Doctoral Dissertation Improvement Grant: Culture, Policy, and Safe Motherhood

博士论文改进补助金：文化、政策和安全孕产

基本信息

批准号：
0918030
负责人：
Kathleen DeWalt
金额：
$ 1.5万
依托单位：
University of Pittsburgh
依托单位国家：
美国
项目类别：
Standard Grant
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-15 至 2011-08-31
项目状态：
已结题

来源：
https://www.nsf.gov/awardsearch/showAward?AWD_ID=0918030&HistoricalAwards=false
关键词：
Doctoral Dissertation Improvement Grant Culture

项目摘要

Doctoral Student Lucia Guerra-Reyes (University of Pittsburgh), under the supervision of Dr. Kathleen M. De Walt, will undertake research on how culture and national policy affect safe motherhood. She will explore these relationships through analysis of the Peruvian policy of intercultural birth care. This policy seeks to reduce maternal mortality and at the same time to address the increasing concerns of a multicultural government by incorporating selected elements of Andean home birth into health service care. Thus it comprises an appropriate case study for this research. The researcher hypothesizes that three interrelated elements impact both policy implementation and safe motherhood outcomes in the rural Andes: the existence of regional cultural differences; the key position of nurse-midwives in the implementation process and their own conceptions of Andean culture and interculturalidad; and the experiences and desires of birthing women and their male partners in rural areas. The researcher will examine these elements and their effects on birth care through in-depth interviews with regional and local leaders, health service administrators, nurse midwives, and women and their male partners. The researcher will also conduct observation of prenatal consultations and will collect publicly available statistical data regarding use of intercultural birthing services.The case of the Peruvian birth policy represents an opportunity to provide a more complex understanding of how cultural variables come into play in a context where cultural differences are institutionalized in policy. The results of this study also will provide a critical analysis of how the process of policy in Peru reflects and impacts social inequalities. Additionally these results will be significant for the future policy approaches to safe motherhood in other countries or regions that seek to use culture as a key construct for health policy. The research also will contribute to the education of a graduate student.

在凯瑟琳·德·沃尔特（Kathleen M. de Walt）博士的监督下，博士生Lucia Guerra-Reyes（匹兹堡大学）将对文化和国家政策如何影响安全的母性进行研究。她将通过分析秘鲁跨文化生育保健政策来探索这些关系。该政策旨在减少孕产妇死亡率，同时通过将安第斯山脱家庭的出生元素纳入卫生服务护理中，以解决多元文化政府的日益关注。因此，它包括适当的案例研究。研究人员假设三个相互关联的因素影响了安第斯山脉农村的政策实施和安全的孕产结局：存在区域文化差异；护士中间人在实施过程中的关键立场以及他们对安第斯文化和跨文化的观念；以及在农村地区出生的妇女及其男性伴侣的经历和欲望。研究人员将通过对区域和地方领导人，卫生服务管理人员，护士助产士以及妇女及其男性伴侣进行深入的访谈来检查这些元素及其对出生护理的影响。研究人员还将对产前咨询进行观察，并将收集有关使用跨文化分娩服务的公开统计数据。秘鲁出生政策的案例是一个机会，可以更复杂地了解文化变量如何在文化差异中在政策中制度化的文化差异。这项研究的结果还将对秘鲁的政策过程如何反映和影响社会不平等现象进行批判性分析。此外，这些结果对于未来的其他国家或试图将文化作为卫生政策的关键结构的地区或地区的安全母性的方法至关重要。这项研究还将为研究生的教育做出贡献。