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Where the lay and the technical meet: Using an anthropology of interfaces to explain persistent reproductive health disparities in West Africa

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  • Jaffré, Yannick
  • Suh, Siri

Abstract

Despite impressive global investment in reproductive health programs in West Africa, maternal mortality remains unacceptably high and obstetric care is often inadequate. Fertility is among the highest in the world, while contraceptive prevalence remains among the lowest. This paper explores the social and technical dimensions of this situation. We argue that effective reproductive health programs require analyzing the interfaces between technical programs and the social logics and behaviors of health professionals and client populations. Significant gaps between health programs’ goals and the behaviors of patients and health care professionals have been observed. While public health projects aim to manage reproduction, sexuality, fertility, and professional practices are regulated socially. Such projects may target technical practices, but access to care is greatly influenced by social norms and ethics. This paper shows how an empirical anthropology that investigates the social and technical interfaces of reproduction can contribute to improved global health.

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  • Jaffré, Yannick & Suh, Siri, 2016. "Where the lay and the technical meet: Using an anthropology of interfaces to explain persistent reproductive health disparities in West Africa," Social Science & Medicine, Elsevier, vol. 156(C), pages 175-183.
    • Handle: RePEc:eee:socmed:v:156:y:2016:i:c:p:175-183
    DOI: 10.1016/j.socscimed.2016.03.036
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    1. Jewkes, Rachel & Abrahams, Naeemah & Mvo, Zodumo, 1998. "Why do nurses abuse patients? Reflections from South African obstetric services," Social Science & Medicine, Elsevier, vol. 47(11), pages 1781-1795, December.
    2. Mumtaz, Zubia & Salway, Sarah, 2009. "Understanding gendered influences on women's reproductive health in Pakistan: Moving beyond the autonomy paradigm," Social Science & Medicine, Elsevier, vol. 68(7), pages 1349-1356, April.
    3. Hagopian, Amy & Ofosu, Anthony & Fatusi, Adesegun & Biritwum, Richard & Essel, Ama & Gary Hart, L. & Watts, Carolyn, 2005. "The flight of physicians from West Africa: Views of African physicians and implications for policy," Social Science & Medicine, Elsevier, vol. 61(8), pages 1750-1760, October.
    4. Kaler, Amy, 2009. "Health interventions and the persistence of rumour: The circulation of sterility stories in African public health campaigns," Social Science & Medicine, Elsevier, vol. 68(9), pages 1711-1719, May.
    5. Jennifer Johnson‐Hanks, 2002. "On the Modernity of Traditional Contraception: Time and the Social Context of Fertility," Population and Development Review, The Population Council, Inc., vol. 28(2), pages 229-249, June.
    6. Behague, Dominique & Tawiah, Charlotte & Rosato, Mikey & Some, Télésphore & Morrison, Joanna, 2009. "Evidence-based policy-making: The implications of globally-applicable research for context-specific problem-solving in developing countries," Social Science & Medicine, Elsevier, vol. 69(10), pages 1539-1546, November.
    7. -, 2009. "Introducción Al Idioma Japonés," Observatorio Iberoamericano de la Economía y la Sociedad del Japón, Servicios Académicos Intercontinentales SL, issue 4, January.
    8. Lane, Sandra D., 1994. "From population control to reproductive health: An emerging policy agenda," Social Science & Medicine, Elsevier, vol. 39(9), pages 1303-1314, November.
    9. Suh, Siri, 2014. "Rewriting abortion: Deploying medical records in jurisdictional negotiation over a forbidden practice in Senegal," Social Science & Medicine, Elsevier, vol. 108(C), pages 20-33.
    10. Johnson-Hanks, Jennifer, 2002. "The lesser shame: abortion among educated women in southern Cameroon," Social Science & Medicine, Elsevier, vol. 55(8), pages 1337-1349, October.
    11. World Health Organisation WHO, 2008. "Proportion of Births Attended by a Skilled Health Worker 2008 Updates," Working Papers id:1596, eSocialSciences.
    12. Jaffre, Yannick & Prual, Alain, 1994. "Midwives in Niger: An uncomfortable position between social behaviours and health care constraints," Social Science & Medicine, Elsevier, vol. 38(8), pages 1069-1073, April.
    13. repec:cai:popine:popu_p1995_50n1_0093 is not listed on IDEAS
    14. Suh, Siri, 2015. "“Right tool,” wrong “job”: Manual vacuum aspiration, post-abortion care and transnational population politics in Senegal," Social Science & Medicine, Elsevier, vol. 135(C), pages 56-66.
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    Cited by:

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    5. Melberg, Andrea & Diallo, Abdoulaye Hama & Storeng, Katerini T. & Tylleskär, Thorkild & Moland, Karen Marie, 2018. "Policy, paperwork and ‘postographs’: Global indicators and maternity care documentation in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 215(C), pages 28-35.
    6. José Ignacio Nazif-Munoz & Rose Chabot, 2022. "Mapping and assessing sexual and reproductive health policy changes over time in Colombia: measuring their impact on pregnancy terminations," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-13, December.
    7. Mladovsky, Philipa & Ba, Maymouna, 2017. "Removing user fees for health services: A multi-epistemological perspective on access inequities in Senegal," Social Science & Medicine, Elsevier, vol. 188(C), pages 91-99.
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    9. Lange, Isabelle L. & Kanhonou, Lydie & Goufodji, Sourou & Ronsmans, Carine & Filippi, Véronique, 2016. "The costs of ‘free’: Experiences of facility-based childbirth after Benin's caesarean section exemption policy," Social Science & Medicine, Elsevier, vol. 168(C), pages 53-62.

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