Book Chapters

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    Meaning-making and health
    (Health Behavior and Environmental Health. Springer, 2024-08-19) Knizek, Birthe Loa; Hagen, Julia; Hjelmeland, Heidi; Mugisha, James
    During the last decades, meaning-making has come into focus as a valuable resource for health. Through life, a person might face different challenges such as bereavement, loss of abilities, and unemployment, among others, and the ability to cope with these is decisive for the person’s health and well-being. Making-meaning is a way of coping with difficult situations and can enhance a healing process of the biopsychosocial individual. As nobody lives in a vacuum, meaning-making is dependent on the cultural, social, and relationship context of a person and is an ever-ongoing process as both the individual, the context, and the interaction with the environment are constantly changing. This chapter discusses different models of meaning-making and provides examples of how they work in suicidality, illness, and loss. On this background, the chapter presents a new way of approaching individuals in difficult situations: the power threat meaning framework (PTMF). PTMF was developed as an alternative to diagnostic and medicalized thinking to provide a more contextual understanding of various challenges, emotional distress, and unusual or troubling behavior. The PTMF also offers practical guidance, which is presented briefly.
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    Shared Latrine Cleaning outcomes from a Community Led Total Sanitation (CLTS) Intervention in Kampala Slums
    (Fountain publishers, 2021) Japheth, N. Kwiringira
    The Sustainable Development Goals (SDGs) relating to sanitation also involve conservation of the environment, improvement in quality of education, promotion/advancement of gender equality, elimination of child mortality and reduction of poverty. Globally, 2.3 billion people lack access to improved sanitation facilities (WHO 2014). Of these, 600 million people use improved, but shared latrines (Ibid). While the national average sanitation in Uganda is at 70 per cent, the extent towhich latrines produce intended health benefits depends on how they are used, cleaned and maintained (Kwiringira, Atekyereza, Niwagaba and Günther 2014a; Kwiringira, Atekyereza, Niwagaba, and Günther 2014b; Kwiringira, Atekyereza, Niwagaba, Kabumbuli, Rwabukwali, Kulabako and Günther 2016; Kwiringira 2017). Most shared sanitation facilities in slums are abandoned after a short time of use due to disuse, lack of cleaning and poor maintenance (Kwiringira, Atekyereza, Niwagaba and Günther 2014a; WSP 2008). In Kampala, 70 per cent of the urban poor use shared latrines with 47 per cent of these latrines clean enough to be used and another 45 per cent of the facilities abandoned (Günther, Horst, Lüthi, Mosler, Niwagaba and Tumwebaze 2011; Günther, Horst, Lüthi, Mosler, Niwagaba and Tumwebaze 2012).
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    ‘If they beat you and your children have eaten, that is fine…’ intersections of poverty, livelihoods and violence against women and girls in the Karamoja Region, Uganda
    (The Palgrave Handbook of Intersectionality in Public Policy, 2019-02-02) Rujumba, Joseph; Kwiringira, Japheth
    Violence against women and girls (VAWG) is a common occurrence, but the daily struggles to meet survival needs take precedence over rights, entitlements and freedoms. As such, violence against women and girls thrives on deprivation, poverty, acceptance and concealment coupled with women’s dependence on men and male-dominated decision-making in most spheres of life. Even with increased awareness about VAWG, there was a fear to lose ‘care’ among women and custody over their children, which kept violence unreported and hidden. In practice, for policies and programmes to be effective, the multiple vulnerabilities of being female, mothers, poor, illiterate, married and the limitations on access and control over household and communal resources as intersectionalities need to be addressed. It is important for policy makers and programme implementers to continuously develop and adapt interventions and approaches considering the multilayered lived experiences of women and girls that expose them to and sustain violence.