Pub Date : 2025-01-01Epub Date: 2025-05-09DOI: 10.1007/s43545-025-01085-x
Ditte Madsen
Midwife continuity of carer (MCOC) is widely recommended to protect birthing people against disrespectful care and mitigate effects of social adversity. In the UK, this is reflected in the Core20PLUS5 framework, which identifies maternity and, specifically, MCOC as one of five national priorities for reducing healthcare inequalities. Within health policy networks, the prevailing view of the policy process is that the task of government is to find solutions to existing policy problems. A critical policy approach, in contrast, considers how any policy proposal represents a problem in a particular way, shaping what is perceived as possible or desirable. Adopting this approach, I suggest that the promise of MCOC (and, specifically, intrapartum continuity) has been overstated, given the context of extreme social inequality, chronic underfunding of the NHS, the impact of austerity and the denial of structural racism in the UK. MCOC has been found to improve access, experience, and outcomes for disadvantaged and racially minoritized people by offering more personalized care. When MCOC is the policy proposal, however, the problem of inequalities in perinatal health tends to be represented in terms of fragmented maternity care, limiting policy discussion of the drivers of health inequality. This enables elected officials to appear to address health inequality by relying on midwives to adopt more flexible working practices. Representing the problem as a matter of health justice, in contrast, not only requires that personalized care is informed by structural competency and cultural safety but demands that policymakers address structural drivers beyond the healthcare system.
{"title":"When midwife continuity of carer is the policy proposal, what is the problem of perinatal health inequalities represented to be?","authors":"Ditte Madsen","doi":"10.1007/s43545-025-01085-x","DOIUrl":"https://doi.org/10.1007/s43545-025-01085-x","url":null,"abstract":"<p><p>Midwife continuity of carer (MCOC) is widely recommended to protect birthing people against disrespectful care and mitigate effects of social adversity. In the UK, this is reflected in the Core20PLUS5 framework, which identifies maternity and, specifically, MCOC as one of five national priorities for reducing healthcare inequalities. Within health policy networks, the prevailing view of the policy process is that the task of government is to find solutions to existing policy problems. A critical policy approach, in contrast, considers how any policy proposal represents a problem in a particular way, shaping what is perceived as possible or desirable. Adopting this approach, I suggest that the promise of MCOC (and, specifically, intrapartum continuity) has been overstated, given the context of extreme social inequality, chronic underfunding of the NHS, the impact of austerity and the denial of structural racism in the UK. MCOC has been found to improve access, experience, and outcomes for disadvantaged and racially minoritized people by offering more personalized care. When MCOC is the policy proposal, however, the problem of inequalities in perinatal health tends to be represented in terms of fragmented maternity care, limiting policy discussion of the drivers of health inequality. This enables elected officials to appear to address health inequality by relying on midwives to adopt more flexible working practices. Representing the problem as a matter of health justice, in contrast, not only requires that personalized care is informed by structural competency and cultural safety but demands that policymakers address structural drivers beyond the healthcare system.</p>","PeriodicalId":74819,"journal":{"name":"SN social sciences","volume":"5 5","pages":"67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-15DOI: 10.1007/s43545-024-00936-3
Daniel Kennedy Amoah
{"title":"Gender inequality in legislative representation: the case of women representation in Ghana’s Parliament","authors":"Daniel Kennedy Amoah","doi":"10.1007/s43545-024-00936-3","DOIUrl":"https://doi.org/10.1007/s43545-024-00936-3","url":null,"abstract":"","PeriodicalId":74819,"journal":{"name":"SN social sciences","volume":"47 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141649008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-12DOI: 10.1007/s43545-024-00905-w
Peter Stallinga
{"title":"Self-organization of social hierarchies studied with Monte-Carlo simulations; self-destroying join-believe-fight system as an inevitable outcome","authors":"Peter Stallinga","doi":"10.1007/s43545-024-00905-w","DOIUrl":"https://doi.org/10.1007/s43545-024-00905-w","url":null,"abstract":"","PeriodicalId":74819,"journal":{"name":"SN social sciences","volume":"56 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141654415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-11DOI: 10.1007/s43545-024-00910-z
Fabrice Fabien Dongho Dongmo, C. B. Zangueu, William Djeukeu Asongni, Wilfried Dongmo Tekapi Tsopgni, Guy Herman Zanguim Tchoutezou, Jasmine Nguimfack Dongmo, F. Tchuenbou-Magaia, Rébecca Madeleine Ebelle Etame, M. Sameza, I. Gouado, Rosalie Annie Ngono Ngane
{"title":"Preserving culinary heritage and promoting sustainability: an overview of botanical nutrition regarding herbs and spices used on the territory of today’s Cameroon","authors":"Fabrice Fabien Dongho Dongmo, C. B. Zangueu, William Djeukeu Asongni, Wilfried Dongmo Tekapi Tsopgni, Guy Herman Zanguim Tchoutezou, Jasmine Nguimfack Dongmo, F. Tchuenbou-Magaia, Rébecca Madeleine Ebelle Etame, M. Sameza, I. Gouado, Rosalie Annie Ngono Ngane","doi":"10.1007/s43545-024-00910-z","DOIUrl":"https://doi.org/10.1007/s43545-024-00910-z","url":null,"abstract":"","PeriodicalId":74819,"journal":{"name":"SN social sciences","volume":"120 45","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141657027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-11DOI: 10.1007/s43545-024-00937-2
Bruno Balducci, Kishwer Sultana
{"title":"Analysing modes of reflection in experiential learning: a sociocultural perspective on student peer editing","authors":"Bruno Balducci, Kishwer Sultana","doi":"10.1007/s43545-024-00937-2","DOIUrl":"https://doi.org/10.1007/s43545-024-00937-2","url":null,"abstract":"","PeriodicalId":74819,"journal":{"name":"SN social sciences","volume":"81 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141657816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-11DOI: 10.1007/s43545-024-00943-4
Btihaj Ajana, Hannah Connell, Tyler Liddle
{"title":"“It Could Have Been Us”: media frames and the coverage of Ukrainian, Afghan and Syrian refugee crises","authors":"Btihaj Ajana, Hannah Connell, Tyler Liddle","doi":"10.1007/s43545-024-00943-4","DOIUrl":"https://doi.org/10.1007/s43545-024-00943-4","url":null,"abstract":"","PeriodicalId":74819,"journal":{"name":"SN social sciences","volume":"90 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141657631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-10DOI: 10.1007/s43545-024-00935-4
Richard Adeleke, A. Iyanda
{"title":"Geographical patterns of under-five mortality in Nigeria: does internet use matter?","authors":"Richard Adeleke, A. Iyanda","doi":"10.1007/s43545-024-00935-4","DOIUrl":"https://doi.org/10.1007/s43545-024-00935-4","url":null,"abstract":"","PeriodicalId":74819,"journal":{"name":"SN social sciences","volume":"22 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141660603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-10DOI: 10.1007/s43545-024-00927-4
Kadir Aydin, Fatma Geçikli
{"title":"A study of the prevalence of nomophobia and its associated variables among university students","authors":"Kadir Aydin, Fatma Geçikli","doi":"10.1007/s43545-024-00927-4","DOIUrl":"https://doi.org/10.1007/s43545-024-00927-4","url":null,"abstract":"","PeriodicalId":74819,"journal":{"name":"SN social sciences","volume":"30 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141662282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-09DOI: 10.1007/s43545-024-00938-1
Clement Chipenda, Logan Cochrane
{"title":"Out of school children in the context of new policy trajectories and interlocking crises in Zimbabwe: a transformative social policy perspective","authors":"Clement Chipenda, Logan Cochrane","doi":"10.1007/s43545-024-00938-1","DOIUrl":"https://doi.org/10.1007/s43545-024-00938-1","url":null,"abstract":"","PeriodicalId":74819,"journal":{"name":"SN social sciences","volume":"108 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141666034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-09DOI: 10.1007/s43545-024-00934-5
Lilian Amponsaa Boateng, D. J. Nalumu, Henry Mensah, Frank Kwaku Aazore, Bright Osei Boateng
{"title":"Empowering Ghana’s rural agriculture through gender-inclusive climate action","authors":"Lilian Amponsaa Boateng, D. J. Nalumu, Henry Mensah, Frank Kwaku Aazore, Bright Osei Boateng","doi":"10.1007/s43545-024-00934-5","DOIUrl":"https://doi.org/10.1007/s43545-024-00934-5","url":null,"abstract":"","PeriodicalId":74819,"journal":{"name":"SN social sciences","volume":"119 49","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141665294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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