of family, life course possibilities, livelihoods and a sense of place; a profound dispossession of identity and marginalization. Pregnancies resulting from rape reinforced stigma and burdened the survivor with raising a stigmatized child on the margins of society. Perpetrators of rape were mostly identified as Interhamwe (Rwandan Hutus rebels) who entered Congo after the Rwandan genocide in 1994. Their goal, according to the women, was to spread HIV and impregnate Congolese women, thereby destroying families, communities and society. The women survivors of war-rape described experiences of profound loss in this conflict which has global, ethnic and gendered dimensions. Congo's conflict thus requires critical reflection on how local wars and subsequent human suffering are situated in a matrix of globalization processes, enabled by transnational actors and embedded in structural violence.

HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-247299 (URN)10.1080/0966369X.2015.1013440 (DOI)000370514200003 ()
Tilgjengelig fra: 2015-03-17 Laget: 2015-03-17 Sist oppdatert: 2018-01-16bibliografisk kontrollert
Puthoopparambil, S. J., Ahlberg, B. M. & Bjerneld, M. (2015). €œA prison with extra flavours : Experiences of immigrants in Swedish immigration detention centres. International Journal of Migration, Health and Social Care, 11(2), 73-85
Åpne denne publikasjonen i ny fane eller vindu >>€œA prison with extra flavours : Experiences of immigrants in Swedish immigration detention centres
2015 (engelsk)Inngår i: International Journal of Migration, Health and Social Care, ISSN 1747-9894, E-ISSN 2042-8650, Vol. 11, nr 2, s. 73-85Artikkel i tidsskrift (Fagfellevurdert) Published
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-267558 (URN)10.1108/IJMHSC-10-2014-0042 (DOI)
Tilgjengelig fra: 2015-11-24 Laget: 2015-11-24 Sist oppdatert: 2019-02-21bibliografisk kontrollert
Kalengayi, F. K. N., Hurtig, A.-K., Nordstrand, A., Ahlm, C. & Ahlberg, B. M. (2015). 'It is a dilemma': perspectives of nurse practitioners on health screening of newly arrived migrants. Global Health Action, 8, Article ID 27903.
Åpne denne publikasjonen i ny fane eller vindu >>'It is a dilemma': perspectives of nurse practitioners on health screening of newly arrived migrants
Vise andre…
2015 (engelsk)Inngår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 8, artikkel-id 27903Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Screening newly arrived migrants from countries with high burden of communicable diseases of public health significance is part of the Swedish national strategy against the spread of these diseases. However, little is known about its implementation. Objective: This study aimed at exploring caregivers' experiences in screening newly arrived migrants to generate knowledge that could inform policy and clinical practice. Design: Using an interpretive description framework, we conducted semistructured interviews between November and December 2011 in four Swedish counties, with 15 purposively selected nurses with experience in screening migrants. Data were analyzed using thematic analysis. Results: Participants described a range of challenges including discordant views between migrants and the nurses about medical screening, inconsistencies in rules and practices, and conflicting policies. Participants indicated that sociocultural differences resulted in divergent expectations with migrants viewing the participants as agents of migration authorities. They also expressed concern over being given a new assignment without training and being expected to share responsibilities with staff from other agencies without adequate coordination. Finally, they indicated that existing policies can be confusing and raise ethical issues. All these were compounded by language barriers, making their work environment extremely complex and stressful. Conclusions: These findings illuminate complex challenges that could limit access to, uptake, and delivery of health screening and undermine public health goals, and highlight the need for a multilevel approach. This entails avoiding the conflation of migration with health issues, harmonizing existing policies to make health care services more accessible and acceptable to migrants, and facilitating health professionals' work in promoting public health, improving interagency collaboration and the skills of all staff involved in understanding and effectively responding to migrants' needs, and improving migrants' health literacy through community outreach interventions.

Emneord
migrants, nurses, language barriers, screening, cultural competence, thematic analysis, health policies, migration policy, interpretive description, Sweden
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-299632 (URN)10.3402/gha.v8.27903 (DOI)000377762900001 ()26205362 (PubMedID)
Forskningsfinansiär
Public Health Agency of Sweden
Tilgjengelig fra: 2016-07-25 Laget: 2016-07-25 Sist oppdatert: 2017-11-28bibliografisk kontrollert
Puthoopparambil, S. J., Ahlberg, B. M. & Bjerneld, M. (2015). "It is a thin line to walk on": challenges of staff working at Swedish immigration detention centres. International Journal of Qualitative Studies on Health and Well-being, 10, 25196
Åpne denne publikasjonen i ny fane eller vindu >>"It is a thin line to walk on": challenges of staff working at Swedish immigration detention centres
2015 (engelsk)Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 10, s. 25196-Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Detention of irregular migrants awaiting deportation is widely practiced in many countries and has been shown to have profound negative impact on health and well-being of detainees. Detention staff, an integral part of the detention environment, affect and are affected by detainees' health and well-being. The objective of the study was to explore experiences of staff working at Swedish immigration detention centres. Fifteen semi-structured interviews were conducted with staff in three Swedish detention centres and were analysed using thematic analysis. The results indicate that the main challenge for the staff was to manage the emotional dilemma entailed in working as migration officers and simultaneously fellow human beings whose task was to implement deportation decisions while being expected to provide humane service to detainees. They tried to manage their dilemma by balancing the two roles, but still found it challenging. Among the staff, there was a high perception of fear of physical threat from detainees that made detention a stressful environment. Limited interaction between the staff and detainees was a reason for this. There is thus a need to support detention staff to improve their interaction with detainees in order to decrease their fear, manage their emotional dilemma, and provide better service to detainees. It is important to address staff challenges in order to ensure better health and well-being for both staff and detainees.

HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-251601 (URN)10.3402/qhw.v10.25196 (DOI)000352425900001 ()25833827 (PubMedID)
Tilgjengelig fra: 2015-04-21 Laget: 2015-04-21 Sist oppdatert: 2019-02-21bibliografisk kontrollert
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