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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.

博士生Lucia Guerra-Reyes（匹兹堡大学），在Kathleen M.德沃尔特将研究文化和国家政策如何影响安全孕产。她将通过分析秘鲁的跨文化生育护理政策来探讨这些关系。这项政策旨在降低产妇死亡率，同时通过将安第斯家庭分娩的某些内容纳入保健服务，解决多文化政府日益关注的问题。因此，它包括一个适当的案例研究，这项研究。研究人员假设，三个相互关联的因素影响政策的执行和安全孕产的成果在农村安第斯山脉：存在区域文化差异;护士助产士在执行过程中的关键地位和自己的安第斯文化和跨文化的概念;和经验和愿望的分娩妇女和他们的男性伴侣在农村地区。研究人员将通过与区域和地方领导人、卫生服务管理人员、护士助产士、妇女及其男性伴侣的深入访谈，研究这些因素及其对分娩护理的影响。研究人员还将对产前咨询进行观察，并将收集关于使用跨文化分娩服务的公开统计数据，秘鲁生育政策的案例提供了一个机会，可以更复杂地理解文化变量如何在文化差异在政策中制度化的背景下发挥作用。这项研究的结果还将对秘鲁的政策进程如何反映和影响社会不平等问题进行批判性分析。此外，这些结果对其他国家或区域今后采取安全孕产政策办法具有重要意义，因为这些国家或区域试图将文化作为保健政策的一个关键结构。本研究也将有助于研究生的教育。