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Item Food choices and feeding patterns for women and infants in rural northern Thailand : an ethnographic study : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing at Massey University(Massey University, 1992) Ratanawadee BoonyaprapaThe question for this study arose from the situation that malnutrition remains one of the major health problems among Thai children, particularly the under-fives. The purpose of it was to develop better understanding as to what sustains beliefs and practices associated with infant nutrition. An ethnographic approach was chosen as the research method. One rural village in northern Thailand was selected as the site of fieldwork for a period of 10 months. Data were collected through participant observation, interview, and ethnographic records. Key informants were 18 pregnant women and mothers of the under-twos. General informants were elderly kinswomen, fathers of the under-twos, volunteer health workers and community health workers. From the data it can be argued that what each woman does with regard to her own nutrition during pregnancy and following childbirth and the feeding pattern that she adopts for her infant are the outcomes of interplay between a complex network of cultural, social, personal and situational factors. These act and interact as pushes and pulls in a woman's decision making, frequently conflicting. Four main sources of pushes and pulls are: traditional beliefs; personal factors including attitudes, feelings, needs and experiences; sociocultural situations and changes; and government health services. If nursing interventions aimed at promoting a well nourished woman and a well nourished child are to be effective, nurses must be aware of these multiple influences. The conceptual account generated from the findings of this study has potential value for nursing practice, education and research. It identifies the aspects amenable to change by nurses and other health workers in their work to counter malnutrition situation, and so to improve the health of mothers and children.Item Career break or broken career? : mothers' experiences of returning to paid work : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy at School of Sociology, Social Policy and Social Work, Massey University, Palmerston North, New Zealand(Massey University, 2007) Ang, Ee KhengServicemen returning from two World Wars were granted assistance in finding work, retraining and other benefits in recognition of the sacrifices they had made. Yet mothers' returning to work after time out bearing and raising children are reliant on a booming economy to obtain even limited entry to the labour market, and the work obtained is very often inferior to the jobs held by women before becoming mothers. Currently due to lower fertility rates and the ageing populations of the world's richer nations, a shortage of working-age people is predicted to continue into at least the middle of the twenty-first century. To overcome this shortfall, the Organisation for Economic Cooperation and Development (OECD) advises its member states to assist mothers to return to paid work sooner. Most OECD nations are complying, with varying degrees of success. Some policy frameworks make this goal more easily attainable than others. Mothers in liberal welfare states often return to paid work later than they might otherwise prefer. Many returners are overqualified for the work they are doing. While there appears to be relatively few barriers to re-entry, the choice of re-entry occupations are limited and returners are predominantly offered low status jobs with no career opportunities at the back of the job queue and gender queue. Mothers who interrupt their careers by taking a career break for childbearing and rearing generally face downward occupational mobility and loss of lifetime incomes. This thesis assesses the experiences of mothers who return to employment in one liberal nation, New Zealand. It applies Esping-Andersen's three models of welfare states and Reskin and Roos' gender queues model to the situation of returners. The study investigates the precise nature of the obstacles and processes encountered by a number of mothers attempting to resume a career. It argues that social policies matter: returners in countries where state intervention is more widespread and where there is universal, extensive and generous social provision and support for working mothers are economically better off. The research methods include in-depth interviews and a focus group with mothers, a mail questionnaire and interviews with employers, and a study of recent and current New Zealand and overseas government policies to assist working parents. The findings of this thesis are that regardless of skill levels, New Zealand returners are consigned to low status occupations where they are not fully integrated into the 'normal' full-time workforce with career opportunities. These mothers generally suffer more than one episode of returning to the back of the queue. They also earn less (weekly and annually) than mothers who do not take career breaks. The study identifies social policy frameworks and employers' policies and practices as factors contributing to the processes whereby returners are relegated to the back of the queue. Although New Zealand has recently brought in policies to assist mothers to return to paid work these initiatives have not addressed the processes that currently confine returners in low status, part-time employment. Policies similar to those created to specifically target the needs of ex-servicemen would go a long toward assisting mothers to access higher status and better-paid jobs at the head of the queue. The thesis concludes with policy recommendations to facilitate mothers' integration into such jobs.
