Gender, pregnancy and the uptake of antenatal care services in Pakistan
Gender, pregnancy and the uptake of antenatal care services in Pakistan
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DOI：
10.1111/j.1467-9566.2007.00519.x
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发表时间：
2007-01-01
影响因子：
2.9
通讯作者：
Salway, Sarah M.
中科院分区：
文献类型：
--
作者：
Mumtaz, Zubia;Salway, Sarah M.
对巴基斯坦旁遮普邦详细的民族志和大规模调查数据进行了综合分析，以探索性别因素对妇女接受产前护理(ANC)服务的影响。怀孕及其相关决定通常被证明是老年妇女的领域，孕妇及其丈夫与决策过程保持距离。成功地声称非国大的女性并不是公开挑战年轻女性气质的主导结构，而是通过利用现有的性别结构和沟通渠道来影响权威人物。人们发现，妇女人际关系的质量，特别是与婆婆和丈夫的关系，在获得包括非国大在内的资源方面很重要。社会阶层对性别的影响有所缓和。家庭经济状况是使用ANC的一个重要决定因素，妇女的教育也是如此。更富有、地位更高的女性也发现，在怀孕期间更容易绕过针对她们流动性的性别限制。除了阐明性别的社会文化结构如何限制妇女获得非国大的机会，这些实证研究结果还被用来强调主导南亚妇女生殖健康研究的“自主范式”中的重大不足。
An integrated analysis of detailed ethnography and large-scale survey data is presented to explore the gendered influences on women's uptake of antenatal care (ANC) services in Punjab, Pakistan. Pregnancy and its associated decisions were shown to be normatively the older women's domain, with pregnant women and their husbands being distanced from the decision-making process. Women who successfully claimed ANC did so not by overtly challenging the dominant construction of young femininity, but rather by using existing gendered structures and channels of communication to influence authority figures. The quality of a woman's inter-personal ties, particularly with her mother-in-law and husband, were found to be important in accessing resources, including ANC. Gendered influences were moderated by social class. Family finances were an important determinant of ANC use, as was women's education. Wealthier, higher status women also found it easier to circumvent gendered proscriptions against their mobility while pregnant. As well as illuminating the ways in which the sociocultural construction of gender acts to constrain women's access to ANC, the empirical findings are used to highlight significant inadequacies in the 'autonomy paradigm' that has dominated much of the research into women's reproductive health in South Asia.