ANTH147 2

ANTH147 2 - Understanding Context Understanding iin...

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: Understanding Context Understanding iin International Health n Projects Projects A Russian Case Study Collaboration in Context Collaboration Assumptions & Agendas about Assumptions Post-Soviet Change For the West: For TRIUMPH of democracy, freedom freedom Introducing Democracy Through: “Shock Therapy” “Big Bang” “Strong Medicine” Western Western Images of Images Russia, Russia, 2000+ Images of Russian Medicine Images Lagging Behind, & Plagued by Bribery, Corruption, Incompetence Anthropological Approach: Understand Local Perspectives Understand Fieldwork in Fieldwork Maternity Hospitals Dr-Patient Relationships Creation of Trust, Creation Authoritative Authoritative Knowledge Developing Rapport Developing Socializing Outside the Workplace, Building Trust Social Life, Celebrations, Relationships Relationships The End of the Cold War: The A Russian Perspective “From the Intoxication of Freedom to the From Bitter Hangover” (Lindquist 2006) (Lindquist Metaphors: Reproductive Health Politics: Reproductive Demographic Crisis “For Increasing! Only 6.6% of families In Russia have 3 or more or Children” Children Global Collaborations & Local Improvisations Local Resources from Western Organizations; Adapting Ideas To Russian Context WHO/ St. Petersburg Maternity Health Project 1990s Health Women’s Health At Socialism’s End ’s (1991) (1991) Low & Declining fertility High Rates of Abortion, Low Contraceptive High Use Use High Rates of Maternal Mortality Ethnographic Study of Ethnographic Urban Russian Health Care Cultural Context of Health Care: Cultural What was each constituency concerned What about? about? Anthropological concerns (theoretical Anthropological questions) questions) Research Methods, 1993- 2000 Research 16 months Participation Observation 16 Fieldwork Fieldwork -hospitals, clinics, homes Over 70 In-depth Interviews in Russian Health care planners, providers, users Textual Analyses of Policies/ Debates WHO Project in St. Petersburg WHO Case Study, 1995: Make Maternity Care User-Friendly Increase rates of prenatal care Reduce birth complications & maternal Reduce mortality mortality Promote women’s needs, equity Link to Russia’s democratic change WHO Recommendations WHO Clinical Reforms Broader Political Goals of Reforms Broader Outcomes: “Family Births” “Family Clinical Reforms Partially Implemented: As “Extra” Services for Payment As Patient “empowerment” rejected Patient “empowerment” Stratification of Health Care Opportunities WHY the Unintended Consequences? Consequences? Incompatible Assumptions & Agendas Incompatible Political-Economic, Institutional Contexts Political-Economic, in Health in Macro level: Macro Micro level: Ethnography- Theory Link: Insights on Health Development From Sri Lanka- Kenya- Russia From Case Studies Ethnographic Case Study Theoretical Principles Theoretical Principles New Research ...
View Full Document

This note was uploaded on 02/28/2012 for the course INTS 210 taught by Professor Weiler during the Fall '07 term at UNC.

Ask a homework question - tutors are online