Proportions of facility births are increasing throughout sub-Saharan Africa, but obstetric services vary within the health system. In Tanzania, advanced management of childbirth complications ... Show moreProportions of facility births are increasing throughout sub-Saharan Africa, but obstetric services vary within the health system. In Tanzania, advanced management of childbirth complications (comprehensive emergency obstetric care) is offered in hospitals, while in frontline, primary health care (PHC) facilities (health centres and dispensaries) mostly only routine childbirth care is available. With over half (54%) of rural births in facilities, we hypothesized the presence of socio-economic inequity in hospital-based childbirth uptake in rural Tanzania and explored whether this relationship was modified by parity. This inequity may compound the burden of greater mortality among the poorest women and their babies. Records for 4456 rural women from the 2015-16 Tanzania Demographic and Health Survey with a live birth in the preceding 5years were examined. Proportions of births at each location (home/PHC/hospital) were calculated by demographic and obstetric characteristics. Multinomial logistic regression was used to obtain crude and adjusted odds ratios of home/PHC and hospital/PHC births based on household wealth, including interaction between wealth and parity. Post-estimation margins analysis was applied to estimate childbirth location by wealth and parity. Hospital-based childbirth uptake was inequitable. The gap between poorest and richest was less pronounced at first birth. Hospital-based care utilization was lowest (around 10%) among the poorest multiparous women, with no increase at high parity (>= 5) despite higher risk. PHC-based childbirth care was used by a consistent proportion of women after the first birth (range 30-51%). The poorest women utilized it at intermediate parity, but at parity >= 5 mostly gave birth at home. In an effort to provide effective childbirth care to all women, context-specific strategies are required to improve hospital-based care use, and poor, rural, high parity women are a particularly vulnerable group that requires specific attention. Improving childbirth care in PHC and strengthening referral linkages would benefit a considerable proportion of women. Show less
Zaal, A.F.M.; Dietz, A.J.; Jong, A. de; Broekhuis, A. 2001
The case studies in this book on mobility in sub-Saharan Africa critically discuss dichotomous interpretations of mobility and reject the idea that migration indicates a breakdown in society. They... Show moreThe case studies in this book on mobility in sub-Saharan Africa critically discuss dichotomous interpretations of mobility and reject the idea that migration indicates a breakdown in society. They adopt the approach that sedentary and mobile worlds converge and that mobility is part of the livelihood system of African people. Contents: Mobile Africa: an introduction (Mirjam de Bruijn, Rijk van DijkandDick Foeken) - Population mobility in Africa: an overview (Han van Dijk, Dick FoekenandKiky van Til) - Territorial and magical migrations in Tanzania (Todd Sanders) - Moving into another spirit province: immigrants and the 'mhondoro' cult in northern Zimbabwe (Marja Spierenburg) - Cultures of travel: Fulbe pastoralists in central Mali and Pentecostalism in Ghana (Mirjam de Bruijn, Han van DijkandRijk van Dijk) - Mobile workers, urban employment and 'rural' identities: rural-urban networks of Buhera migrants, Zimbabwe (Jens A. Andersson) - Migration as a positive response to opportunity and context: the case of Welo, Ethiopia (Jonathan Baker) - Multi-spatial livelihoods in sub-Saharan Africa: rural farming by urban households - the case of Nakuru town, Kenya (Dick FoekenandSamuel O. Owuor) - Urbanisation and migration in sub-Saharan Africa: changing patterns and trends (Cecilia Tacoli) - Processes and types of pastoral migration in northern C“te d'Ivoire (Youssouf Diallo) - Mobility and exclusion: conflicts between autochthons and allochthons during political liberalisation in Cameroon (Piet Konings) - Population displacement and the humanitarian aid regime: the experience of refugees in East Africa (Patricia Daley) Show less
The papers collected in this volume were first presented at a conference on 'Globalization, development and the making of consumers: what are collective identities for?' which was held in The... Show moreThe papers collected in this volume were first presented at a conference on 'Globalization, development and the making of consumers: what are collective identities for?' which was held in The Hague, The Netherlands, on 13-16 March 1997. The papers are concerned with the challenge to the development paradigm presented by its potential submersion within processes of economic globalization. The following chapters are on Africa: The accountability of commodities in a global marketplace: the cases of Bolivian coca and Tanzanian honey (Alberto Arce, Eleanor Fisher) - The Pentecostal gift: Ghanaian charismatic churches and the moral innocence of the global economy (Rijk van Dijk) - 'Progress' as discursive spectacle: but what comes after development? (David Mills on Uganda) - Christian mind and worldly matters: religion and materiality in the nineteenth-century Gold Coast (Birgit Meyer) - Mary's room: a case study on becoming a consumer in Francistown, Botswana (Wim van Binsbergen) - Second-hand clothing encounters in Zambia: global discourses, Western commodities and local histories (Karen Tranberg Hansen) - Globalization and the making of consumers: Zambian kitchen parties (Thera Rasing) - African corruption in the context of globalization (Jean-Pierre Olivier de Sardan) - Market expansion, globalized discourses and changing identity politics in Kenya (Andreas van Nahl) - The production of translocality: initiation in the sacred grove in southern Senegal (Ferdinand de Jong) - The production of 'primitiveness' and identity: Surma-tourist interactions (Jan Abbink) - Anthropology, identity politics, consumption and development in post-apartheid South Africa (P.A. McAllister) - Rural democratization in Zanzibar: the 1995 general elections (Greg Cameron). Show less
This chapter looks at a high-profile Fulbe Muslim religious leader from Mali and explores his relations with the people of the Mande. This Muslim religious leader, El-Hadj Cheikh Sidy Modibo Kane... Show moreThis chapter looks at a high-profile Fulbe Muslim religious leader from Mali and explores his relations with the people of the Mande. This Muslim religious leader, El-Hadj Cheikh Sidy Modibo Kane Diallo of Dilly, in the circle of Nara, is perhaps one of the most influential religious leaders in present-day Mali. The author examines the development of Diallo's "career" as a 'shaykh' and a 'wali' (friend of God). He shows how this career has been constructed in large part through ideological oppositions between Fulbe and Mande/Bambara, as well as through the 'shaykh's interactions with actual Bambara people, particularly his efforts to spread Islam among the country's non-Muslim ("pagan") rural Bambara population and to eradicate the widespread practice of spirit possession. As he suggests, it is in such conversion campaigns that one can see most clearly how individuals - both Fulbe and Bambara - deploy such ideological oppositions. Ultimately, however, the results of such campaigns to spread Islam remain rather ambiguous. Bibliogr., notes, ref., sum. in French. [ASC Leiden abstract] Show less
The author argues that Zambian rural anthropology is on the decline, and that this decline is related to the reliance, among anthropologists, on the tribe and ethnic group as the basic unit of... Show moreThe author argues that Zambian rural anthropology is on the decline, and that this decline is related to the reliance, among anthropologists, on the tribe and ethnic group as the basic unit of study in the past; that the one way to escape from the tribal model on the analytical plane without sacrificing the subjects' own organization of their experience, is to try to explain this experience as a form of consciousness emerging out of the dialectics of political incorporation and, even more fundamentally, the penetration of capitalism, in other words, the articulation of capitalism and a non-capitalist mode of production. The chapter is based on research among the Nkoya of western Zambia, an earlier version of it was published in 'Journal of Southern African Studies', vol. 8, no. 1, (1981/82), pages 51-81. Show less
