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Power, policy and abortion care in Uganda
Alexander Kagaha1, Lenore Manderson1,2,3
1School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
Health Policy and Planning
|December 21, 2020
Summary
Unsafe abortion in Uganda causes maternal deaths. Policy-making prioritizes normative motherhood, suppressing essential abortion care needs and controlling reproductive health discussions.
Area of Science:
- Public Health
- Sociology
- Medical Anthropology
Background:
- Unsafe abortion is a leading cause of maternal mortality in Uganda, hindering universal health coverage.
- Maternal healthcare priority-setting processes often overlook critical reproductive health needs.
Purpose of the Study:
- To explore the influence of power dynamics in maternal healthcare priority-setting at a key conference.
- To analyze how governance structures and concepts suppress the discussion of unsafe abortion.
Main Methods:
- Ethnographic design and critical discourse analysis of policy-making activities.
- Observational data collection and key informant interviews with 27 participants.
Main Results:
- Neoliberal and state governance, focusing on 'high-impact' interventions and results-based financing, marginalizes local conditions of unsafe abortion.
- Priority-setting framed maternity around childbirth, promoting normative roles and neglecting unmet abortion care needs.
- Discursive materials controlled how women managed reproduction, limiting access to comprehensive care.
Conclusions:
- Power structures in policy-making suppress the articulation of unsafe abortion needs in Uganda.
- Current maternal health priorities reinforce normative roles, failing to address critical abortion care gaps.
- Understanding these power dynamics is crucial for improving reproductive health outcomes and achieving universal health coverage.
Keywords:
Ugandaabortion carecommunicative materialdiscursive practiceepistemic governancegovernmentalityprioritizationMore Related Videos
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