Rudrum Sarah, Brown Helen, Oliffe John L
Institute for Gender Race Sexuality and Social Justice, University of British Columbia, Canada.
School of Nursing, University of British Columbia, Canada.
Sociol Health Illn. 2016 Nov;38(8):1318-1335. doi: 10.1111/1467-9566.12456. Epub 2016 Aug 23.
The provision of gifts to new mothers in Uganda is laden with significance that varies by the social location of the giver and receiver and the context and conditions under which the gift is made available. Here, we examine the act of gift giving and receiving within a Ugandan maternity care setting, describing the connections between these material objects and social relations. A study investigating the social organisation of maternity care in post-conflict northern Uganda found that gift-giving to new mothers functioned to create a material and discursive context wherein women's desire to access these goods was leveraged to create an incentive to attend formal maternity care during pregnancy and for delivery. In this article we describe the material and discursive processes surrounding gift-giving to new mothers in this global South health care setting. This article contributes critical analyses of the function of gifts in healthcare settings as constructing shared identities, social differences and normative values about health citizenship, and an incentive politic that affects equitable access to maternity care. Drawing on intersectional theory and analysis of how specific practices function ideologically to reward or incentivise pregnant women, we integrate material culture studies into the sociology of women's reproductive health.
在乌干达,给新妈妈送礼物这件事意义重大,其意义因送礼者和受礼者的社会地位以及送礼的背景和条件而异。在此,我们考察乌干达产科护理环境中的送礼和受礼行为,描述这些实物与社会关系之间的联系。一项对冲突后乌干达北部产科护理社会组织的研究发现,给新妈妈送礼物起到了营造物质和话语环境的作用,在这个环境中,利用女性获取这些物品的愿望,促使她们在孕期和分娩时前往正规产科护理机构。在本文中,我们描述了在这个全球南方医疗环境中围绕给新妈妈送礼物的物质和话语过程。本文对礼物在医疗环境中的功能进行了批判性分析,这些功能包括构建关于健康公民身份的共享身份、社会差异和规范价值观,以及影响公平获得产科护理的激励政治。借鉴交叉性理论以及对特定做法如何在意识形态上发挥作用以奖励或激励孕妇的分析,我们将物质文化研究融入女性生殖健康社会学。