IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v301y2022ics0277953622002404.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953622002404
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2022.114934?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Abdoul G. Sam & Babatunde O. Abidoye & Sihle Mashaba, 2021. "Climate change and household welfare in sub-Saharan Africa: empirical evidence from Swaziland," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(2), pages 439-455, April.
    2. Alejandro Lopez-Feldman, 2013. "Climate change, agriculture, and poverty: A household level analysis for rural Mexico," Economics Bulletin, AccessEcon, vol. 33(2), pages 1126-1139.
    3. Jayatilleke S. Bandara & Yiyong Cai, 2014. "The impact of climate change on food crop productivity, food prices and food security in South Asia," Economic Analysis and Policy, Elsevier, vol. 44(4), pages 451-465.
    4. Liu, Xing & Lehtonen, Heikki & Purola, Tuomo & Pavlova, Yulia & Rötter, Reimund & Palosuo, Taru, 2016. "Dynamic economic modelling of crop rotations with farm management practices under future pest pressure," Agricultural Systems, Elsevier, vol. 144(C), pages 65-76.
    5. Eshita Gupta & Bharat Ramaswami & E. Somanathan, 2021. "The Distributional Impact of Climate Change: Why Food Prices Matter," Economics of Disasters and Climate Change, Springer, vol. 5(2), pages 249-275, July.
    6. Shinichiro Fujimori & Tomoko Hasegawa & Volker Krey & Keywan Riahi & Christoph Bertram & Benjamin Leon Bodirsky & Valentina Bosetti & Jessica Callen & Jacques Després & Jonathan Doelman & Laurent Drou, 2019. "A multi-model assessment of food security implications of climate change mitigation," Nature Sustainability, Nature, vol. 2(5), pages 386-396, May.
    7. Balistreri, Edward J. & Tarr, David G., 2011. "Services Liberalization in Preferential Trade Arrangements: The Case of Kenya," Conference papers 332152, Purdue University, Center for Global Trade Analysis, Global Trade Analysis Project.
    8. Phemelo Tamasiga & Helen Onyeaka & Adenike Akinsemolu & Malebogo Bakwena, 2023. "The Inter-Relationship between Climate Change, Inequality, Poverty and Food Security in Africa: A Bibliometric Review and Content Analysis Approach," Sustainability, MDPI, vol. 15(7), pages 1-35, March.
    9. Randell, Heather & Jiang, Chengsheng & Liang, Xin-Zhong & Murtugudde, Raghu & Sapkota, Amir, 2021. "Food insecurity and compound environmental shocks in Nepal: Implications for a changing climate," World Development, Elsevier, vol. 145(C).
    10. Mun Ho & Wolfgang Britz & Ruth Delzeit & Florian Leblanc & Roberto Roson & Franziska Schuenemann & Matthias Weitzel, 2020. "Modelling Consumption and Constructing Long-Term Baselines in Final Demand," Journal of Global Economic Analysis, Center for Global Trade Analysis, Department of Agricultural Economics, Purdue University, vol. 5(1), pages 63-108, June.
    11. Montaud, Jean-Marc & Pecastaing, Nicolas & Tankari, Mahamadou, 2017. "Potential socio-economic implications of future climate change and variability for Nigerien agriculture: A countrywide dynamic CGE-Microsimulation analysis," Economic Modelling, Elsevier, vol. 63(C), pages 128-142.
    12. T. S. Amjath-Babu & Pramod K. Aggarwal & Sonja Vermeulen, 2019. "Climate action for food security in South Asia? Analyzing the role of agriculture in nationally determined contributions to the Paris agreement," Climate Policy, Taylor & Francis Journals, vol. 19(3), pages 283-298, March.
    13. Saeed Nosratabadi & Sina Ardabili & Zoltan Lakner & Csaba Mako & Amir Mosavi, 2021. "Prediction of Food Production Using Machine Learning Algorithms of Multilayer Perceptron and ANFIS," Papers 2104.14286, arXiv.org.
    14. Sudarshan Chalise & Dr Athula Naranpanawa, 2016. "Climate change adaptation in agriculture: A general equilibrium analysis of land re-allocation in Nepal," EcoMod2016 9272, EcoMod.
    15. Hertel, Thomas W. & Lobell, David B., 2014. "Agricultural adaptation to climate change in rich and poor countries: Current modeling practice and potential for empirical contributions," Energy Economics, Elsevier, vol. 46(C), pages 562-575.
    16. Animashaun, Jubril & Emediegwu, Lotanna E. & Osadolor, Nneka & Okoror, Okiemua, 2022. "Harmful Temperatures and Consumption Expenditure: Evidence from Nigerian Households," 2022 Annual Meeting, July 31-August 2, Anaheim, California 322081, Agricultural and Applied Economics Association.
    17. Jerome Dumortier & Miguel Carriquiry & Amani Elobeid, 2021. "Impact of climate change on global agricultural markets under different shared socioeconomic pathways," Agricultural Economics, International Association of Agricultural Economists, vol. 52(6), pages 963-984, November.
    18. Berger, Thomas, 2015. "Adaptation of farm-households to increasing climate variability in Ethiopia: Bioeconomic modeling of innovation diffusion and policy interventions," 2015 Conference, August 9-14, 2015, Milan, Italy 229062, International Association of Agricultural Economists.
    19. Blanco, Maria & Ramos, Fabien & Van Doorslaer, Benjamin, 2014. "Economic impacts of climate change on agrifood markets: A bio-economic approach with a focus on the EU," 2014 International Congress, August 26-29, 2014, Ljubljana, Slovenia 182826, European Association of Agricultural Economists.
    20. Wei Xie & Qi Cui & Tariq Ali, 2019. "Role of market agents in mitigating the climate change effects on food economy," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 99(3), pages 1215-1231, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:301:y:2022:i:c:s0277953622002404. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.