Lucy Mkandawire-Valhmu
Dados Biográficos
| ID | 193698 |
|---|---|
| NOME | Lucy Mkandawire-Valhmu |
| PRENOMES | Lucy |
| SOBRENOME | Mkandawire-Valhmu |
| ASSINATURA | MKANDAWIRE-VALHMU L |
| AFILIAÇÕES | University of Wisconsin–Milwaukee |
| ORCID | 0000-0003-3205-1841 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 38 |
| TOTAL DE CITAÇÕES | 15 |
| TOTAL COMO AUTOR | 38 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2009 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Gender-based violence and women's safety
“They don't care”
Lethality Risk in Abusive Intimate Relationships Among Urban Black Women in Wisconsin During the Covid-19 Pandemic
BACKGROUND: Intimate partner homicide is one of the leading causes of death for women, disproportionately affecting Black women. PURPOSE: To investigate the severity of lethality risk and its relationship with individual characteristics, experiences of discrimination, and mental health among urban Black women in Wisconsin since the start of COVID-19. METHODS: This analysis was part of a larger mixed-methods study. Women were recruited from commun…
“You wish that you had been beaten…”
Intimate partner violence (IPV), specifically spousal emotional abuse, is an international concern in diverse settings and populations. However, knowledge gaps regarding the lived experiences of Arab women remain. To contribute to furthering the global understanding of IPV, we examined Jordanian women's experiences through structured interviews. Thirty women who experienced moderate-to-severe levels of emotional abuse were interviewed to share th…
Health Equity in Undergraduate Prelicensure Nursing Education
BACKGROUND: A nursing workforce who can provide effective and excellent care by addressing complex factors influencing health equity is needed. Education plays an important role in preparing nurses to take up this challenge; however, whether key health equity topics are included in nursing curriculum is largely unknown. METHOD: Directed content analysis and descriptive statistics were conducted to describe if and to what extent health equity topi…
Food insecurity and gender-based violence against women during the Covid-19 pandemic
This study offers support for strengthening crisis‒response systems across socio-ecological levels that incorporate gender-sensitive food security and violence prevention strategies during public health emergencies. New policies are needed to create effective support systems to promote women's health, especially marginalized groups, who experience the greatest vulnerability
Mental health of urban Black women experiencing intimate partner violence since the start of the Covid‐19 pandemic
Black women are disproportionally impacted by intimate partner violence (IPV), which influences women's mental health. The COVID‐19 pandemic caused significant mental health strain on women experiencing IPV while also affecting their ability to seek mental health services. This study was conducted to qualitatively investigate the impact of IPV on urban Black women's mental health since the start of the COVID‐19 pandemic. This analysis is part of …
Gender-Based Violence in the Lives of Somali Women With Refugee Status
Introduction: Gender-based violence (GBV) poses a significant threat to women with refugee status. Methodology: Following our analysis based on a previously published scoping review, we introduce a conceptual framework based on postcolonial feminist theory to inform research, policy, and practice that addresses the unique risk factors faced by Somali women with refugee status experiencing GBV and encountering barriers to care. Result: The framewo…
The triality of roles for the trilingual researcher
There are numerous ethical and procedural challenges when conducting cross-language research, and there is a need to discuss the role of multilingual researchers, as much of the existing literature focuses on working with third-party interpreters or translators. In this article, we expand the recommendations for cross-language research for multilingual researchers and health studies, through an examination of literature and processes from a Commu…
A Qualitative Analysis of Latina Migrant Farmworkers’ Perception of Mental Health
INTRODUCTION: Despite evidence showing Latinos' high prevalence of mental health, little is known about Latina migrant farmworkers' mental health experiences, especially those working in Midwestern states. Considering the multiple vulnerabilities observed among Latina migrant farmworkers, it is necessary to gain insight from own accounts and perceptions of mental health and mental health-seeking experiences. METHOD: A qualitative descriptive appr…
Experiences of gender-based violence among Somali refugee women
Gender-based violence (GBV) is an all-encompassing term that speaks to acts or threats that may lead to physical, sexual or emotional harm to an individual based on their gender. This paper provides a scoping review of research on gender-based violence among Somali refugee women in different parts of the world. Using the socio-ecological model as a framework, we reviewed 30 empirical studies focusing on some form of GBV among Somali refugee women…
A protocol for the safe recruitment of Indigenous and Black women experiencing intimate partner violence during the Covid-19 pandemic into a large mixed methods study
Intimate partner violence (IPV) is a complex and pervasive public health problem disproportionately affecting Indigenous and Black women. During the COVID-19 pandemic, IPV became more complicated for advocates because social distancing, quarantine, and isolation measures further endangered women experiencing IPV. This manuscript is based on an ongoing community-engaged study in an upper Midwestern state. Our primary goal for this study is to gene…
Experiences of dehumanizing
African American Women’s Maternal Healthcare Experiences
Special Issue
A qualitative assessment of gender roles in child nutrition in Central Malawi
Traditional gender roles remain prevalent in the sampled communities. Women continue to be primarily responsible for the food, care, and health of the household. Women's heavy workloads prevent them from providing optimal care and nutrition for children. While efforts to advance gender equality by encouraging men to participate in child care and other household responsibilities appear to have had marginal success, the extent to which these effort…
Barriers Faced by American Indian Women in Urban Wisconsin in Seeking Help Following an Experience of Intimate Partner Violence
American Indian 1 (AI) women experience high rates of intimate partner violence (IPV) and face many barriers when help-seeking. This study aims to understand better the context of IPV and help-seeking behaviors for urban AI women after experiences with IPV. Postcolonial and Indigenous feminist frameworks framed this critical ethnography study. Semistructured interviews with 34 AI IPV survivors 2 living in Wisconsin urban areas were conducted. Our…
Centering Our Voices
Women experiencing homelessness who are also survivors of violence require uniquely tailored programs to accommodate complex needs. To understand how violence shaped the lives of formerly homeless African American women, an instrumental case study design and community-based participatory research approach was utilized in this qualitative study. Focus group interviews with graduates ( N = 40) from a long-term transitional housing program were cond…
The changing dynamics of community care and support in rural Malawi
The Utility of Postcolonial and Indigenous Feminist Frameworks in Guiding Nursing Research and Practice About Intimate Partner Violence in the Lives of American Indian Women
The purpose of this theoretical article is to analyze the utility of postcolonial and Indigenous feminist frameworks in informing nursing research and practice specific to addressing intimate partner violence (IPV) in the lives of Indigenous women. Prevailing feminist narratives of the 20th century focused overwhelmingly on patriarchy as the sole source of oppression against women and root cause of IPV. These narratives failed to consider the com…
The association of HIV status with rural-urban differences in wealth in Malawi
This retrospective cross-sectional study examined the association of HIV status with wealth in Malawi using the 2004, 2010, and 2015/16 Malawi Demographic and Health Survey (MDHS) data. A harmonized wealth index was generated using factor analysis of the pooled data. Bivariate and multivariate linear regression models were estimated to examine the association of HIV status with wealth stratified by urban and rural communities in Malawi. The sampl…
Promoting the health of refugee women
The health of refugee women after settlement in a new country, can be adversely or positively affected by individual, interpersonal, community, and organizational factors. While much of the previous literature highlights these factors individually, there is a lack of comprehensive synthesis regarding how the factors interact to influence the health of refugee women. We conducted a thematic analysis in our literature review to elucidate how provid…
A black dog enters the home
Hunger and inadequate nutrition are ongoing concerns in rural Malawi and are exemplified in traditional proverbs. Traditional proverbs and common expressions offer insight into commonly held truths across societies throughout sub-Saharan Africa. Strong oral traditions allow community beliefs embodied in proverbs to be passed down from generation to generation. In our qualitative study, we conducted 8 individual and 12 focus group interviews with …
An Analysis of Reflections on Researcher Positionality
Reflexivity is a central tenet of qualitative research. Engaging in self-reflexive praxis allows researchers to identify areas of tension in the research process that need to be further deconstructed. In this paper, we draw on our collective self-reflective experiences as qualitative health researchers whose scholarship is informed by critical and postcolonial feminist epistemologies to offer some guidance on how to approach the concept of inside…
Race and Blackness
Effective communication is integral to the patient–provider relationship. Yet, as a result of structural factors that ignore the unique health care needs of different populations of patients who identify as Black—both African American and African immigrants—are confronted with communication challenges during health care seeking encounters. Using cultural safety as a framework, in this article, we thematically review communication challenges speci…
Lessons Learned From the Recruitment of Undocumented African Immigrant Women for a Qualitative Study
Although undocumented immigrants represent a particularly vulnerable population, they are underrepresented in health research. To facilitate the engagement of undocumented immigrants in health research, in this article, we describe the methodological issues encountered while conducting a qualitative study where we sought to understand the health care-seeking experiences of undocumented African immigrant women in the United States. Strategies empl…
An Analysis of Reflections on Researcher Positionality
Reflexivity is a central tenet of qualitative research. Engaging in self-reflexive praxis allows researchers to identify areas of tension in the research process that need to be further deconstructed. In this paper, we draw on our collective self-reflective experiences as qualitative health researchers whose scholarship is informed by critical and postcolonial feminist epistemologies to offer some guidance on how to approach the concept of inside…
Experiences of dehumanizing
Barriers Faced by American Indian Women in Urban Wisconsin in Seeking Help Following an Experience of Intimate Partner Violence
American Indian 1 (AI) women experience high rates of intimate partner violence (IPV) and face many barriers when help-seeking. This study aims to understand better the context of IPV and help-seeking behaviors for urban AI women after experiences with IPV. Postcolonial and Indigenous feminist frameworks framed this critical ethnography study. Semistructured interviews with 34 AI IPV survivors 2 living in Wisconsin urban areas were conducted. Our…
Safety Planning in Focus Groups of Malawian Women Living With HIV
In this critical ethnography, 72 HIV-infected women in Southern Malawi participated in 12 focus groups discussing the impact of HIV and violence. Our analysis, informed by a postcolonial feminist perspective, revealed women's capacity to collectively engage in safety planning. We present our findings about women's experiences based on narratives detailing how women collectively strategized safety planning efforts to mitigate the impact of violenc…
Study Abroad as a Tool for Promoting Cultural Safety in Nursing Education
Nurse educators are calling for the transformation of nursing education toward curricula that promote clinical reasoning through reflective practice and understanding of patient experiences in an effort to motivate students to become change agents. Study abroad programs can play an important role in this transformation through educating nurses in the delivery of culturally safe health care in a diverse world. Exposing nursing students to study ab…
Surviving Life as a Woman
A common form of employment for low-income third world women is domestic work. The power dynamics in this type of employer-employee relationship may place women at risk for abuse. Our aim in conducting this qualitative inquiry was to describe the experiences of violence in the lives of young female domestic workers in Malawi, a small country in South East Africa. Forty-eight women participated in focus group and individual interviews. "Surviving"…
The Critical Value of Focus Group Discussions in Research With Women Living With HIV in Malawi
This article is based on a critical ethnography about HIV and gender-based issues of power and violence conducted in Malawi in 2008. In all, 72 women living with HIV were recruited from four antiretroviral treatment clinics, three rural and one urban, to participate in 12 focus groups. Informed by a postcolonial feminist perspective, we analyze the process and products of these focus groups to interrogate their capacity to facilitate collective e…
Study Abroad as a Tool for Promoting Cultural Safety in Nursing Education
Nurse educators are calling for the transformation of nursing education toward curricula that promote clinical reasoning through reflective practice and understanding of patient experiences in an effort to motivate students to become change agents. Study abroad programs can play an important role in this transformation through educating nurses in the delivery of culturally safe health care in a diverse world. Exposing nursing students to study ab…
Marriage as a risk factor for HIV
The gender inequalities that characterise intimate partner relationships in Malawi, a country with one of the highest HIV prevalence rates in the world, arguably place marriage as an important risk factor for HIV infection among women, yet few studies detail the complex interactions of marriage and risk. In order to develop HIV-prevention interventions that have lasting impacts in such communities, we need a deeper understanding of the intricacie…
The Innovative and Collective Capacity of Low-Income East African Women in the Era of HIV/Aids
Historically, African women have been viewed through a colonizing and Eurocentric lens emphasizing poverty, oppression, and suffering. A postcolonial, feminist approach to our two qualitative studies with human immunodeficiency virus (HIV)-infected women in Malawi and Kenya led us to depart from this discourse, highlighting women's capacity. Through this article, not only is a forum created for African women's voices to be heard as subaltern know…
Safety Planning in Focus Groups of Malawian Women Living With HIV
In this critical ethnography, 72 HIV-infected women in Southern Malawi participated in 12 focus groups discussing the impact of HIV and violence. Our analysis, informed by a postcolonial feminist perspective, revealed women's capacity to collectively engage in safety planning. We present our findings about women's experiences based on narratives detailing how women collectively strategized safety planning efforts to mitigate the impact of violenc…
Advocating for HIV Prevention and Care
The number of older women living with HIV in Kenya is increasing. However, there are little empirical data available about their role in HIV prevention. The purpose of this study was to understand the nuanced role of older women in HIV prevention. We engaged 54 HIV-positive women in three narrative-eliciting interviews between 2009 and 2010 over a period of 6 months to understand their role in HIV prevention. In this article, we focus on a sample…
Mixed-Method Quasi-Experimental Study of Outcomes of a Large-Scale Multilevel Economic and Food Security Intervention on HIV Vulnerability in Rural Malawi
The objective of the Savings, Agriculture, Governance, and Empowerment for Health (SAGE4Health) study was to evaluate the impact of a large-scale multi-level economic and food security intervention on health outcomes and HIV vulnerability in rural Malawi. The study employed a quasi-experimental non-equivalent control group design to compare intervention participants (n = 598) with people participating in unrelated programs in distinct but similar…
Cultural Safety, Healthcare and Vulnerable Populations
Culturally safe healthcare is rapidly challenging previous notions of cultural competency or cultural sensitivity in healthcare provision. The increasing number of vulnerable populations means healthcare must be given by a healthcare provider who has developed a social consciousness in relation to his or her own socio-cultural positioning versus that of the patient. A culturally safe practitioner has engaged in an active examination of the power …
Enhancing Healthier Birth Outcomes by Creating Supportive Spaces for Pregnant African American Women Living in Milwaukee
Navigating complex realities
Undocumented immigrants encounter a myriad of complex barriers to health care access, negatively impacting their health outcomes. In this qualitative study we aimed to understand the barriers to health care for undocumented African immigrant women in the United States as well as how women navigate these barriers. Semi-structured interviews were conducted with 24 undocumented African immigrant women. Our findings indicate that undocumented African…
Race and Blackness
Effective communication is integral to the patient–provider relationship. Yet, as a result of structural factors that ignore the unique health care needs of different populations of patients who identify as Black—both African American and African immigrants—are confronted with communication challenges during health care seeking encounters. Using cultural safety as a framework, in this article, we thematically review communication challenges speci…
Women's work at end of life
Gender inequality in the form of gender-based violence manifests throughout the course of women's lives but has a particularly unique impact at end of life. We sampled 26 patients and 14 caregivers for this qualitative critical ethnographic study. The study purpose was to describe the lived experience of female palliative care patients in rural Malawi and their caregivers. The specific aims were to (i) analyse physical, spiritual and mental healt…
Lessons Learned From the Recruitment of Undocumented African Immigrant Women for a Qualitative Study
Although undocumented immigrants represent a particularly vulnerable population, they are underrepresented in health research. To facilitate the engagement of undocumented immigrants in health research, in this article, we describe the methodological issues encountered while conducting a qualitative study where we sought to understand the health care-seeking experiences of undocumented African immigrant women in the United States. Strategies empl…
The Utility of Postcolonial and Indigenous Feminist Frameworks in Guiding Nursing Research and Practice About Intimate Partner Violence in the Lives of American Indian Women
The purpose of this theoretical article is to analyze the utility of postcolonial and Indigenous feminist frameworks in informing nursing research and practice specific to addressing intimate partner violence (IPV) in the lives of Indigenous women. Prevailing feminist narratives of the 20th century focused overwhelmingly on patriarchy as the sole source of oppression against women and root cause of IPV. These narratives failed to consider the com…
The association of HIV status with rural-urban differences in wealth in Malawi
This retrospective cross-sectional study examined the association of HIV status with wealth in Malawi using the 2004, 2010, and 2015/16 Malawi Demographic and Health Survey (MDHS) data. A harmonized wealth index was generated using factor analysis of the pooled data. Bivariate and multivariate linear regression models were estimated to examine the association of HIV status with wealth stratified by urban and rural communities in Malawi. The sampl…
Promoting the health of refugee women
The health of refugee women after settlement in a new country, can be adversely or positively affected by individual, interpersonal, community, and organizational factors. While much of the previous literature highlights these factors individually, there is a lack of comprehensive synthesis regarding how the factors interact to influence the health of refugee women. We conducted a thematic analysis in our literature review to elucidate how provid…
A black dog enters the home
Hunger and inadequate nutrition are ongoing concerns in rural Malawi and are exemplified in traditional proverbs. Traditional proverbs and common expressions offer insight into commonly held truths across societies throughout sub-Saharan Africa. Strong oral traditions allow community beliefs embodied in proverbs to be passed down from generation to generation. In our qualitative study, we conducted 8 individual and 12 focus group interviews with …
An Analysis of Reflections on Researcher Positionality
Reflexivity is a central tenet of qualitative research. Engaging in self-reflexive praxis allows researchers to identify areas of tension in the research process that need to be further deconstructed. In this paper, we draw on our collective self-reflective experiences as qualitative health researchers whose scholarship is informed by critical and postcolonial feminist epistemologies to offer some guidance on how to approach the concept of inside…
African American Women’s Maternal Healthcare Experiences
Special Issue
A qualitative assessment of gender roles in child nutrition in Central Malawi
Traditional gender roles remain prevalent in the sampled communities. Women continue to be primarily responsible for the food, care, and health of the household. Women's heavy workloads prevent them from providing optimal care and nutrition for children. While efforts to advance gender equality by encouraging men to participate in child care and other household responsibilities appear to have had marginal success, the extent to which these effort…
Barriers Faced by American Indian Women in Urban Wisconsin in Seeking Help Following an Experience of Intimate Partner Violence
American Indian 1 (AI) women experience high rates of intimate partner violence (IPV) and face many barriers when help-seeking. This study aims to understand better the context of IPV and help-seeking behaviors for urban AI women after experiences with IPV. Postcolonial and Indigenous feminist frameworks framed this critical ethnography study. Semistructured interviews with 34 AI IPV survivors 2 living in Wisconsin urban areas were conducted. Our…
Centering Our Voices
Women experiencing homelessness who are also survivors of violence require uniquely tailored programs to accommodate complex needs. To understand how violence shaped the lives of formerly homeless African American women, an instrumental case study design and community-based participatory research approach was utilized in this qualitative study. Focus group interviews with graduates ( N = 40) from a long-term transitional housing program were cond…
The changing dynamics of community care and support in rural Malawi
Medicine (28 obras) · Sociology (25 obras) · Nursing (21 obras) · Psychology (19 obras) · Qualitative research (16 obras) · Political science (15 obras) · Poison control (13 obras) · Suicide prevention (13 obras) · Gender Studies (12 obras) · Intimate Partner and Family Violence (12 obras)