Patriarchy, Maternal Health and Spiritual Healing: Designing Maternal Health Interventions in Pakistan
Patriarchy, Maternal Health and Spiritual Healing: Designing Maternal Health Interventions in Pakistan
复制标题
DOI：
10.1145/3313831.3376294
复制
发表时间：
2020-04
期刊：
影响因子：
--
通讯作者：
M. Mustafa;Amna Batool;Beenish Fatima;Fareeda Nawaz;K. Toyama;Agha Ali Raza
中科院分区：
文献类型：
--
作者：
M. Mustafa;Amna Batool;Beenish Fatima;Fareeda Nawaz;K. Toyama;Agha Ali Raza
我们研究了在父权和宗教背景下，在低收入、低资源社区中设计产妇保健的机会和挑战。巴基斯坦面临着孕产妇健康危机，产妇死亡率为每10万活产178例死亡，而发达国家的平均死亡率为每10万例中仅有12例死亡。通过为期6个月的定性实证研究，我们考察了巴基斯坦关于产妇保健的普遍信念和做法、妇女获得保健的机会、影响她们的现有宗教习俗以及她们在自己的保健决策中发挥的作用。我们揭示了母亲和卫生工作者中猖獗的错误信息，影响产妇健康的家庭权力动态，以及产妇健康和宗教信仰之间的深层次联系。我们还展示了当前的孕产妇保健干预措施如何不适合这一背景，并讨论了满足这些妇女的孕产妇保健需求的替代设计建议。
We examine the opportunities and challenges in designing for maternal health in low-income, low-resource communities in patriarchal and religious contexts. Pakistan faces a crisis in maternal health with a maternal mortality ratio of 178 deaths per 100,000 live births, as compared to the developed-country average of just 12 deaths per 100,000. Through a 6-month long qualitative, empirical study we examine the prevalent beliefs and practices around maternal health in Pakistan, the access women have to health-care, the existing religious practices that influence them and the agency they exert in their own health-care decision making. We reveal the rampant misinformation among mothers and health workers, house-hold power dynamics that impact maternal health and the deep link between maternal health and religious beliefs. We also show how current maternal health care interventions fit poorly into this context and discuss alternate design recommendations for meeting the maternal health needs of these women.