کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
10471800 | 927546 | 2010 | 8 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Only when the boat has started sinking: A maternal death in rural north India
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
سیاست های بهداشت و سلامت عمومی
پیش نمایش صفحه اول مقاله
![عکس صفحه اول مقاله: Only when the boat has started sinking: A maternal death in rural north India Only when the boat has started sinking: A maternal death in rural north India](/preview/png/10471800.png)
چکیده انگلیسی
This paper uses a close reading of villagers' responses to the death in childbirth of a Muslim woman to raise questions about India's current policy emphasis on institutional delivery as a means of reducing maternal mortality. After introducing the context and methods of our research, we describe recent policy interventions related to maternal health, including the National Rural Health Mission established in 2005. We then outline villagers' commentaries on the specific maternal death, focusing on the costs to women's health (and sometimes life) of high fertility; the lack of care available from rural government facilities and staff and the preference for delivering at home with the aid of local practitioners; the financial constraints that make people hesitate to seek medical treatment; and the high costs of private treatment and the poor treatment experienced in government facilities. Our core argument is that government health care provision in rural Uttar Pradesh is embedded in a moral universe characterised by widespread and long-term mistrust of state services and that encouraging institutional deliveries without addressing the perceptions of potential service users is a seriously flawed approach to reducing maternal mortality. The paper draws primarily on ethnographic research funded by the Wellcome Trust during 2002-2005, in a Muslim village in rural Bijnor district (in north-western Uttar Pradesh).
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Social Science & Medicine - Volume 71, Issue 10, November 2010, Pages 1711-1718
Journal: Social Science & Medicine - Volume 71, Issue 10, November 2010, Pages 1711-1718
نویسندگان
Patricia Jeffery, Roger Jeffery,