Communications & New Media Programme, National University of Singapore, Singapore.
Health Commun. 2012;27(3):273-83. doi: 10.1080/10410236.2011.585444. Epub 2011 Sep 7.
Based upon the culture-centered approach that foregrounds the relevance of interrogating the taken-for-granted assumptions that circulate in the dominant models of health communication on family planning, this article argues that traditional approaches to reproductive health campaigns are concerned with safe motherhood (e.g., fertility, birth spacing, hospital delivery) rather than with the processes through which women construct, negotiate, and maintain meanings of motherhood and health within their cultural contexts. In doing so, this traditional framework leaves out the broader sociocultural, political, and economic contexts of social structures that constrain and enable the possibilities for health in the realm of motherhood. The culture-centered approach notes the erasure of these voices of women from dominant epistemic structures, and seeks to interrupt knowledge production by co-constructing meanings of reproductive health through dialogues with women at the margins. Therefore, in-depth interviews were conducted to centralize experiences of the cultural participants, allowing alternative health meanings to emerge within their local contexts. In particular, highlighting narratives of young Nepalese women living under poverty, we are able to understand how women actively (re)construct meanings of motherhood within their localized cultural spaces.
基于文化中心的方法，该方法强调了质疑在计划生育健康传播主导模式中普遍存在的想当然的假设的重要性，本文认为，传统的生殖健康运动方法关注的是安全孕产（例如，生育力、生育间隔、医院分娩），而不是女性在其文化背景下构建、协商和维护母性和健康意义的过程。这样，这个传统框架就忽略了更广泛的社会文化、政治和经济背景，这些背景限制和促成了母性领域的健康可能性。文化中心的方法注意到这些女性声音从主导认识论结构中被抹去，并试图通过与边缘女性进行对话来共同构建生殖健康的意义，从而打断知识的产生。因此，进行了深入的访谈，以集中体现文化参与者的经验，让替代性的健康意义在他们的当地背景中浮现。特别是，通过突出生活在贫困中的年轻尼泊尔女性的叙述，我们能够理解女性如何在其本地化的文化空间中积极地（重新）构建母性的意义。
