Power, policy and abortion care in Uganda
Bibliographic Data
| ID | 11490229 |
|---|---|
| Authors | Alexander Kagaha (0000-0002-7787-8597, University of the Witwatersrand, corresponding author), L Manderson (0000-0002-7883-1790, University of the Witwatersrand) |
| Year | 2021 |
| Volume | 36 |
| Issue | 2 |
| Pages | 187-195 |
| Publication date | 2021-03-26 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czaa136 |
| PMID | 33347559 |
| OpenAlex | W3117250761 |
| Language | EN |
| Citations received | 4 |
| References cited | 40 |
Unsafe abortion practices remain the major contributor to maternal death in Uganda, impeding the achievement of universal health coverage and quality of maternal health care. Using an ethnographic design and critical discourse analysis, we explored the operations of power in setting maternal healthcare priorities, as evident at the 2018 Reproductive, Maternal, Neonatal, Child and Adolescents Health Conference. Observational data were collected of the policy-making activities, processes and events and key informant interviews were conducted with 27 participants. We describe how neoliberal and state governance through the structure and organization of policy-making, epistemic governance and universal concepts of ‘high-impact’ interventions, results-based financing, cost-effectiveness and accountability converge to suppress the articulation of local conditions associated with unsafe and risky abortion. By defining maternity along the continuum of birth and emphasizing birthing women, priority-setting was directed towards interventions promoting women’s normative role as mothers while suppressing unmet abortion care needs. Finally, discursive and communicative materials controlled how women of reproductive age in Uganda managed reproduction
Abortion · Accountability · Business · Corporate governance · Economic growth · Economics · Environmental health · Health care · Political science · Population · Pregnancy · Psychological intervention · Public health · Reproductive health · Reproductive rights · Sociology · Global Maternal and Child Health · Medicine · Nursing · Reproductive Health and Contraception · Sex work and related issues · Health Policy
Global, regional, and subregional classification of abortions by safety, 2010–14
Global causes of maternal death
Methods of Critical Discourse Analysis
Discourse, Knowledge, Materiality, History
Healthcare providers balancing norms and practice
Strengthening health facilities for maternal and newborn care
Governmentality, subjectivity, and the neoliberal form of life
Behind the scenes
Why teach sexuality education in school? Teacher discretion in implementing comprehensive sexuality education in rural Zambia
Shaping the abortion policy – competing discourses on the Zambian termination of pregnancy act
Epistemic governance
Pragmatic politics and epistemological diversity
Ethnography and critical discourse analysis
The Discursive Governance of Population Politics
Ugandan opinion-leaders’ knowledge and perceptions of unsafe abortion
Lives in the balance”
Minding the gaps
Advocating for Abortion Access
The UK National Student Survey
From Governance to Governmentality in CSDP
Education Policy as a Practice of Power
The Status of the "Material" in Theories of Culture
Medical technologies and abortion care in Eastern Uganda
Discretion, power and the reproduction of inequality in health policy implementation
Setting the global health agenda
Epistemic governance and the conditions for knowledge production in HER institutions
Challenging Gendered Inequalities in Global Health
Institutional Ethnography Research in Global South Settings
A birth centre's encounters with discourses of childbirth
The birth of bio-politics
| Unique citing works | 4 |
|---|---|
| Citations per year | 1 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |