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The changing dynamics of community care and support in rural Malawi: The impact on Women's health and wellbeing at end of life

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  • Hawkins, Maren M.
  • Dressel, Anne
  • Kendall, Nancy
  • Wendland, Claire
  • Hawkins, Stephen
  • Walker, Kimberly
  • Mkandawire, Elizabeth
  • Kirungi, Jackline
  • Kako, Peninnah
  • Mkandawire-Valhmu, Lucy

Abstract

In this critical ethnographic study, we examined women's end of life experiences in Malawi, one of the few countries in the world with a national palliative care policy. Specifically, we explored how women's and their caregivers' experiences were shaped by family and community care, and material needs. Interviews and observations with female clients of a non-governmental organization in rural Central Malawi, and with their caregivers, revealed that community-level support was both precarious and critical. We found three main themes: (1) I stay with them well, (2) we eat together, and (3) everyone is for themselves. The analysis illustrates the centrality of community care, social in/exclusion, and availability of stable food, shelter, medical, and caregiving resources on health and wellbeing at end of life. We provide recommendations to strengthen community care opportunities and women's resource bases.

Suggested Citation

  • Hawkins, Maren M. & Dressel, Anne & Kendall, Nancy & Wendland, Claire & Hawkins, Stephen & Walker, Kimberly & Mkandawire, Elizabeth & Kirungi, Jackline & Kako, Peninnah & Mkandawire-Valhmu, Lucy, 2022. "The changing dynamics of community care and support in rural Malawi: The impact on Women's health and wellbeing at end of life," Social Science & Medicine, Elsevier, vol. 301(C).
    • Handle: RePEc:eee:socmed:v:301:y:2022:i:c:s0277953622002404
    DOI: 10.1016/j.socscimed.2022.114934
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    References listed on IDEAS

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    1. Hertel, Thomas & Burke, Marshall & Lobell, David, 2010. "The Poverty Implications of Climate-Induced Crop Yield Changes by 2030," GTAP Working Papers 3196, Center for Global Trade Analysis, Department of Agricultural Economics, Purdue University.
    2. Anglewicz, Philip & Kidman, Rachel & Madhavan, Sangeetha, 2019. "Internal migration and child health in Malawi," Social Science & Medicine, Elsevier, vol. 235(C), pages 1-1.
    3. Malgorzata Blicharska & Richard J. Smithers & Magdalena Kuchler & Ganesh K. Agrawal & José M. Gutiérrez & Ahmed Hassanali & Saleemul Huq & Silvia H. Koller & Sugata Marjit & Hassan M. Mshinda & Hj Has, 2017. "Steps to overcome the North–South divide in research relevant to climate change policy and practice," Nature Climate Change, Nature, vol. 7(1), pages 21-27, January.
    4. Michael E Herce & Shekinah N Elmore & Noel Kalanga & James W Keck & Emily B Wroe & Atupere Phiri & Alishya Mayfield & Felix Chingoli & Jason A Beste & Listern Tengatenga & Junior Bazile & Eric L Kraka, 2014. "Assessing and Responding to Palliative Care Needs in Rural Sub-Saharan Africa: Results from a Model Intervention and Situation Analysis in Malawi," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-17, October.
    5. Hertel, Thomas & Burke, Marshall & Lobell, David, 2010. "The Poverty Implications of Climate-Induced Crop Yield Changes by 2030," GTAP Working Papers 3196, Center for Global Trade Analysis, Department of Agricultural Economics, Purdue University.
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