Final Project In the first two written assignments, you selected one vulnerable population in need of a new program or service in your community. In this project, you will finalize the research that

1Runninghead:VULNERABLEMOTHERSANDCHILDRENVULNERABLEMOTHERSANDCHILDRENTasharaDillardProfessorQuidaDavisHCA430SpecialPopulationsJune28,2020 2VULNERABLEMOTHERSANDCHILDRENCriticalBarriers:VulnerableMothersandChildrenVulnerablemothersandchildrenareundeniablyatthereceivingendsofvarioussocietaldeprivationsandasaresult,theyaremorelikelytosufferfromhealthandnutritionalchallenges.Ofspecialtheoreticalsignificanceistheintersectionbetweenvariousfactorsinworseningthevulnerabilityofmothersandchildren.Inthepresentstudy,thefundamentalaimistoexplorehowthefactorsactasbarriersintheefforttoresolvethehealthandwellnesschallengesfacingmothersandchildreninthecommunity.Thefacetofhealththatisofspecialinteresttothestudyisahighlevelofmaternalandinfantmortalityamongthetargetcommunity.Intheprevioussubsection,themajorriskfactorsaswellasthemostappropriateprogramsforamelioratingthehealthandwellbeingstateofthetargetpopulationwasholisticallyexemplified.However,inthissection,theessayexaminesin-depththehurdles,limitations,andbarriersforthesuccessfulimplementationofhealthpromotionandpreventionprogramsinthecommunity.Thefactorsincludefinancialbarriers,community,andstate-levelbarriers,andfinally,behavioralandsocio-culturalbarriers.FinancialbarriersMothersandchildrenarethemainsourcesofcheapdomesticlaborinthecommunityandathomes.Itisperhapsoneofthelivingexamplesofthevestigesofapatriarchalsociety.ItisnotsurprisingbecausetheWorldHealthOrganizationestimatesthatmillionsofchildrenareengagedinchildlaboracrosstheUSAandtheglobe.Thelackofeducationandemploymentopportunitiesaggravatestheabilityofmotherstofeedtheirchildren(Treanor,2016).Itisevenworseiftheyareunmarried,fortheburdenofcaringandeducatingchildrenisincorrigibleandunimaginable.Amidstallthesedifficulties,mothershavetoprovidefortheirchildren,while 3VULNERABLEMOTHERSANDCHILDRENworkinginmenialjobs,whichaggravateandworsentheirhealthandwellbeingalongsidethatoftheirchildren.Singleandyoungmothersarethemostaffectedbythechallengeastheyhavenotestablishedareliablesourceofincome.Itimpliesthatthetargetpopulationmayneverbeabletopayformostofthecriticalsubsidizedservicesunderthehealthpromotionandpreventionprogram.Theymaynotaccesstheservicesofinsurancecompanies,andhospitals.Whiletheproposedmobileclinicsmaybeablessing;eventually,infrastructuralchallengesandlackoftransportmeansmaylimititscoverage.Communityandstate-levelbarriersGenerally,thestatusofthecommunityasanunderservedminorityneighborhoodcomplicatestheabilitytoaccessfundingfromwell-wishers.Thereareverylittleinterestsinthestateofthepoorandtheirhealthinthecommunity,amongthosewhoarewelloff.Itappearsthatindividualismandstronglibertarianideologiesstandstronglyinthewayofphilanthropy.Thepatriarchalnatureofthecommunity,wherewomen'splaceisrelegatedtothekitchenhinderstheirabilitytoformself-helpgroups,besidestheusualeffectonlevelsofdomesticabuseisafundamentalbarriertotheabilitybywomentoaccesscommunityresources(Levendosky,&Graham-Bergmann,1998).Self-helpgroupsarecriticalforaccessingfundingfromdonors.Meanwhile,thestategovernmenthasdoneverylittle,inasmuchas,empoweringthelocalcommunitywithfunds,andinformationisconcerned.Thereisaneedforthestategovernmenttorolloutacommunity-wideinitiativeaimedatempoweringwomenwithpost-modernideas.Itshouldcoverissuessuchasfamilyplanning.Theinitiativeshouldalsotrainwomenontheimportanceofjoiningaself-helpgroup,throughwhichtheycansolicitfordonorfunds.Empoweringwomeniscriticalforimprovingthehealthandwellbeingofchildren. 4VULNERABLEMOTHERSANDCHILDRENSocio-culturalThecultureofthetargetpopulationcommunityencouragesfemalegenitalmutilation.Theimplicationofthiscultureontheefforttoassisttheyoungmotherswithaccesstosafedeliveryismorecomplicationsasmutilatedmothersdemandanexperiencedmidwifeduringdelivery.InadditiontoFGM,thecultureofthecommunityencouragesbiggerfamilies,whileatthesametimewomenarenotallowedtofindmeaningfuljobs.Theircoreroleinthecommunityistoserveasreproductionmachines..Theoverrelianceoncommunitymidwivesandtraditionalhealers,andthetrustthatthecommunityhasontheindividuals,morealso,hindertheabilityofthewomentocooperatewiththehealthpromotionandpreventioninitiative.Chapman(2003)arguesthatthisalsomanifestsinpoorprenatalcare.Itisdespitethatthebenefitsthatthemothersandchildrenarelikelytoaccruefromtheprogramsareimmense.Thefactthatthewomenareofalowersocialclass,andspecificallyimpoverished,diminishestheirabilitytoraiseenoughfundstopurchasesubsidizedmedicalservices.Insummary,thevulnerabilityofmothersandchildrenisexacerbatedandhinderedbyamyriadofsocio-cultural,financial,andstructuralfactors.Thestructuralvaluablesincludethedynamicsofthecommunityandthestatewhichlimitstheabilityofyoungvulnerablemothersandtheirchildrentoaccessfundingforthehealthpromotionandpreventionprograms.Thefinanciallimitationsofthemothers,exacerbatedbylackofeducation,jobopportunity,andanoppressivepatriarchalorderimplythatthewomencannotpurchasesubsidizedhealthservices.Finally,thesocio-culturaldynamicsofthecommunityhindersagreatdealthecooperationbetweenyoungmothersandthehealthandpromotionprogram. 5VULNERABLEMOTHERSANDCHILDRENReferencesChapman,R.R.(2003).EndangeringsafemotherhoodinMozambique:prenatalcareaspregnancyrisk.Socialscience&medicine,57(2),355-374.Levendosky,A.A.,&Graham-Bergmann,S.A.(1998).Themoderatingeffectsofparentingstressonchildren'sadjustmentinwoman-abusingfamilies.Journalofinterpersonalviolence,13(3),383-397.Treanor,M.(2016).Theeffectsoffinancialvulnerabilityandmothers’emotionaldistressonchildsocial,emotionalandbehavioralwell-being:Astructuralequationmodel.Sociology,50(4),673-694.