Authors:James Ritchie, Michael Toppe, Doug Lindberg, Jason Paltzer Pages: 3 - 5 Abstract: As mentioned in the introduction of our study in this issue, Moral injury among healthcare missionaries: a qualitative study, the setting of cross-cultural medicine inherently produces moral injury. This moral injury occurs because different cultures have different deeply held values, and medical care intersects with some of the most emotionally and spiritually powerful values. Moral injury is one of the most common reasons for distress in healthcare missionaries, and the consequences can be severe and lifelong. This calls for adequate preparation, ongoing mentoring, institutional boundary-setting, and further research. PubDate: 2023-10-30 DOI: 10.15566/cjgh.v10i2.861 Issue No:Vol. 10, No. 2 (2023)
Authors:Alison Youdle, Beryl A D'Souza Vali, Nathan John , Pam Anderson Pages: 6 - 21 Abstract: The Jogini, or Devadasi, system sees young girls “married” to a deity after which she is seen as the property of the village and required to perform religious duties and often sexual favours, typically without payment or freedom of choice. There is a paucity of published research on the factors which make women vulnerable to this exploitation and the factors which increase the likelihood that they are able to extricate themselves from it. This is a population study of 657 women who had previously been dedicated as Joginis living in 10 villages in Mahabubnagar district of Telangana, South India. The primary outcome of interest was whether the women were practicing as a Jogini at the time of the survey. Data was analyzed using a mixed effect logistic regression test to determine possible determinants of practicing status. Four factors were found to be significantly associated with continued Jogini practice: 1) being a person with a disability, 2) reason for dedication given as family tradition of other Joginis in the family, 3) poverty in the family of origin, and 4) living in a village with more than ten percent of the population belonging to a scheduled tribe. One factor significantly negatively associated with continued practice was having one or more male children. Analysis of the demographic data for these women confirmed the previously known fact that the exploitation in the form of the Jogini system disproportionately affects those who are already vulnerable in society — those from scheduled castes (SC) and tribes (ST), other backward castes (OBC), the disabled, the uneducated, and the poor. Between them, SCs, STs, and OBCs make up the non-forward castes, i.e., those who are socially disadvantaged. The scheduled castes, formally known as untouchables, are the lowest of the Indian castes. Scheduled tribes are tribal people, not part of any organized religion. Other backward castes are those between the forward castes and the scheduled castes in terms of social order. PubDate: 2023-10-30 DOI: 10.15566/cjgh.v10i2.769 Issue No:Vol. 10, No. 2 (2023)
Authors:Safder Husain, Arish Mohammad Khan Sherwani Pages: 22 - 36 Abstract: Background and Objective: Anaemia is a common clinical condition that affects the majority of school aged children. Reduced resistance to disease, increased susceptibility to infection, impaired physical development, and poor school performance are all consequences of anaemia in this group. The present study was designed with the objective of estimating the prevalence of anaemia among school children in Bengaluru. This included identifying the associated factors or causes and consequences of anaemia. Methods: A school based cross-sectional study was conducted among children in schools from 3rd to 8th standard in Bengaluru Urban North Division Karnataka State, India, over a period of one year. 250 children were selected using convenience sampling. Results: The overall prevalence of anaemia among school going children was found to be 21.2%. Prevalence of anaemia was significant among variables like socioeconomic status, dietary habits, increased heart rate, breathlessness, lack of energy, dizziness, irregular menstrual cycles, jaundice, blood loss during menstruation, menstrual cycle pattern, pallor signs of palpebral conjunctiva, mucous membrane, and skin, splenomegaly and hepatomegaly, consumption of chicken, fish, citrus fruit, milk, Mizāj ‘Ām duration of menstrual flow, headache, poor wound healing, and chronic disease. Conclusion: The overall prevalence of anaemia in our study of school children in Bengaluru (21.2%) was lower than the prevalence in the data recently shown by NFHS-5. Prevalence of anaemia was highly significant among variables like low socioeconomic status, dietary deficiencies, blood loss, and chronic infections. There were also highly significant correlations with several clinical findings. PubDate: 2023-10-30 DOI: 10.15566/cjgh.v10i2.773 Issue No:Vol. 10, No. 2 (2023)
Authors:Emily Eldred, Ellen Turner, Camilla Fabbri, Sister Annah Theresa Nyadombo, Dorcas Mgugu, Charles Muchemwa Nherera, Robert Nyakuwa, Tendai Nhenga-Chakarisa, Sarah Rank , Karen Devries Pages: 37 - 51 Abstract: Schools have enormous potential to prevent and respond to violence against children. In this paper, we describe a new intervention to protect children from violence in Zimbabwe’s Catholic primary schools, initiated and developed by the Zimbabwe Catholic Bishops Conference (ZCBC). ZCBC and academic institutions in Zimbabwe and the UK are partnering to conduct formative research to understand the school context, barriers, and facilitators to intervention implementation. Semi-structured qualitative interviews with teachers and other stakeholders [n=18] suggest that this intervention will be well received. Perceived facilitators include utilising existing structures within the Church, the intervention being viewed as in alignment with Catholic values, and the use of familiar structures within Catholic schools to deliver intervention activities. Challenges will include perceptions of “child protection” among parents and teachers. ZCBC is refining the intervention model, which will be evaluated for effectiveness in reducing violence against children in a randomised controlled trial. PubDate: 2023-10-30 DOI: 10.15566/cjgh.v10i2.701 Issue No:Vol. 10, No. 2 (2023)
Authors:Arini Dyah Saputri, Imelda Ritunga Pages: 52 - 57 Abstract: Stress on students can cause a decrease in sleep quality and potentially reduce academic achievement. Understanding the effect of stress-induced sleep quality on academic achievement allows for selecting the most appropriate intervention. This study aimed to determine the impact of sleep quality due to stress on the academic achievement of medical students at Universitas Ciputra Surabaya. The method used in this study is quantitative research in the form of analytic observational with a cross-sectional approach. Sampling was done by using a random sampling technique. The population is 80 students from the Faculty of Medicine at the Universitas Ciputra Surabaya, third year and fourth year medical students. The sample size in this study was 63 students. Data was collected using the Depression Anxiety Stress Scale-21 (DASS-21) questionnaire to measure stress levels and the Pittsburgh Sleep Quality Index (PSQI) questionnaire to measure sleep quality. Sampling was only done with the consent of the respondent. The data analysis used was the correlation test which was carried out to determine the relationship between sleep quality and stress levels; the linear regression test was carried out to assess the effect of sleep quality due to stress on academic achievement. All respondents experienced stress and sleep disturbance to various degrees. The highest proportion was mild stress and moderate sleep disturbance, respectively, 50.8% and 73%. Correlation test results showed a significant relationship between sleep disturbances and stress levels (r= 0.29; p= 0.021), and the linear regression test results showed no effect of sleep quality due to stress on academic achievement (p= 0.241). Based on the data analysis, it can be concluded that the decrease in sleep quality due to stress does not affect academic achievement in medical studentss. PubDate: 2023-10-30 DOI: 10.15566/cjgh.v10i2.799 Issue No:Vol. 10, No. 2 (2023)
Authors:Jason Paltzer, James Ritchie, Doug Lindberg, Michael Toppe, Andrew Theisz, Taylor Van Brocklin Pages: 58 - 73 Abstract: Introduction Moral injury among healthcare missionaries leads to negative consequences for the individual, healthcare team, patients, and sending agencies. Conflicting values in clinical care, culture, and spirituality provide unique potentially morally injurious experiences. The purpose of this qualitative study is to explore the phenomenon of moral injury among healthcare missionaries to develop effective support and treatment strategies. Methods A qualitative interview guide was developed based on the existing literature on moral injury. Twenty-one key informant interviews were completed by two former healthcare missionaries. Participants were based in Africa, Asia, and Eastern Europe healthcare mission settings. Questions were based on clinical, cultural, and spiritual domains of potential ethical and moral conflicts. Protective factors were also explored based on one’s faith and spiritual practices. Interviews were transcribed and coded independently by two analysts. The team reviewed the codes and determined themes from across the three domains. Results Seven themes emerged from the interviews ranging from morally injurious experiences with cultural leadership practices and unfamiliar clinical care experiences to guilt over practicing outside of one’s scope of practice and addressing suffering alongside God’s sovereignty. The themes led to the development of an injury/growth pathway as a potential model for helping healthcare missionaries describe and move through potentially morally injurious experiences. Conclusion The themes allow for healthcare missionary sending agencies to develop strategies, training, and support systems for teams preparing to enter the mission field and for individuals already in the field. Recommendations for growing through potentially morally injurious experiences are suggested to guide practice and support for missionaries in the field. The growth values and strategies could inform the development of a screening tool to assess moral injury among healthcare missionaries. PubDate: 2023-10-30 DOI: 10.15566/cjgh.v10i2.839 Issue No:Vol. 10, No. 2 (2023)
Authors:David Deuel, Nathan Grills Pages: 74 - 79 Abstract: All people God has called and gifted should participate in mission. After all, he crowned us at creation and commissioned us to care for his creation. The Fall sabotaged the creation mission both relationally and practically. But God’s image abides unchanged. In Christ, God renews us in his mission to redeem people. Also, we are a kingdom of families being renewed. Family support empowers impairment in mission. Our understanding of God’s Image corrects misunderstandings about people with disability in mission. It also increases our capacity to appreciate God’s hand in mission blessing. PubDate: 2023-10-30 DOI: 10.15566/cjgh.v10i2.723 Issue No:Vol. 10, No. 2 (2023)
Authors:Daniel O'Neill Pages: 85 - 94 Abstract: A conference report on healthcare mission engagement including biblical basis, historical threads, current state of global health, vocation, cross-cultural communication, mobilizing and supporting workers, and leadership. PubDate: 2023-10-30 DOI: 10.15566/cjgh.v10i2.863 Issue No:Vol. 10, No. 2 (2023)
Authors:Fotarisman Zaluchu Pages: 95 - 95 Abstract: A poem focusing on how far human beings are far away from God. Instead of caring for the creation, we are now destroying all God's creation including us. This is a call to return to caring for creation. PubDate: 2023-10-30 DOI: 10.15566/cjgh.v10i2.781 Issue No:Vol. 10, No. 2 (2023)
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