Att utveckla pedagogisk dokumentation i förskolan : En intervjustudie om hur tre förskollärare arbetar med pedagogisk dokumentation i teori och praktik

Syftet med den här studien var att med hjälp av intervjuer undersöka hur pedagogisk dokumentation kan fungera i praktiken, studien centreras kring hur tre olika förskollärare arbetar med och tänker kring pedagogisk dokumentation. Studien vill även ge inspiration och kunskap till andra lärarstudenter eller verksamma förskollärare till att själva starta ett sådant arbete, samt belysa problematik som kan förekomma. Det resultat som framkommer i undersökningen visar att det krävs mycket övning innan dokumentationsarbetet blir effektivt. Studien visar även att den pedagogiska dokumentationen främst är till för att utveckla verksamheten och att reflektion i någon form är avgörande för att dokumentationen ska bli pedagogisk. Undersökningen visar att man för att beakta ett etiskt tänkande kring barnen som dokumenteras bör ge barnen möjlighet att ge sitt samtycke till att bli dokumenterade samt att de får vara delaktiga i dokumentationsarbetet. Arbetet kan leda till att pedagoger skapar sig makt över barnen och bli ett led i en normaliseringsprocess, samt medföra att man bedömer barnen. Överlag har de intervjuade förskollärarna en positiv inställning till arbetet med pedagogisk dokumentation och menar att det inte finns något rätt eller fel, utan att var och en får hitta sitt sätt att arbeta.

Det räcker inte att laga bron över livsfloden, man måste även lära barnen att simma! : En kvalitativ studie för att få en djupare förståelse om socialarbetare upplever att barn som deltar i Trappan-insatsen får en känsla av sammanhang?

The aim of this qualitative study was to get a deeper understanding of social workers experience that children who participate in the Trappan-insatsen get a sense of coherence. To achieve an empirical material social workers who perform Trappan-samtal have been interviewed. The study shows that it is important that children get help and support to talk about the trauma they experienced. The support of the narrative, however, differ depending on the child's age, it is important to have a flexible approach as a Trappan-user. It appears that it is essential that parents give their consent to the children so they can talk about the violence. It also emerges that information to the children is an important part of understanding the process. The study shows that social workers feel that the children participating in the staircase mission get a sense of coherence.

Effectiveness of artemether-lumefantrine provided by community health workers in under-five children with uncomplicated malaria in rural Tanzania : an open label prospective study

Background: Home-management of malaria (HMM) strategy improves early access of anti-malarial medicines to high-risk groups in remote areas of sub-Saharan Africa. However, limited data are available on the effectiveness of using artemisinin-based combination therapy (ACT) within the HMM strategy. The aim of this study was to assess the effectiveness of artemether-lumefantrine (AL), presently the most favoured ACT in Africa, in under-five children with uncomplicated Plasmodium falciparum malaria in Tanzania, when provided by community health workers (CHWs) and administered unsupervised by parents or guardians at home. Methods: An open label, single arm prospective study was conducted in two rural villages with high malaria transmission in Kibaha District, Tanzania. Children presenting to CHWs with uncomplicated fever and a positive rapid malaria diagnostic test (RDT) were provisionally enrolled and provided AL for unsupervised treatment at home. Patients with microscopy confirmed P. falciparum parasitaemia were definitely enrolled and reviewed weekly by the CHWs during 42 days. Primary outcome measure was PCR corrected parasitological cure rate by day 42, as estimated by Kaplan-Meier survival analysis. This trial is registered with ClinicalTrials.gov, number NCT00454961. Results: A total of 244 febrile children were enrolled between March-August 2007. Two patients were lost to follow up on day 14, and one patient withdrew consent on day 21. Some 141/241 (58.5%) patients had recurrent infection during follow-up, of whom 14 had recrudescence. The PCR corrected cure rate by day 42 was 93.0% (95% CI 88.3%-95.9%). The median lumefantrine concentration was statistically significantly lower in patients with recrudescence (97 ng/mL [IQR 0-234]; n = 10) compared with reinfections (205 ng/mL [114-390]; n = 92), or no parasite reappearance (217 [121-374] ng/mL; n = 70; p <= 0.046). Conclusions: Provision of AL by CHWs for unsupervised malaria treatment at home was highly effective, which provides evidence base for scaling-up implementation of HMM with AL in Tanzania.

'They would never receive you without a husband' : Paradoxical barriers to antenatal care scale-up in Rwanda

OBJECTIVE: to explore perspectives and experiences of antenatal care and partner involvement among women who nearly died during pregnancy ('near-miss'). DESIGN: a study guided by naturalistic inquiry was conducted, and included extended in-community participant observation, semi-structured interviews, and focus group discussions. Qualitative data were collected between March 2013 and April 2014 in Kigali, Rwanda. FINDINGS: all informants were aware of the recommendations of male involvement for HIV-testing at the first antenatal care visit. However, this recommendation was seen as a clear link in the chain of delays and led to severe consequences, especially for women without engaged partners. The overall quality of antenatal services was experienced as suboptimal, potentially missing the opportunity to provide preventive measures and essential health education intended for both parents. This seemed to contribute to women's disincentive to complete all four recommended visits and men's interest in attending to ensure their partners' reception of care. However, the participants experienced a restriction of men's access during subsequent antenatal visits, which made men feel denied to their increased involvement during pregnancy. CONCLUSIONS: 'near-miss' women and their partners face paradoxical barriers to actualise the recommended antenatal care visits. The well-intended initiative of male partner involvement counterproductively causes delays or excludes women whereas supportive men are turned away from further health consultations. Currently, the suboptimal quality of antenatal care misses the opportunity to provide health education for the expectant couple or to identify and address early signs of complications IMPLICATIONS FOR PRACTICE: these findings suggest a need for increased flexibility in the antenatal care recommendations to encourage women to attend care with or without their partner, and to create open health communication about women's and men's real needs within the context of their social situations. Supportive partners should not be denied involvement at any stage of pregnancy, but should be received only upon consent of the expectant mother.