Simpson Bob
Department of Anthropology, Durham University, Dawson Building, Lower Mountjoy, Stockton Road, Durham, UK.
Reprod Biomed Soc Online. 2016 Jun;2:8-15. doi: 10.1016/j.rbms.2016.02.003.
This article outlines the development of IVF in Sri Lanka from the first successful births in the late 1990s and over the subsequent 15 years. It is based on anthropological fieldwork carried out at various points during this period. The piece focuses on the challenges entailed in achieving regulation of the new reproductive technologies against a backdrop of: (i) a bitter civil war; (ii) a complex mosaic of different religious traditions (specifically, Buddhism, Catholicism, Hinduism and Islam); and (iii) a shift towards neo-liberal marketization, particularly in relation to specialist and hi-tech medical interventions. The article concludes that 'soft' regulation operates both to avoid conflict around highly contentious issues in debates about reproductive rights as well as to enable commercially driven developments in technologically specialised areas of medicine.
本文概述了20世纪90年代末斯里兰卡首次试管婴儿成功诞生以来及随后15年里试管婴儿技术在该国的发展情况。它基于这一时期不同阶段开展的人类学实地调查。文章重点关注在以下背景下对新生殖技术进行监管所面临的挑战:(i)一场残酷的内战;(ii)不同宗教传统(具体而言,佛教、天主教、印度教和伊斯兰教)构成的复杂拼图;(iii)向新自由主义市场化的转变,尤其是在专科和高科技医疗干预方面。文章得出结论,“软性”监管既能避免围绕生殖权利辩论中极具争议性的问题产生冲突,又能推动医学技术专业领域由商业驱动的发展。