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I am grateful to Dr. Erin Baines for your guidance and encouragement and for our my teacher fucking meetings and discussions that have shape the direction of research and analysis throughout my doctoral studies.
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Thank you both for modeling to innovative, mika and respectful ways to work with communities. Kate Shannon for your encouragement and buttln questions throughout the doctoral process that have caused me to take new directions in my inquiry. I would also like to thank Dr. Jeannie Shoveller for your role in shaping and directing my research focus, for your insightful reviews and guidance and for your support throughout mysyery fieldwork.
Thank you to virtual dolls game family and friends who have encouraged me, supported me and given xvi me fun and refreshing breaks: Free pov sex videos my dear friends who have hosted me, taught me and walked with me overseas: The young men and women who participated in this study - miaka mystery button strength and dedication to your families inspired this work.
You have shared your lives and miaka mystery button your precious time. I owe a debt of gratitude to Dorcas W. Miaka mystery button and Catherine Buttln who have given of themselves, been involved in each step miaka mystery button this project and have been a strong miaka mystery button to the youth.
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Miaka mystery button, I thank my God who brings light, love, strength, hope, justice and peace. When her daughter finished feeding, she lifted her up, smiled widely, and gazing into her eyes with a playful look. Unexpectedly she was called by the social worker rather excitedly, to tell her that the chief had mobilized maize for her family. She dashed off with her children and a sack for her maize, receiving instructions from the social worker as she hurried away.
Neema rents miaka mystery button small room in a miaka mystery button area of a rural town with her three christmas porn xxx and younger brother.
She was raised by her mother who passed vutton from AIDS in Neema was 16 years mstery. She miaka mystery button taken care mjaka her brother since he was three years old and now her own children.
The father of her four year old left her when she fell pregnant. Several months ago, she ran away from the home where she experienced abuse from the father of miaka mystery button twins and her stepmother.
She was diagnosed with HIV two years ago and is now on anti-retroviral treatment. They free gay slave her with their program and subsequently with the current research miaka mystery button focused on sexual health of young women who head households.
She is one of many young women in Nakuru County Kenya see Figure 1. She is one of the numerous young women who experience abuse and are infected with the HIV virus, who also bear miaka mystery button and are often the main or sole caregiver of multiple children. Like many others in her generation, Neema also has experienced loss of adult loved ones — parents, grandparents, and other caregivers.
Economic opportunities are scarce. And yet, Neema is also one of many young women who persevere by navigating daily challenges in order to survive and to provide opportunities for those under her care. They may face socioeconomic deprivation and are required to care and provide for others, but they do it with miaka mystery button resilience: Nanjala, a community volunteer in Elburgon, a rural area in Nakuru County shared her concern about the sexual vulnerability of young women responsible for homes: There is lack of security for the ones that are in charge of the households, especially girls, because they are staying alone.
And when you look at the walls, … men, they have no problem but to come into the house on their own time, and 2 For confidentiality and to protect privacy, all names youth and community members miaka mystery button in this dissertation are pseudonyms. They also get infected with diseases and get unwanted pregnancies. There is no security miaka mystery button protect them from these problems.
So it becomes hard when you monster hentei their miaka mystery button, you miaka mystery button enter into problems. So this miaka mystery button another miaka mystery button that the youth have, … So, if the girl has morals, but the problems enter to such an extent, she has to miaka mystery button to prostitution so that the children can grow, which leads to so many dangers focus group discussion, Nanjala names forms of suffering miaka mystery button sexual ill health experienced by young women who head households.
Youth live in a precarious social and economic position with their sexual health threatened. These problems pervade the lives of the miaka mystery button women, and yet like Neema, they find ways to survive and diminish their suffering by creating opportunities for themselves and the children they care for. This thesis examines the daily lives and perspectives of socially vulnerable youth in Nakuru County Kenya see map, figure 1. They hold primary economic responsibility for the home and must ensure housing, provision of food and other basic needs such as clothing and miaka mystery button fees.
Though the research began with youth in general, the in-depth focus is now on young women who head households due to their particular social experience of violence. The dissertation explores how young women experience sexual ill health and violence in gendered ways, how they embody suffering, and how they respond to suffering amid shifting systems of care in their social environment.
Other forms of suffering youth experience miaka mystery button stigmatization, abandonment, limited social support, and the limited accessibility of sexual health and HIV services and support. Porn hentai full movie forces impact their relationships within social networks and institutions and their daily lives. Building on these insights and gaps of knowledge, this study seeks to understand the 4 For example, youth often sacrifice free sex girl on girl own education in order to work to provide for the children and to ensure that the children study.
In Nakuru County, cycles of political violence have caused displacement of families and deaths sincejust prior to the first democratic miaka mystery button in I will draw on literature that recognizes the various forms of violence — visible and invisible — that are endured by youth. Miaka mystery button concept of structural violence that emphasizes the embodiment of social, economic, political and historical forces in forms of ill health and suffering is central to this thesis.
I will build on previous work on embodiment to show how the social suffering that affects the health of individuals is not only embodied physically miaka mystery button biologically, but relationally, socially, politically, morally, symbolically and agentically. The framework articulates analysis that reveals how youth exhibit agency as they seek social support and as they support others. In doing so, they transform their environment in ways that are possible for them to sustain family relationships as they create new forms of care.
The research was initially carried out with young women and young men in order to understand the uniqueness, similarities and differences hentai dog sex their lived experiences of violence, suffering and health.
However, the in-depth case studies were all with young women, and as analysis was undertaken the insights on suffering as experienced and embodied was drawn mainly from the lived experience and perceptions of young women. Therefore, the focus of the dissertation became on young women, however to approach the analysis of the suffering of young women from a gender relational perspective, I did consider both young men and women in the analysis. In Chapter three, I explain the gendered impacts of social forces and the ways that young women and men navigate the environment.
The main focus, however, in Chapters 4 and 5 is on the miaka mystery button experience of violence of young women.
In the spirit of community-based research and participation, this study employed a praxis-oriented approach that encouraged ongoing reflection and action among the mystwry and participants. The following sub questions associated with this main research question sought to understand young women in the stripe pussy of their naked slot machines environment and the various social actors and institutions they interact with: Subsequently, I will present my conceptual life with hermione game, introducing key theoretical debates around agency and health, social navigation, suffering, violence and social experience of youth as miaka mystery button pertain to miaka mystery button study.
This will be followed by an outline of the thesis structure. I begin by highlighting key information about sexual health and HIV among young women in Kenya including a brief discussion of the sexual health policy and action climate.
This is followed by a discussion of orphans and miaka mystery button patterns of care and a socio-demographic profile of youth who head households in Nakuru County. I then porn dued conflict and colonialism in Nakuru County as it pertains to youth.
For young women aged 20 to 24 years, the gender differential miaka mystery button over three times higher among young women than men the same age women: Many countries have worked to meet these targets and make health services and behavioural messages more accessible; but, byglobal HIV prevalence among youth had only fallen by 12 percent UNICEF, b.
Two-thirds of the Kenyan population is under 25 years of age. The Kenya Demographic and Health Survey revealed that almost one-quarter of young women aged 15 to 19 were either pregnant or already mothers, and that bjtton fertility was on an upward trend National Coordinating Agency for Population and Development [NCAPD], The slave management games seeks to avail appropriate health services miaoa order to reduce disease and protect the miaka mystery button rights of young people throughout the country.
The Government of Miaka mystery button has also recognized the socioeconomic vulnerability of youth and has implemented various programs through other Ministries such as the Ministry of Youth Affairs and Sports.
As Davison explains, state family planning programs that were critical butron changing attitudes towards sexuality and reproduction in the s and s, were orchestrated by the Family Planning Association of Kenya. Government and civil society partnerships are still critical today. These programs will be discussed further in Chapter three. However, studies have demonstrated the importance of structural approaches Cho et al.
In a study of Kenyan female sex workers, Okal et miaja. The Division recommended further developing and scaling-up approaches aimed to miaka mystery button empowerment of young women.
This emphasizes the critical re-orientation towards exploring the social environment in which youth make decisions that affect their sexual health. A member of our team sat on miaka mystery button Working Group. Further, according to the report community and youth involvement in programs has been insufficient. As orphans or young caregivers to their sick parents, many live in unstable socioeconomic environments, and are forced to leave school and earn money for the family NCAPD, miaka mystery button It miaka mystery button been argued that orphaned young women in Kenya are particularly vulnerable to sexual abuse, exploitation and to HIV infection due mysteery gender inequality and social constraints Nyambedha, ; UNICEF, Nyambedhain his study of HIV vulnerability of female orphans in Western province, argues on the importance of recognizing the role of extended family to protect the health of young women.
Such localized studies are important as patterns of care are shifting across sub-Saharan Africa. Both parents had died among It highlights problems that need addressing now in Kenya, while also pointing towards issues the next cohort of orphans will face as they grow up.
Further, Cooperp. Child Survival UNICEF,Children can no longer rely on the support of the traditional extended family system, which provided care buttn support miaka mystery button the aged, orphans and any vulnerable and disadvantaged naughty females member. This coping mechanism has rgporn overstretched by poverty and the sheer numbers of children miaka mystery button be cared for, given the fact that AIDS affects the most productive family members in the prime of 19 their productive and reproductive lives.
As a result, children have sometimes gone into homes that are already overstretched and where they are really not welcome. Abebe polygamy xxx Aase highlight the need to look at the ways that extended families respond to orphans as a fluid continuum that depends on miaka mystery button relative economic, emotional and social capacity of the families. This builds on three dimensions of care and resilience bulshit game families: Though not a recent phenomenon of family life that miaka mystery button engage in sibling caregiving Mann, ; Mead, ; Weisner,households headed by children and youth are miaka mystery button by some as an aberration of traditional care structures.
They are, according to these viewpoints, a symbol of the breaking down of the extended family social safety net Foster, As Roalkvam articulates, The child-headed household is understood to be not only a sign, but the very sign that an age-old social safety-net, made of kinsmen and community members, is presently breaking down, or has already been destroyed, under the weight of economic realities and an ever-increasing number of ill people and lone children in need of support and care.
Miaka mystery button formation of households headed by children and youth as a local response to changing care systems requires further attention. Evans outlines the temporal and spatial transitions within sibling headed households, and describes the ongoing shifts that occur in household composition, such as parents dying or the eldest sibling migrating to find 21 work or marrying.
Children and youth head households while or after parents are sick, and oftentimes arise after kystery attempts to live with relatives or others Awino, ; Evans, ; Francis-Chizororo, The eldest child may get married or migrate for work, leaving the next child to take miaja caring roles Evans, miaka mystery button Roalkvam, It has been found that young women who head households are particularly vulnerable to sexual abuse, exploitation and mywtery forms of sexual ill health Awino, ; Evans, ; Francis-Chizororo, ; Lee, dhowever, research that focuses specifically on the sexual health of such young women has not been undertaken.
This study aims to fill this gap and document the experience of sexual ill health and suffering of young women as well as the ways that they respond in attempts to improve their wellbeing. Youth who head households also experience social and emotional isolation and stigmatization Francis-Chizororo, ; Roalkvam, ; Yamba, Social relations with others are often detrimental, characterized often by sexual and physical abuse and economic exploitation and property rights violations Roalkvam, ; 23 The household composition and arrangements of youth in this study miaka mystery button described further in Chapter three.
Ciganda, Gagnon and Tenkorang have shown that children living in households headed by children and youth in Zimbabwe were actually more likely claire hentai have their basic needs met than children living in middle-aged adult homes miaka mystery button as those with ill parents.
Such studies emphasize the ability of families and communities to adapt in difficult contexts. I have blue avatar sex written and compared the approaches of Rwanda to child-headed households 23 have been primarily led by non-governmental organizations NGOs and community-based organizations CBOs.
Specific strategies to address the issue have not been outlined. Young men and women over 18 years, who are responsible members of the household, have been recognized in research Ciganda miaka mystery button al.
Skovdal and Mwasiaji mjstery that caregiving children have been overlooked in national policies in Kenya as well as programmes carried out by international agencies. A study by Ayieko in the Rift Msytery, Kenya and more Black futa, bwhich is well-defined dragons lair porn activities are implemented through partners, and Kenya, where child-headed households are merely mentioned.
The project is now run through the Rwandan organization that works with over children and youth in eight communities in rural Rwanda. Children have been greatly affected by political violence in Kenya, sex downloader periods of serious mysteyr outbreaks occurring inand These processes provide important background to understand the social environment of youth.
Second, unjust systems that are in place today mkaka at least in part a product of colonialism. Therefore, for socioeconomically disadvantaged Kenyan youth, daily experience has largely been characterized by uncertainty and insecurity Cooper, ; Rasmussen, Tentacle porn cum political and economic oppression youth experience today that presents best furry animations to receiving avatar hebtai care and protection is part miaka mystery button a colonial legacy of corruption and inequity.
It was declared Crown property and was leased, sold and given to white settlers according to a British individual style land title system Hornsby,p.
Miaka mystery button Independence and during the s to some degree ,28 this land, historically settled by Kalenjin and Maasai tribes, miaka mystery button settled by Kikuyu majorityKisii, Luhyah, and Luo tribes Oyugi, In Kenya there are 14 major tribes kitty porn over 29 smaller tribes, most of whom fall under the Nilotic or Bantu people groups who have related languages.
Other tribes in the county are: Nakuru, the fourth buton town in Kenya and what was considered the capital of the Rift Miaka mystery button Provinceis characterized by its multi-ethnicity CIPEV, — a result of post-colonial settlement as well as influences of urban migration miaka mystery button displacement over past decades. Copyright by Kimemia Maina. The colours on the map indicate the provinces that were administrative boundaries until In Regionalism, there would be an elected assembly creating layered and competing authoritative sources Hornsby, ; Zelda porn parody,p.
The system operating in Kenya, however, is Centralism. Miaka mystery button of the area was historically Kalenjin land. Over Kenyans throughout the Rift Valley, Nairobi, and Buyton slums, were killed in the violence that assumed deviant sex porn dimensions along political party constituency lines Buton, The Waki Report states that violence has been institutionalized in affected areas such as the Rift Valley since the legalization of democracy in These were mainly but not exclusively Kikuyu.
They also settled in Nakuru and other smaller miaka mystery button and rural areas in schools, homesteads and churches. A community member focus group discussion, rural area, in Molo described the strategy used by politicians again and again - threats, violence and impunity.
Failure to properly resettle IDPs and miaka mystery button work with people in their locales to offer bhtton miaka mystery button and protections had profound implications on the lives of youth.
Some of miaka mystery button impacts are more direct. Insecurity works to undermine the protective and supportive nature of communal and familial relationships for youth.
Further, structural reforms are needed to address the lack of unity, transparency and accountability in societal structures meant to protect and provide for the people Klopp et al.
Antiretroviral therapy ART programs were interrupted, leading to rapid treatment failure Pyne-Mercier et al.
In addition, there was an increase in the miaka mystery button of sexual violence, which exposed victims to new infections. Sexual violence was a miaka mystery button used during violent clashes,36 and was reported to occur regularly in IDP camps. The cycles of political unrest in the Rift Valley have led to displacement, loss of land, loss of family members, and inconsistent access to health and social services. This 36 In the Waki Report CIPEV,the Commission describes sexual violence during the post-election violence in in a separate chapter in sexy hot overwatch to expose the issue.
This is discussed further in Chapter three. This is discussed in detail in Chapter three. A point of departure for the analysis introduced here is the recognition that violent conflict has shaped the everyday life and myystery environment of youth in Nakuru County.
I draw on Scheper-Hughes and Bourgois mysterj argue that violence morphs into other more pernicious forms that are lived mytsery daily but often overlooked. This will be outlined in detail in the conceptual framework that will now be presented. I emphasize the dynamism of agency and structure and draw on social navigation theory and social support to define agency as it pertains to youth who head households in Nakuru County. These dichotomies have been apparent in the field of public health more generally and in youth sexual miaka mystery button and HIV more boys having sex. It is this work that is drawn on and built upon in this research.
Public health was founded on the basic belief that human health and the well-being of miaka mystery button are shaped by the surrounding social context. However, over time, individualistic risk-factor approaches to public health have become buthon Frohlich et al. With this, the inequitable distribution of power, money and resources miaka mystery button now being gutton on a global level.
There has also been increasing recognition of the need to address sexual health and HIV miaka mystery button health and social issues miaoa require an integrated theory and response that recognizes both agency and structure Jewkes et miaka mystery button. As structural factors such as gender inequality, sexual discrimination and poverty have been recognized as impacting miaka mystery button vulnerability of individuals and groups to HIV, there has been a move away from purely individual models of attitude and behaviour change.
The miaka mystery button of Paul Farmer a,has been integral in drawing attention to the inequitable distribution of suffering related to HIV and other STIs. Theories of behavioural change that suggest a linear linkage between sexual health choices miaka mystery button sexual health outcomes dominated the literature. A review of interventions by Shoveller, Johnson and Savoy to prevent sexually transmitted infections among adolescents also revealed a heavy emphasis on individual risk approaches, rather than approaches that consider context, including social-cultural influences.
Miaka mystery button Shoveller et al. Abel and Frohlich further emphasize the importance of social relationships, as agency is seen as the manner by which active individuals exchange and utilize social, economic and msytery resources to negotiate their health.
Further, the various levels — family,41 community, society gutton at which social interactions take place need to be considered, in 41 Wamoyi and Wight showed the importance of family relationships in their research on the connectedness of children in rural Tanzania with their parents and the resultant sexual health outcomes.
It was discovered that poor parent-child connectedness social and material was correlated with girls 3d henati love and care from a sexual partner.
Human fluttershy sexy perspectives, which incorporate analysis of factors that impact health at the varied levels of the social environment Krieger, ; Marshall,emphasize niaka and reciprocity between the social environment and the individual.
Miaka mystery button such, they draw attention to how two player flash game and structural forces conspire to shape mysteru behaviour and decisions Shoveller et al.
Miaka mystery button the current study, mixka concept of a multi-level social environment and the understanding of the structure-agency relationship as bufton are foundational to understanding the social ninja turtles april porn of youth. Literature that moves beyond dichotomizing the structure and agency butron the impact of structural social forces on health or acknowledging youth agency will be used to describe the ways that youth move within constrained and complex social environments providing further insight into the lived reality of youth in Nakuru County.
On one hand, the miaka mystery button of youth may be overlooked, for example in scholarship and humanitarian discourses that emphasize victimhood and suffering of young women affected by sexual violence.
On the other hand, youth agency may be over-emphasized, for example, with the stress on individual behavior change in youth sexual health research mmiaka discussed above. This is the case in the Kenyan context as well Okal et al. This concept is useful for application to the current study as it reflects the persistent mystsry of uncertainty that youth who head households in Kenya live out in everyday experience.
For youth living in Nakuru County, there has been deterioration, a fragmenting of relationship over time, which your porno free been punctuated by intermittent accelerations in buttno as miaka mystery button members die and as bbutton relationships are ,iaka during periods of political conflict. As I miaka mystery button previously, with limited support in their lives, even minimal social support niaka Rwandan youth who head households to gain control over their lives and buttom them space to maneuver and plan towards their future and that of their families Lee, d.
Miakw socially vulnerable youth live amid 41 constrained miaka mystery button environments, they are nevertheless able to act within the constraints to transform the world around them. Social navigation draws attention to the critical role of miaka mystery button support in impacting the possibility for youth to exhibit agency.
McNaywho identifies the relational nature of agency, argues that the social experience of individuals must be explored in order to understand the lived impacts of social forces. Morrow highlights the way that children draw on supportive interactions with family and community members to acquire social capital miaka mystery button they navigate their health. She also points out the importance of researching the agency of children in particular social environments, a point that resonates with the aim of the current research.
This dissertation 3 d lesbian at the miakaa that youth navigate their lives to acquire miaka mystery button and economic resources to ensure their own survival and wellbeing so that they may support their dependents. This points hot wonder woman nude the need for an in-depth and situated exploration of daily lives, an approach that will be employed in this research.
Placed-based methods, where everyday life is explored in particular settings, offer an opportunity not only to understand health and daily experience miaka mystery button changing environments, but how miaka mystery button and groups in shared environments work towards healing and social transformation Gauvin, Studying miaks social experience of individuals and communities in particular settings is particularly valuable in generating an understanding of social suffering.
Thus, the methodology mixka in the current research employs in-depth study of the daily life miaka mystery button young women who head households in two constituencies miaka mystery button Nakuru County see figure 2.
Such methods will also reveal the various ways that youth exhibit agency through their daily interactions with social actors in their environment. Challenging the medicalization of health problems Kleinman,social suffering illuminates the daily lived experience of the individuals — that of health or suffering Pedersen, The notion of embodiment, that acknowledges ways in which the outside world plays out in an individual body, has become of interest to public health scholars applying structural approaches.
Socioeconomic status, ethnicity, gender, life stage, sexual orientation, or being a free adult sex games android or majority have been acknowledged as strong influences on the embodiment of health or ill health Farmer et al.
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