Networks of nomads: negotiating access to health resources among pastoralist women in Chad
Networks of nomads: negotiating access to health resources among pastoralist women in Chad
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DOI：
10.1016/s0277-9536(01)00078-8
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发表时间：
2002-04-01
影响因子：
5.4
通讯作者：
Hampshire, K
中科院分区：
文献类型：
--
作者：
Hampshire, K
牧民群体的卫生资源性别差异很大。虽然某些类型的保健资源属于妇女的领域（家庭治疗、照顾和支助作用以及有关特定生殖条件的知识），但大多数外部保健从业人员、治疗和知识的获取主要由男子控制。- 牧民妇女;这意味着在疾病发作期间采取的行动在很大程度上取决于现有社会支助系统的性质和质量，以及有效调动这些系统的能力。这些支持系统包括丈夫和其他亲属、男性亲属以及女性亲属和朋友网络。在家庭和更广泛的社会单位中的地位以及生命周期等因素影响妇女获得和动员这些不同的支持系统以满足其健康需求的能力。然而，季节性流动以复杂的方式与性别和社会支助系统相互作用，深刻影响妇女获得保健资源的机会。大多数关于游牧民族与健康的文献都侧重于空间流动性对获得卫生资源构成的有形障碍。然而，这里建议，对于乍得的牧民妇女来说，社交网络的空间流动性可能是一个更重要的考虑因素。在一年中的某些时候，妇女可以相对容易地接触到各种各样的亲戚和其他社会联系人，而在其他时候，当人们非常分散时，选择变得更加有限，往往导致疾病治疗的延误。但是，流动不应被视为纯粹的限制。它也可以是一个机会，增加妇女保健方面潜在的地理和社会资源基础。(C)2002爱思唯尔科技有限公司版权所有。
Health resources among pastoralist groups are strongly gendered. While certain types of health resources fall within the female domain (home-based treatment; caring and supportive roles, and knowledge surrounding particular reproductive conditions), access to most outside health practitioners, treatments and knowledge is controlled largely by men. For pastoralist women; this means that actions taken during illness episodes depend largely on the nature and quality of social support systems available, and on their ability to mobilise them effectively. These support systems include husband and other affines, male kin, and networks of female kin and friends. Factors such as position within domestic and wider social units, as well as life cycle, affect women's ability to access and mobilise these different support systems for their health needs. However, seasonal mobility interacts with gender and social support systems in complex ways that profoundly influence women's access to health resources. Most literature on nomadic peoples and health focuses on the physical barriers posed by spatial mobility to accessing health resources. However, it is suggested here that, for pastoralist women in Chad, the spatial fluidity of social networks might be a more important consideration. At certain times of the year women enjoy relatively easy access to a large range of extended kin and other social contacts, while at other times, when people are very dispersed, options become much more limited, often resulting in illness treatment being delayed. Mobility should not, though, be seen purely as a constraint. It can also be an opportunity, increasing the potential geographical and social resource base with regard to health for women. (C) 2002 Elsevier Science Ltd. All rights reserved.