Sarah Castle

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Qualitative research among young people and other community members in rural Mali elicited knowledge and attitudes with regard to HIV/AIDS. Findings indicated that rumours concerning methods of infection are likely to increase the stigmatization of those with the disease. The most frequently stated mode of transmission involved urinating in a place where(More)
  • S E Castle
  • 1993
In West Africa, health-seeking behaviour can be better understood by assessing how women differ from each other, rather than how they differ from men, in terms of their socioeconomic and political power within the domestic environment. Anthropological and demographic data were collected among rural Malian Fulani and Dogon populations who possess similar(More)
Many of the challenges facing children now are a function of changing times, including increase in urbanization, political violence, changing family forms, and in some areas decreased supplies of adequate food. This review focuses particularly on those changes in which children are the victims and which induce new threats for them, rather than on problems(More)
During a qualitative evaluation of three peer-education programs in urban Mali, young people stated that they were wary of using either the pill or injectable contraceptives because they believed that these methods would make them sterile. Unmarried women's contraceptive decisionmaking was not primarily driven by a current need to limit fertility, but(More)
Research in West Africa has begun to document the phenomenon of child fostering although little attention has focussed on other types of non-maternal child care arrangements and their impact on child health. Evidence from a sample of 77 weaned children under five in rural Mali found that over one third (35%) of children were not the prime responsibility of(More)
This article examines the discrepancy between the recommendations of international authorities concerning breastfeeding and the practices of a significant proportion of women all over the world who discontinue breastfeeding because of the reported insufficiency of their milk. Our review of the evidence on the insufficient milk syndrome suggests that the(More)
Qualitative research was carried out in the Malian cities of Sikasso and Bamako with a view to setting up HIV voluntary testing and counselling (VCT) services and a separate programme to enable young people to improve their sexual health. The most striking finding was that a large number of respondents said they did not believe in the existence of AIDS.(More)
Demographic theory frequently assumes that pre-transitional populations adopt fatalistic attitudes to fertility and mortality. Fertility decline is said to require a "pro-active" mentality incorporating a newly conceived idea of numeracy about children and a new-found awareness by individuals of where they stand in relation to demographic norms. Nonnumeric(More)
This prospective study uses qualitative methods to examine the social and economic impact of family planning on women's lives in the district of Bamako, Mali. Fifty-five first-time users of contraceptives were interviewed in October 1996. Of particular interest is the high proportion (17/55) of those who had hidden their use of a birth-control method from(More)