From: Social capital and health during pregnancy; an in-depth exploration from rural Sri Lanka
Social capital construct | Definition | Descriptors | Level & type of social capital | Selected verbatim from diaries | Selected verbatim from PHM/CD interviews |
---|---|---|---|---|---|
Domestic cohesion (husband)a | The emotional bonding that family members have towards one another and the degree of individual autonomy an individual experience in the family system (Oslon et al. 1979 [53]) | Feel happy when the husband is around | Individual Bonding | “My husband was at home today. I love it so much when my husband is around. It is the best of satisfaction I could imagine.” Me04 | “Most husbands are not at home. They work outside the village and visit home around once a month. When they are at home, they are very helpful to mothers.” Me Community Dweller (CD) |
 |  | Being cared by the husband | Individual Bonding | “My husband take care of me now more than previously. He bought me a garden hose, as it was difficult for me to water the garden. He fixed it and I was very happy.” Mi 02 | “Husbands are very concerned about their wives during pregnancy. Sometimes they call us even in the night asking for advise on their wives symptoms.” NPE PHM |
 |  | Husband is providing care when ill | Individual Bonding | “I felt ill at around 1.00 P.M So I couldn’t conduct evening class. My husband suggested that we should take treatment. But I refused to go, as I’m pregnant and I shouldn’t take more drugs. He stayed closer to me & looked after me with kindness. I got the feeling that his kindness cured me.” GA01 | Husband pay lot of attention on health of the wife during pregnancy. They are very supportive. When we visit the house, it is the husband that prepares and offers us refreshments while we are talking to the mother. GA PHM |
 |  | Express love to husband | Individual Bonding | “When my husband is at home, I never feel alone. He is like a god to me. I feel that I’m the most fortunate wife in the world!” R04 |  |
 |  | Disharmony and conflicts with husband | Individual | “My husband came home and asked me for money. I asked why? He told that it is to get liquor. I was very angry and scolded him. He got angry too and slept. I felt very sad as to why he does this to us while we are struggling to overcome our problem.” V02 | “Most of the husbands in this community do security jobs out of town. Therefore the relationship between the husband and the wife is poor. The love and care received by the females during pregnancy is low in this community. It is very difficult to get the husband to attend an antenatal session or a monthly weighing program of a child.” V PHM |
Domestic cohesion (Family)a | Â | Trust towards in-laws | Domestic Bonding | My mother-in-law is very kind. She will not react even when we do something unreasonable for her. Such a good person she is! Better than my own mother. My Father in-law is the same. My sister in-laws never let my husband scold my children or me. In such situations they confront him. P01 | Most of the time mother-in-laws take care of pregnant daughter-in-law as their own daughter. Conflicts are seen rarely when the daughter-in-law comes from an area with relatively higher socio-economic facilities is resistant to adjusting to this community. P PHM |
 |  | Family members spend time talking together | Domestic Bonding | “Evening was joyful. We were all sitting in the veranda and were teasing my sister-in- law. All of us were laughing. I forget my ailments when she says funny things..” NPC01 |  |
 |  | Family members work together | Domestic Bonding | “As today is Friday, I came home at around 11.00A.M. Then my mother-in-law, sister-in-law & myself prepared the lunch” GA01 |  |
 |  | Family members are concern of the arrival of newborn | Domestic Bonding | “Everybody in my house are awaiting for the great day! I’m very happy that my child is gifted with such a lovely family. The child is very lucky” NPC01 |  |
 |  | Feel cared at home when ill | Individual Bonding | “Today I had severe pain in my upper arm. My mother-in-law & sister-in-law did all household work. They applied medicines to my arm. They prepared food. I can’t forget their help.” GA 01 | “This is a closely knit community. Usually the extended family live with the pregnant women and they take care of her.” GA PHM |
 |  | Disharmony with in-laws | Domestic Poor bonding | “Some of my husbands’ relatives are jealous of our love. I have no close relationship with my mother in-law. I talk what is necessary only. My mother-in-law’s marriage is not successful. Therefore they don’t like us to be happy.” R03 | “There are problems with in-laws. There’s a generation gap. Pregnant daughters don’t want to listen to their mother-in-law. They say that she is old. Therefore there is disharmony in the family.” R PHM |
 |  | Newborns arrival perceived as a burden | Domestic Poor bonding | “When there are problems at home I feel angry all the time. It’s difficult for me to control my self. The main reason is my unborn child. My husband likes to have it, but not my elder children. They don’t like me becoming pregnant. It’s difficult for me to work. My whole freedom is gone. I have to do the whole stuff again.” V04 |  |
Neighborhood cohesiona | The tendency for a group to be in unity while working towards a goal or to satisfy the emotional needs of its members (Carron, A.V., Brawley, L.R. (2000). | Feel cared by the neighbors | Individual Bonding | “Every one in the neighborhood loves and cares about me.” NPC01 |  |
 |  | Like spending time with neighbors/ relatives/friends | Individual Bonding | “After preparing the dinner I went to the next door aunts’ house as I felt lonely and then to a friends house as well. I was able to get rid of the boredom. I was relieved.” Me04 |  |
 |  | Tolerance of diversity of neighbors | Neighborhood Bonding | “I also take another child in the neighborhood when I take my child to school in a three wheeler. This child always try to provoke by pulling up things of my soul daughter. I advised my child not to react. I’m happy that my child still loves this child despite her irritating behavior.” NPE01 |  |
Neighborhood trustc | Belief in the honesty, integrity and reliability of neighbors (Taylor P., Funk C. 2010) | Perceive neighborhood as a favorable place to adopt the child | Neighborhood Bonding | “I feel that this neighborhood is the best to bring up my child. When people around are generous my child will see it and hear good things always” NPC01 |  |
Neighborhood mistrustc | Have doubt or suspicion of neighbors | Refrain from visiting or talking to neighbors (mistrust) | Neighborhood Lack of bonding | “Although I feel alone at home, I don’t have the habit of going around to neighboring houses and spending time talking to them. Most of the people are relatives. But one should be careful of speaking to them. They utter slander. Nonrelated people help me more than my relatives.” R04 | “When there’s a problem mothers come and tell us. They don’t want other people to hear it. They can get others support if they do so. But it does not happen here. There is some what mistrust in the neighborhood.” R PHNS |
Reciprocitya | Actions that are contingent on rewarding reactions from others and that cease when these expected reactions are not forthcoming. (Balu P.M. 1964) | Neighbors help each other | Neighborhood Bonding | “My husband has gone for a course in “Ampara” district (Far away from this village). His family is not happy with me. I only have my neighbors to share my joy and sorrow. Therefore I keep in harmony with all my neighbors. They help me a lot. Today they brought me lunch” V01 |  |
Informal social controlc | Reactions of individuals and groups that brings about conformity to norms and laws. (Coklin J 2007) | People in the community give priority for pregnant women | Community Bonding& bridging | “I went to meet the village leader today. I didn’t have to wait in the queue, as I’m pregnant. Work get done easily” NPC02 | Usually when women become pregnant the villagers take care of her. They often offer food to a pregnant woman when they prepare a special meal. Even at social gatherings people give priority to pregnant women. V PHM |
 |  | Concerned about other people | Community Bridging | “I was asked to play the organ at the chapel but I told that I will do it next week as it will hurt feelings of the child who came to play it today” NPE02 “When my neighboring aunt was admitted to hospital, everyone in the village went to see her.” NPC01 |  |
Sense of belongingb | Feeling of acceptance as a member of a group (Yosephine E. 2014) | Receive complements on birthday | Individual Bonding | “Today is my birthday! My husband, family members and relatives wished me good luck.” NPC01 |  |
 |  | Being known by the villagers | Individual Bridging | “I have a fair reputation in the village. I’m an outsider and many do not know me. But all of them know my husband.” NPC01 |  |
Lonelinessb | Distressing feeling that occurs when ones social relationships are perceived as being less satisfied than what is desired. (Cacioppo J. T.,,Hawkley L. C. 2012) | Feel lonely at home | Individual | “Today was a very bad day for me. Nobody visited us and we didn’t go anywhere. My mother-in-law and myself stayed home alone. I was very lonely” NPC 03 |  |
 |  | Misses own family/relatives | Individual Lack of bonding | “I came home from the clinic around 12.00 pm. I was so tired and unwell. At that time I remembered my own mother. If I was with her she will take care of me very well. I’m staying with my in-laws. I don’t receive the love and care that I would have received if Iwas with my mother.” R03 |  |
Social supporta | System of formal and informal relationships through which individuals receive emotional support, material or information to cope with stressful emotional situations (Caplang G. 1974) | Have support on household chores (instrumental support) | Individual | “I came home around 11.30 A.M from the nursery. I felt tired. My mother-in-law and sister-in-law had finished preparing lunch by that time. So I was able to have a nap. As I’m pregnant most of the time they do the household work.” GA01 |  |
 |  | Have a close person to share feelings (emotional support) | Individual | “A very close person to me visited our place today. It was a great pleasure to see her. She is an aunt whom I share my joy and misery with. She has brought dinner for me too” NPC02 |  |
 |  | Have a person to provide financial support when needed (Instrumental support) | Individual | “Although I felt reduced fetal movements, we did not have money to see a specialist doctor. But when I told this to my mother she gave me money which was a great relief” NPC06 |  |
 |  | No one to care when ill (Lack of instrumental support) | Individual | “There’s no one to inform when I fell ill at night. Cannot call my husband either as he sleeps after the days work. At such times I grab my small one towards me and shut my eyes tight!” R04 |  |
 |  | No one to accompany in going out | Individual Lack of bonding | “I had to go for the ultra sound scan today. My number was ten. So I asked my mother-in law to get ready for the bus leaving at 12.10 pm. She told that she couldn’t come today, as she has to go to her own daughters place. Then I went to see whether my relative neighbor aunt was available. But she was not at home. I made my mind to go alone. What else to do, its for my child’s sake..” V01 |  |
 |  | Lack of support on house hold chores (Lack of instrumental support) | Individual | I’m struggling to work on my own. At this stage, it is difficult for me to do anything. Therefore I keep thinking a lot every day. It is with lot of difficulty that I brought up my elder two. Because of this new child I won’t be able to help the other two with their school work. I have to look into everything in he family on my own. There is no one to help. If I were not pregnant I would have cultivated and obtained electricity for the house. V04 | “It varies among families. Some times the husband thinks only of his satisfaction. Total responsibility on maintaining the family is given to the wife. But sometimes both work as one.” V CD |
Social responsibility/ contributionc | An individuals obligation to act for the benefit of the society (Sreenivasulu 2013) | House hold responsibility | Individual | “I woke up in the early morning as I had to wake up my child for his studies. He has become very lazy. It was difficult to wake him up. I made tea and while helping his studies prepared the breakfast. At 6.45 am, I sent him to school because his schoolwork starts at 7.00 am. I have to feed him make his clothes and help him to get ready. Otherwise he will leave without having a breakfast.” V04 | “There are two types of mothers. Some are like babies and husband and family provide everything for them. But some holds the total responsibility on household and adopting young ones.” V PHM |
 |  | Take responsibility in religious activity in the neighborhood | Individual | The prize-giving of the drawing competition in the church went well. Although it interrupted teaching at the Sunday school, organizing it gave me satisfaction. NPE01 |  |
 |  | Responsibility in education of young | Individual | “In the evening I taught my younger sister.” ME04 |  |
 |  | Hold responsibility in village organizations | Individual | “I have developed more relationships in my second pregnancy than in my first pregnancy. Because I did 1 year diploma in women empowerment & after that with the help of PHM we started “mothers’ club”. I had several meetings with pregnant women not only our village, but also in our neighboring village with the help of PHM. We advised them regarding pregnancy. With that I was happy & I lost sadness, laziness & fear. Instead leadership & courage was with me.” GA03 |  |
Trust in institutionsa | How people perceive how well the institutions are operating (Miller 1974) | Health systems | Individual | “At around 9.00 am the PHM visited me. It was really good that she came. I had lot of things to ask her. She answered all of them with care. Then she examined me. She asked me whether I have any other discomfort. I trust her a lot!” Mi04 | Mothers depend on us for all health activities. Even when the VOG asks to get a scan done, or admit to hospital or prescribe any drugs, the mothers ask us for advise and then proceed. NPC PHM |
 |  | Education sources | Individual | My sons’ class teacher said that he is doing well. I was so proud. He is only three and a half years. I was very happy. |  |
 |  | Religious organizations |  | “The priest in the temple is very well known to my in laws. They are members of the temple committee. We went and asked for special blessings (“varu pirith”) that are offered for pregnant women. The priest asked me to come to the temple to have these blessings. Usually every pregnant woman in this area receive this during pregnancy.” NPC02 |  |
 |  | Micro-credit organizations |  | “I usually don’t go for these committees. Husband goes. Three women have to get together to get money. Earlier we took from a different company. This time the other two people wanted to get money again therefore we joined as help.” NPC01 | “Usually the primi mothers do not participate in micro credit committees. But when mothers become older, having 3–4 children, take part in these. They are the people who want to collect equipment to house. Usually when children are older they have free time and they join these committees. It’s like an epidemic in the village. Husbands are laborers if they cannot have daily work they are unable to pay. Therefore conflicts occur in the family. It’s a burden to the society.” |
 |  | Police |  | “We went to town in the motorbike, my husband did not have license and we were not wearing helmets. The traffic police stopped us. But fortunately they let us go because I’m pregnant. I was so happy. Rarely that such good people exist in this community. It convinced me of the status given to a pregnant mother in this society.” R04 |  |