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We Only Escort Women to the Health Facility

Traditional birth attendants and the performance of indicator-driven care in rural Tanzania

Datos Bibliográficos

ID2289306
AutoresMegan D Cogburn (0000-0001-7022-303X, Department of Sociology and Criminology & Law University of Florida Gainesville USA, autor de correspondencia), Mohamed Yunus Rafiq (0000-0001-6652-6660, New York University Shanghai People's Republic of China)
Año2025
Volumen39
Número3
Páginase12917-e12917
Fecha de publicación2025-02-16
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaMedical Anthropology Quarterly (JOURNAL)
Identificadores de la revistaISSN: 0745-5194 • E-ISSN: 1548-1387
EditorialWiley (PUBLISHER • GB)
DOI10.1111/maq.12917
PMID39955786
OpenAlexW4407606920
IdiomaEN
Referencias citadas28

Global health regimes have reversed the role of traditional birth attendants (TBAs) from partners in the fight against maternal and child mortality to barriers to indicator-driven care. In rural Tanzania, widespread fear of government surveillance and punishment for non-compliant individuals and organizations that climaxed during the presidency of the late John Magufuli (2015-2021) put increased pressure on TBAs. To negotiate tensions, TBAs adopted the position that they only escort women to health facilities for birth. We argue that TBAs' insistence on this only both occludes and protects their multiple caring roles and responsibilities in a context of harsher home birth penalties, yet limited efforts to improve systemic shortages in the rural health system. TBAs' performance of "we only escort women" operates both as the sedimentation of policies, a way to resist them, and means to hold space for TBAs in the wake of ambiguous global and national health policies

Business · Economic growth · Economics · Environmental health · Health care · Health facility · Health services · Population · Socioeconomics · Sociology · Tanzania · Demographic Trends and Gender Preferences · Global Maternal and Child Health · Medicine · Migration, Health and Trauma

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