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The practice of sex-selective abortion is on the rise globally, stirring debates about gender inequality, medical ethics and reproductive autonomy. This book is the first ethnography to document practices of sex selection in Viet Nam. It shows how and why abortions are used to select the sex of children and how Vietnamese individuals and health professionals are implicated in this illicit and controversial practice. Telling the stories of women who have undergone sex-selective abortions, it traces their passage through sex determination and abortion decision-making phases, and investigates their experiences during and after their sex-selective abortions. It describes the turmoil experienced by individuals who undergo such abortions and explores their interactions with the spectrum of social actors and health institutions that facilitate practices of sex selection. As the first ethnographic study on sex-selective abortions in Viet Nam, this book delves into socially sensitive terrain and sheds light on personally fraught individual experiences of reproductive agency. It documents societal responses to sex-selective abortions in Viet Nam and identifies gaps in the state’s capacity to regulate reproductive desire in a marketised economy. A resource for researchers, it contributes to ongoing debates on sex selection and provides a framework for developing relevant social policies, interventions and support services. ‘This pioneering study offers a nuanced and sensitive account of sex-selective abortion as human experience. Through thought provoking case studies, the book provides rare ethnographic documentation of the complex quandaries that arise as selective reproductive technologies are routinised across the globe.’ — Tine M. Gammeltoft, Department of Anthropology, University of Copenhagen
Vietnam’s shift to a market-based society has brought about profound realignments in its people’s relations with each other. As the nation continues its retreat from the legacies of war and socialism, significant social rifts have emerged that divide citizens by class, region and ethnicity. By drawing on social connections as a traditional resource, Vietnamese are able to accumulate wealth, overcome marginalisation and achieve social mobility. However, such relationship-building strategies are also fraught with peril for they have the potential to entrench pre-existing social divisions and lead to new forms of disconnectedness. This book examines the dynamics of connection and disconnection in the lives of contemporary Vietnamese. It features 11 chapters by anthropologists who draw upon research in both highland and lowland contexts to shed light on social capital disparities, migration inequalities and the benefits and perils of gift exchange. The authors investigate ethnic minority networks, the politics of poverty, patriotic citizenship, and the ‘heritagisation’ of culture. Tracing shifts in how Vietnamese people relate to their consociates and others, the chapters elucidate the social legacies of socialism, nation-building and the transition to a globalised market-based economy. With compelling case studies and including many previously unheard perspectives, this book offers original insights into social ties and divisions among the modern Vietnamese.
Based on years of careful ethnographic fieldwork in Hanoi, Haunting Images offers a frank and compassionate account of the moral quandaries that accompany innovations in biomedical technology. At the center of the book are case studies of thirty pregnant women whose fetuses were labeled "abnormal" after an ultrasound examination. By following these women and their relatives through painful processes of reproductive decision making, Tine M. Gammeltoft offers intimate ethnographic insights into everyday life in contemporary Vietnam and a sophisticated theoretical exploration of how subjectivities are forged in the face of moral assessments and demands. Across the globe, ultrasonography and other technologies for prenatal screening offer prospective parents new information and present them with agonizing decisions never faced in the past. For anthropologists, this diagnostic capability raises important questions about individuality and collectivity, responsibility and choice. Arguing for more sustained anthropological attention to human quests for belonging, Haunting Images addresses existential questions of love and loss that concern us all.
A unique and innovative resource for conducting ethnographic research in health care settings, Ethnographic Research in Maternal and Child Health provides a combination of ethnographic theory and an international selection of empirical case studies. The book begins with an overview of the origins and development of ethnography as a methodology, discussing underpinning theoretical perspectives, key methods and challenges related to conducting this type of research. The following substantive chapters present and reflect on ethnographic studies conducted in the fields of maternal and child health, neonatal nursing, midwifery and reproductive health. Designed for academics, postgraduate students and health practitioners within maternal and child health, family health, medical sociology, medical anthropology, medicine, midwifery, neonatal care, paediatrics, social anthropology and public health, the book will also illuminate issues that can help health practitioners to improve service delivery.
Transhumanisms and Biotechnologies in Consumer Society offers new, critical perspectives on the impact of 'life-enhancing' technological advancements on consumer identity positions and market evolutions. Technoprogressive innovations that include body modification technologies and reproductive technologies have enabled people to transcend bodily constraints. In parallel, they provoke necessary, critical interrogation around human capabilities, technological possibilities, gender equality, feminism, personal identity, bioethics, markets and morality. The contributions in this book re-evaluate these topics and elucidate some of the vexed relationships between consumers of biotechnologies and markets they consider restrictive or misleading. Secondly, by illustrating consumers’ questioning of and resistance to biomedical, market imperatives, they highlight how the notion of consumer sovereignty, consumer influence over markets, has now advanced into novel forms of consumer activism made manifest through contemporary health justice movements. The chapters in this book also uncover profoundly personal consumer accounts on coping with and managing bodies-in-transition, focusing on illness, self-perception, survivorship and the vicissitudes of these corporeal experiences. This book will allow readers to understand how accelerated technological market changes are being experienced and creatively countered at the societal and individual level. The chapters in this book were originally published as a special issue of Journal of Marketing Management.
This book provides an in-depth analysis of the influence of public policy on sex selection. Three Asian countries were chosen for the comparative policy analysis, namely South Korea, India and Vietnam that share in common a historical legacy of son preference, high levels of sex imbalances and active policy response to curbing the growing demographic masculinization of their nations. The research based on the data collected from field work in the three countries shows that despite the adoption of very similar anti-sex selection policies the outcomes have been markedly different for each of the three countries. These unexpected diverse outcomes are explained partly by their different historical and cultural contexts, and partly to the different social, political and economic institutions and dynamics. This monograph offers careful and detailed explanations of both within and across country diversities in policy outcomes, pointing to the importance and the limits of cross-national policy learning and adoption, and raising questions about the efficacy of international organizations’ current approaches to global policy and knowledge transfer.
This book explores how conditions for childbearing are changing in the 21st century under the impact of new biomedical technologies. Selective reproductive technologies (SRTs) - technologies that aim to prevent or promote the birth of particular kinds of children – are increasingly widespread across the globe. Wahlberg and Gammeltoft bring together a collection of essays providing unique ethnographic insights on how SRTs are made available within different cultural, socio-economic and regulatory settings and how people perceive and make use of these new possibilities as they envision and try to form their future lives. Topics covered include sex-selective abortions, termination of pregnancies following detection of fetal anomalies during prenatal screening, the development of preimplantation genetic diagnosis techniques as well as the screening of potential gamete donors by egg agencies and sperm banks. This is invaluable reading for scholars of medical anthropology, medical sociology and science and technology studies, as well as for the fields of gender studies, reproductive health and genetic disease research.
Thirty years of Ä?ổi Má»›i (economic renovation) reforms have catapulted Vietnam from the ranks of the world’s poorest countries to one of its great development success stories. Critical ingredients have been visionary leaders, a sense of shared societal purpose, and a focus on the future. Starting in the late 1980s, these elements were successfully fused with the embrace of markets and the global economy. Economic growth since then has been rapid, stable, and inclusive, translating into strong welfare gains for the vast majority of the population. But three decades of success from reforms raises expectations for the future, as aptly captured in the Vietnamese constitution, which sets the goal of “a prosperous people and a strong, democratic, equitable, and civilized country.†? There is a firm aspiration that by 2035, Vietnam will be a modern and industrialized nation moving toward becoming a prosperous, creative, equitable, and democratic society. The Vietnam 2035 report, a joint undertaking of the Government of Vietnam and the World Bank Group, seeks to better comprehend the challenges and opportunities that lie ahead. It shows that the country’s aspirations and the supporting policy and institutional agenda stand on three pillars: balancing economic prosperity with environmental sustainability; promoting equity and social inclusion to develop a harmonious middle- class society; and enhancing the capacity and accountability of the state to establish a rule of law state and a democratic society. Vietnam 2035 further argues that the rapid growth needed to achieve the bold aspirations will be sustained only if it stands on faster productivity growth and reflects the costs of environmental degradation. Productivity growth, in turn, will benefit from measures to enhance the competitiveness of domestic enterprises, scale up the benefits of urban agglomeration, and build national technological and innovative capacity. Maintaining the record on equity and social inclusion will require lifting marginalized groups and delivering services to an aging and urbanizing middle-class society. And to fulfill the country’s aspirations, the institutions of governance will need to become modern, transparent, and fully rooted in the rule of law.
This edition of Global Trends revolves around a core argument about how the changing nature of power is increasing stress both within countries and between countries, and bearing on vexing transnational issues. The main section lays out the key trends, explores their implications, and offers up three scenarios to help readers imagine how different choices and developments could play out in very different ways over the next several decades. Two annexes lay out more detail. The first lays out five-year forecasts for each region of the world. The second provides more context on the key global trends in train.
The definitive history of abortion in the United States, with a new preface that equips readers for what’s to come. When Abortion Was a Crime is the must-read book on abortion history. Originally published ahead of the thirtieth anniversary of Roe v. Wade, this award-winning study was the first to examine the entire period during which abortion was illegal in the United States, beginning in the mid-nineteenth century and ending with that monumental case in 1973. When Abortion Was a Crime is filled with intimate stories and nuanced analysis, demonstrating how abortion was criminalized and policed—and how millions of women sought abortions regardless of the law. With this edition, Leslie J. Reagan provides a new preface that addresses the dangerous and ongoing threats to abortion access across the country, and the precarity of our current moment. While abortions have typically been portrayed as grim "back alley" operations, this deeply researched history confirms that many abortion providers—including physicians—practiced openly and safely, despite prohibitions by the state and the American Medical Association. Women could find cooperative and reliable practitioners; but prosecution, public humiliation, loss of privacy, and inferior medical care were a constant threat. Reagan's analysis of previously untapped sources, including inquest records and trial transcripts, shows the fragility of patient rights and raises provocative questions about the relationship between medicine and law. With the right to abortion increasingly under attack, this book remains the definitive history of abortion in the United States, offering vital lessons for every American concerned with health care, civil liberties, and personal and sexual freedom.