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Article
Publication date: 21 August 2020

Shinga Nicole Nyashanu, Mathew Nyashanu and Mandu Stephene Ekpenyong

Sexual transmitted infections (STIs) are associated with high stigma leading to poor sexual health-seeking behaviour and mental health problems. Although human immunodeficiency…

243

Abstract

Purpose

Sexual transmitted infections (STIs) are associated with high stigma leading to poor sexual health-seeking behaviour and mental health problems. Although human immunodeficiency virus (HIV) prevention has generally been successful in many communities across the world, statistics for young people have remained relatively low, especially among most affected communities such as the black sub-Sahara African (BSSA) communities. This paper aims to explore the barriers to STIs and HIV testing among young BSSA communities living in the UK.

Design/methodology/approach

The research study used an explorative qualitative approach. The study included 6 focus groups comprising 10 people each (N = 60), and 12 one-to-one follow-up interviews were held with the research participants. Two one-to-one follow-up interviews were held from each focus group (N = 12).

Findings

The study found that perceived risk taking, perceived HIV test embarrassment, sexual health professionals’ attitudes, perceived HIV as death sentence, limited educational awareness and general HIV stigma prevented research participants from testing and impacted on their mental health well-being.

Originality/value

There is a need to increase sexual health and mental health education awareness among young BSSA communities. More importantly culturally sensitive interventions to reduce the impact of HIV stigma need to be rolled out in different diverse communities. This study is the first of its kind to look at the barriers affecting young BSSA communities in accessing sexual health testing services in the UK.

Details

Journal of Public Mental Health, vol. 19 no. 4
Type: Research Article
ISSN: 1746-5729

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Article
Publication date: 5 December 2023

Mathew Nyashanu, Scovia Nalugo Mbalinda, Roda Madziva and Mandu Stephen Ekpenyong

The purpose of this paper is to explore the experiences of black Sub-Saharan African (BSSA) migrants from war-torn zones in accessing health services in the West Midlands region…

96

Abstract

Purpose

The purpose of this paper is to explore the experiences of black Sub-Saharan African (BSSA) migrants from war-torn zones in accessing health services in the West Midlands region of the UK. This may help to inform on factors influencing the uptake of health services for new migrant communities.

Design/methodology/approach

This study explored the experiences of BSSA migrants from war-torn zones in accessing health services in the West Midlands using an explorative qualitative approach. Ten focus groups made up of seven participants each were followed up with three in-depth one-to-one interviews from each focus group using a conversational approach where research participants were encouraged to direct and shape the discussion in accordance with their own experiences, views and particular concerns (Kvale, 1996) as opposed to responding to a pre-determined agenda.

Findings

Following transcription, coding and analysis of the focus group discussions and follow-up interviews, this study found that perceptions and attitudes of BSSA communities in accessing health services included difficulties in navigating the health system, intrusive and embarrassing questions from clinicians, stigmatisation through offering an HIV test, culturally unfriendly counselling support, unconfidently services and episodes of trauma flashbacks.

Originality/value

The experiences of BSSA migrants who sought health services in the West Midlands in the UK demonstrated important implications for future practice and informed service delivery. There is a need to consider cultural education for both BSSA migrants and health professionals to enhance understanding and trust between the groups. Basic professional training for health professionals should also encompass the needs of the growing ethnic populations in the UK.

Details

International Journal of Migration, Health and Social Care, vol. 20 no. 1
Type: Research Article
ISSN: 1747-9894

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Article
Publication date: 10 June 2021

Karin Zakeyo and Mathew Nyashanu

The purpose of this study is to explore the potential causes of HIV prevalence among young women in South Africa. Human immunodeficiency virus (HIV) is one of the leading causes…

249

Abstract

Purpose

The purpose of this study is to explore the potential causes of HIV prevalence among young women in South Africa. Human immunodeficiency virus (HIV) is one of the leading causes of death in sub-Saharan Africa. South Africa (SA) has the largest HIV pandemic in the world with approximately 7.2 million people living with HIV as of 2017. There is a disproportionate incidence of HIV between women and men, particularly affecting young women 15–24 years of age. This paper reviewed 10 articles on the impact of HIV in SA among young women.

Design/methodology/approach

A total of 10 articles on HIV in SA were selected for review using academic databases including Library One Search Pro, Google Scholar, the British Medical Journal and Elsevier. The search generated 11,095 articles, which were narrowed down to 10 by the criteria of being specific to gender and age and publication period.

Findings

Five themes were identified from the findings as to the potential causes of HIV prevalence among young women these included age-disparate relationships, social factors and sexual behaviour. Impact of HIV on communities and individuals, gender and patriarchy including poverty and social isolation.

Originality/value

The paper shows the impact of inequalities between men and women leading to HIV infection among young women. It also shows some gaps that require further research with regards to HIV infections among young women.

Details

International Journal of Human Rights in Healthcare, vol. 16 no. 1
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 15 September 2020

Mathew Nyashanu, Scovia Nalugo Mbalinda, Fungisai Mushawa and Mandu Stephene Ekpenyong

Since the early 19th century, the UK has seen a decrease in mortality rates and increase in life expectancy. This has increased the number of elderly people being put into…

159

Abstract

Purpose

Since the early 19th century, the UK has seen a decrease in mortality rates and increase in life expectancy. This has increased the number of elderly people being put into residential care. Change in British population demography with the arrival of many Africans from the black Sub-Sahara African (BSSA) countries has increased the need of these services. The purpose of this paper is to explore perceptions and attitude of BSSA towards residential care from potential user perspective.

Design/methodology/approach

This study was explorative qualitative in nature, using focus group discussions and one-on-one follow up semi-structured interviews. The focus group discussions and interviews were audio recorded and transcribed verbatim. The Silences Framework was used to guide this study, and the collection of data was done using the thematic analysis approach.

Findings

This study found out that the sense of confinement, lack of ownership, non-provision of culturally friendly food, non-provision of culturally friendly personal care, non-provisional of culturally orientated death and dying care, stigma for being neglected and perceived poor inclusivity leading to loneliness were found to discourage BSSA research participants from taking up residential care in the UK.

Research limitations/implications

In future, there is need for cross-cultural comparisons of BSSA communities living in the UK and BSSA communities living in Africa or other parts of the world. This may enhance understanding the differences and similarities based on contextual social, political and economic factors.

Practical implications

There is a need to understand the needs and concerns of new communities in relation to residential care and make necessary changes to enhance diversity and inclusivity. More importantly, the curriculum and professional development courses for staff in health and social care need to factor in the concepts of cultural competency and inclusivity to prepare them for the increasingly changing terrain of social care.

Originality/value

Owing to the changing demography and diversity in the UK population, there is a need to re-orient and re-design residential care services provision to make it diverse and inclusive of new communities from other cultures.

Details

International Journal of Migration, Health and Social Care, vol. 16 no. 3
Type: Research Article
ISSN: 1747-9894

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Article
Publication date: 1 June 2021

Mathew Nyashanu and Maureen Mguni

It is believed that more than 120 million women have undergone female genital mutilation (FGM) and more than 2 million young girls are at risk of undergoing FGM. FGM is practiced…

294

Abstract

Purpose

It is believed that more than 120 million women have undergone female genital mutilation (FGM) and more than 2 million young girls are at risk of undergoing FGM. FGM is practiced in different parts of the world. With globalisation and the increased movement of people across the globe, FGM is now a global problem. While ending FGM remains a priority, the approaches and strategies being used have generated contested views across the social divide. The purpose of this study is to explore the challenges in combatting FGM as experienced by Black Sub-Saharan African (BSSA) women in Diaspora.

Design/methodology/approach

This qualitative study used a phenomenological approach. Narratives were collected from 40 BSSA women from 20 Sub-Saharan African countries living in the English West Midlands region. A thematic approach underpinned by the four phases of data analysis in the Silences Framework were used to analyse the data.

Findings

The research study found that stigmatisation of survivors, utilisation of graphic images in FGM awareness, exclusion of practising communities’ gatekeepers in FGM interventions, conflation of religion and FGM practice and obsession with securing a conviction were obstacles in combating FGM. Diaspora community-driven studies exploring FGM and contested notions in addressing it from women perspectives are scarce.

Originality/value

This study pulls together the experiences of BSSA women and their perspectives on contested notions in combating FGM in the UK. The debate asserts the growing need to consider gender sensitive radical interventions, which involves educating perpetrators and gatekeepers among FGM practising communities.

Details

International Journal of Human Rights in Healthcare, vol. 14 no. 4
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 14 October 2021

Mathew Nyashanu

The paper aims to show the impact of insider/outsider researcher positionality and the lessons from researching the social construction of HIV stigma and sexual health-seeking…

205

Abstract

Purpose

The paper aims to show the impact of insider/outsider researcher positionality and the lessons from researching the social construction of HIV stigma and sexual health-seeking behaviour within black sub-Sahara African communities (BSSA).

Design/methodology/approach

The paper is a reflection on the impact of researcher positionality based on lessons learnt following a research study on the social construction of HIV stigma and sexual health-seeking behaviour within BSSA communities.

Findings

Researcher positionality has a direct impact on the quality and nature of study outcomes. Depending on the nature and circumstances of a given research study, the researcher status in terms of position (insider or outsider) can be dynamic and instrumental in the level of participation by research participants. In this paper, the authors consider three important interdependent aspects central to conducting research including researcher identity, research participants and the research topic to assess the impact of researcher status on the quality and nature of the information provided by the research participants.

Originality/value

A researcher who is viewed as both an insider/outsider can either positively or negatively influenced the quality and nature of the information given by the research participants.

Details

Qualitative Research Journal, vol. 22 no. 2
Type: Research Article
ISSN: 1443-9883

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Article
Publication date: 4 November 2020

Mandu Stephene Ekpenyong, Mathew Nyashanu, Amina Ibrahim and Laura Serrant

Whistleblowing is a procedure where an existing or past participant of an establishment reveals actions and practices believed to be illegal, immoral or corrupt, by individuals…

721

Abstract

Purpose

Whistleblowing is a procedure where an existing or past participant of an establishment reveals actions and practices believed to be illegal, immoral or corrupt, by individuals who can influence change. Whistleblowing is an important means of recognising quality and safety matters in the health-care system. The aim of this study is to undergo a literature review exploring perceived barriers of whistleblowing in health care among health-care professionals of all grades and the possible influences on the whistleblower.

Design/methodology/approach

An integrative review of both quantitative and qualitative studies published between 2000 and 2020 was undertaken using the following databases: CINAHL Plus, Embase, Google Scholar, Medline and Scopus. The primary search terms were “whistleblowing” and “barriers to whistleblowing”. The quality of the included studies was appraised using the Critical Appraisal Skills Programme criteria. The authors followed preferred reporting items for systematic review and meta-analysis (Prisma) in designing the research and also reporting.

Findings

A total of 11 peer-reviewed articles were included. Included papers were analysed using constant comparative analysis. The review identified three broad themes (cultural, organisational and individual) factors as having a significant influence on whistleblowing reporting among health-care professionals.

Originality/value

This study points out that fear is predominantly an existing barrier causing individuals to hesitate to report wrongdoing in care and further highlights the significance of increasing an ethos of trust and honesty within health care.

Details

International Journal of Human Rights in Healthcare, vol. 14 no. 1
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 29 September 2021

Mathew Nyashanu, Farai Pfende and John Osborne

The purpose of this paper is to evaluate the benefits of an inclusive community singing group towards well-being.

248

Abstract

Purpose

The purpose of this paper is to evaluate the benefits of an inclusive community singing group towards well-being.

Design/methodology/approach

This study used an exploratory qualitative study (EQS) approach. Semi-structured questions were devised and used to elicit participants’ experiences on the impact of an inclusive community singing group towards well-being. A thematic approach underpinned by the four phases of The Silences Framework was used to analyse the data.

Findings

This study found the following benefits of an inclusive community singing group towards well-being Connecting with others, Physical improvement, Learning new skills, Giving to others and Mindfulness.

Originality/value

This study concluded that inclusive community singing plays a pivotal role in enhancing the health and well-being of communities.

Details

Journal of Public Mental Health, vol. 20 no. 4
Type: Research Article
ISSN: 1746-5729

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