Over the past decades increasing efforts have aimed to improve the health of pregnant women around the world. Namibia has made limited progress in reducing severe maternal outcomes. Aims of this... Show moreOver the past decades increasing efforts have aimed to improve the health of pregnant women around the world. Namibia has made limited progress in reducing severe maternal outcomes. Aims of this thesis were to enhance implementation of a national obstetric surveillance system and assess requirements to improve maternal health in Namibia. The findings of chapters 2-7 provided insight into several important drivers of severe maternal outcome. The most important contributor of the high-incidence of severe maternal outcome in Namibia was poor quality of facility-based care and particularly vulnerable women appeared to be at higher risk of severe maternal outcome. Obstetric surveillance played a crucial role in obtaining these insights. Based on these, targeted recommendations could be formulated. The maternity care system needs to be strengthened, to enable health workers to provide universal coverage of good health care to all women in Namibia. It is therefore crucial the next step will follow, which is to act on the proposed recommendations. The insights obtained through obstetric surveillance will contribute to such action, as for any intervention, it is key it addresses a local need in a context-specific manner. Show less
Bureaucrats of Liberation narrates the history of the Southern Africa Project of the Lawyers’ Committee for Civil Rights Under Law, a civil rights organization founded in 1963 at the request of... Show moreBureaucrats of Liberation narrates the history of the Southern Africa Project of the Lawyers’ Committee for Civil Rights Under Law, a civil rights organization founded in 1963 at the request of President John F. Kennedy. Between 1963 and 1994, the Southern Africa Project connected lawyers from Namibia, South Africa, and the United States. Within the Project’s network, activist lawyers exchanged funding resources, provided logistical support for political trials, and mediated new voting and governmental systems. Show less
The Namibian Khwe Bushmen live in the Bwabwata National Park, where they are highly affected by the park's history and conservation activities. Following Ingold's dwelling perspective, the world... Show moreThe Namibian Khwe Bushmen live in the Bwabwata National Park, where they are highly affected by the park's history and conservation activities. Following Ingold's dwelling perspective, the world comes into being because a person is continuously interacting with his/her environment. This contrasted with building, in which (wo)man constructs the world cognitively before (s)he can live in it. We apply a third notion, lodging, to refer to a situation in which people live in an essentially foreign environment. In this, many changes in the environment of the Khwe are triggered beyond their control, instead of through their interaction with their environment. Show less
