Price Neil L, Hawkins Kirstan
Centre for Development Studies, University of Wales Swansea, Singleton Park, Swansea, SA2 8PP, UK.
J Health Popul Nutr. 2007 Mar;25(1):24-36.
The dominant conceptual framework for understanding reproductive behaviour is highly individualistic. In this article, it is demonstrated that such a conceptualization is flawed, as behaviour is shaped by social relations and institutions. Using ethnographic evidence, the value of a social analysis of the local contexts of reproductive health is highlighted. A framework is set out for conducting such a social analysis, which is capable of generating data necessary to allow health programmes to assess the appropriate means of improving the responsiveness of service-delivery structures to the needs of the most vulnerable. Six key issues are identified in the framework for the analysis of social vulnerability to poor reproductive health outcomes. The key issues are: poverty and livelihood strategies, gender, health-seeking behaviour, reproductive behaviour, and access to services. The article concludes by briefly identifying the key interventions and strategies indicated by such an analysis.
理解生殖行为的主流概念框架高度强调个人主义。在本文中，我们证明了这种概念化存在缺陷，因为行为是由社会关系和制度塑造的。通过人种志证据，突出了对生殖健康当地背景进行社会分析的价值。本文提出了一个进行此类社会分析的框架，该框架能够生成必要的数据，以便卫生项目评估改进服务提供结构对最弱势群体需求响应能力的适当方法。在分析社会对不良生殖健康结果的脆弱性框架中确定了六个关键问题。这些关键问题是：贫困与生计策略、性别、求医行为、生殖行为以及服务可及性。文章最后简要指出了这种分析所表明的关键干预措施和策略。
