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Transformations in maternity services in Jamaica.

C Sargent1, J Rawlins

  • 1Department of Anthropology, Southern Methodist University, Dallas, TX 75275-0336.

Social Science & Medicine (1982)
|November 1, 1992
PubMed
Summary

Jamaica

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Area of Science:

  • Public Health
  • Medical Anthropology
  • Health Policy Analysis

Background:

  • Examining Jamaican maternity care evolution over 100 years.
  • Assessing recent health issues and historical policy shifts.
  • Analyzing the transition from lay midwives to biomedical obstetrics.

Observation:

  • Despite increased hospital patronage, maternity service quality has declined.
  • Client dissatisfaction is widespread in Jamaican maternity services.
  • Economic factors and colonial-era ideologies impact care delivery.

Findings:

  • Historical public health policy aimed to replace lay midwives with biomedical care.
  • Colonial-era ideologies linking social irresponsibility to health complications persist.
  • Class relations influence the cultural construction of maternity and health policy.

Implications:

  • Deteriorating maternity services and client dissatisfaction require urgent attention.
  • Addressing class-based biases in health policy is crucial for improving care.
  • Re-evaluating the role of traditional birth attendants alongside biomedical care may be beneficial.

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