Tuesday, March 22, 2011

Racism

My earliest memory of racism was at 10 yrs old after my parents divorced.  My mother, sister, and I moved away from a diverse neighborhood into a predominantly white suburb.   Although there were some African Americans who lived in the area, brown faces were not common.  My sister and I were dropped off at a nearby childcare facility near our apartment complex.  I have very few memories from this place, but I do remember being teased because we were African-American.  The teasing became so routine, the staff kept us separated from the other children.  For example, there was White time in the pool and there was Black time in the pool. 
I coped with the situation the same way I cope now, withdraw.  I am an introvert anyway, so this is easy to do. I do not remember if I told my mother, nor do I recall interventions to improve the situation.  It's just a bad memory, now.
I was interested in racism in South Africa, because I have not heard much about their progress since apartheid was dismantled in 1994.  Apartheid was a national policy of legalized racism against the Coloured and Black population.   South Africa’s racist policies came to an ugly head during the 1976 Soweto Uprising when children protested their inferior education and the ban on learning in their own language.  The students organized the peaceful protest, but it turned bloody when police arrived and killed over 400 and injured more than 2000 (Tin, et. al, 200X).  So, while children played a significant role in the liberation movement, 18.8 million South African children (all races) are still impacted by 350 years of institutionalized racism.  As of 2006, only 38 – 47% of Black households have running water, electricity, and sanitation (UNICEF, 2009). In 2004, sixth grade national achievement tests revealed that children who live in the poorest communities in remote areas who have not been allowed to learn in their own language(Black children) perform the worst.  Only 7% of schools even have libraries (UNICEF, 2009).  If children are deprived of education, access to health care, and a quality education, they will experience stress.  “Perceived racial differences lead to discrimination, and racial identity affects cognition” (Berger, 2009, p. 15).  In South Africa, racism is not perceived:  racism was and still is very real.  The government recognizes the gaps and formed the Conventions of the Rights of the Child, African Charter on Rights and Welfare of the Child and the National Integration Plan for Early Childhood which attempts to address comprehensive services for children.  In fact, the Office of the Rights of the Child was moved under the President to ensure children’s rights are a priority.  If one considers the significant legislation that has been passed over a 17 year period to protect children, the government has done quite a bit to undo the harm of racism.  However, I could not find any longitudinal studies to assess the psychosocial or cognitive impact of racism on the oppressed children of South Africa.  More research is needed.
References:
UNICEF. (2009, April).  Situation Analysis of Children in South Africa. Retrieved from

Tin, H. (2001). Children in Violent Spaces. Reinterpretation of the 1976 Soweto Uprising. Retrieved from http://www.ninaoghjalte.dk/downloads/forskning/10.pdf
Berger, K. S. (2009). Introduction, The developing person through childhood (5th ed.). (p. 15). New York, NY: Worth Publishers.

Thursday, March 10, 2011

Child Development and Public Health

Public Health Measure - Immunizations
What has the “greatest impact on human mortality reduction and population growth (compared) to any other health intervention besides clean water” according to J.P. Baker (2000)? The answer is…..Immunizations (as cited in Berger 2009).
Signficance of Topic 
I chose immunization as my public health measure of choice because of how critical it is for all children.  Access and cost are two factors that could mean life or death for a child anywhere in the world.  Access and cost are addressed in the Affordable Care Act of 2010 which requires that health care plans cover preventive services recommended by doctors and experts at no cost to the patient.  This includes immunizations recommended by the Advisory Committee on Immunization Practices, including routine immunizations for children (http://www.healthcare.gov/law/about/provisions/services/background.html).  I feel strongly that high co-pay payments or deductibles should not stand in the way of a life-saving vaccine for a child.     
Immunizations in Cuba
Cuba has had a National Immunization Program since 1962.  This program has contributed to the eradication of nine infectious diseases (polio, whooping cough, neonatal tetanus, measles, mumps meningioencephalitis, malaria, rubella, diphtheria,  and congenital rubella syndrome .  Almost all children are the beneficiaries of a free immunization program that protects them against 13 preventable diseases. 
I would like to emphasize two goals of Cuba’s immunization program:  1) vaccinate all children and 2) at no cost (Reed, G., Galindo, MS., Galindo, MA, 2007).  These two goals align with World Health Organization (WHO) guidelines.  In fact, WHO Vaccine-Preventable Diseases Monitoring System, 2006 Global Summary reports that 94 – 99% of Cuban children under 16 years old have been vaccinated (as cited in Reed, G., Galindo, MS., Galindo, MA., 200).  (Percent varies within this range depending on the specific vaccine.)  Cuba’s immunization program is a model program, which proves preventive care at no cost is possible when you make it a national priority, and its saves lives.
Impact on My Future Work
When I transition into the early childhood or education field, I realize that requiring immunization records and/or educating parents on where they can go to vaccinate their children at no cost is a simple act that can actually make the difference between life and death. 

Reference:
Berger, K. S. (2009). Introduction, The developing person through childhood (5th ed.). (p. 209). New York, NY: Worth Publishers.
Tinder, P. (2011, March). Cuba set to vaccinate 500,000 children against polio.   vaccinenewsdaily.com.  Retrieved from  http://vaccinenewsdaily.com/news/235862-cuba-set-to-vaccinate-500000-children-against-polio
Reed, G., Galindo, MS., Galindo, MA. (Fall, 2007) Cuba’s National Immunization Program. MEDICC Review.  9(1),   p 5 – 7. Retrieved from http://mediccreview.medicc.org/articles/mr_56.pdf

Thursday, March 3, 2011

Childbirth - My Life Compared to Haiti

What I remember most about the birth of my sons was they were both a bundle of joy, but they also had me in 22 hours of labor for each!  Whew!  It may have been shorter if I had not had an epidural.   I also remember the scary responsibility of bringing a precious gift from God home to care for.  After EDUC 6101 Week 1 reading, I think about the advantages I had during pregnancy.  I had affordable prenatal care, access to nutritious food, transportation to the hospital, no known exposure to teratogens, and a supportive husband.  I chose these examples because they are in stark contrast to most women in the world.  My advantages had a significant impact on the early childhood for my boys, because different circumstances may have set them up for birth complications or developmental abnormalities.  From what I can tell, they are normal teenagers now.  (This is an older picture of when they were much younger.)

In Haiti, more women die before and after childbirth compared to anywhere else in the Western Hemisphere.  High poverty and a non-existent healthcare system is a deadly combination for many women and their babies.  It is common for women to have their babies on a hospital floor, if they arrive at the hospital at all, and many of these women bleed to death due to inadequate staffing and training.  What is the impact of these conditions on child development?  Haiti has one of the highest under-5 mortality rates across the Americas (Chatterjee, 2008).  I, on the other hand, had everything I needed for a safe birthing experience and developmentally healthy children.   This comparison makes it very clear that many children begin life in a hole, due to no fault of their own, making it harder to have a healthy childhood. The “pull yourself up by your boot-straps” adage does not work when you have no boot-straps or boots.
Reference:
Chatterjee, P. (2008). Haiti’s Forgotten Emergency.  The Lancet, 372(9639), 615 – 618. Retrieved from  http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(08)61259-3/fulltext