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In Managing Motherhood, Managing Risk, Denise Roth Allen persuasively argues that development interventions in the Third World often have unintended and unacknowledged consequences. Based on twenty-two months of fieldwork in the Shinyanga Region of west central Tanzania, this rich and engaging ethnography of women's fertility-related experiences highlights the processes by which a set of seemingly well-intentioned international maternal health policy recommendations go awry when implemented at the local level. An exploration of how threats to maternal health have been defined and addressed at the global, national, and local levels, Managing Motherhood, Managing Risk presents two contrasting, and oftentimes competing, definitions of risk: those that form the basis of international recommendations and national maternal health policies and those that do not. The effect that these contrasting definitions of risk have on women's fertility-related experiences at the local level are explored throughout the book. This study employs an innovative approach to the analysis of maternal health risk, one that situates rural Tanzanian women's fertility-related experiences within a broader historical and sociocultural context. Beginning with an examination of how maternal health risk was defined and addressed during the early years of British colonial rule in Tanganyika and moving to a discussion of an internationally conceived maternal health initiative that was launched on the world stage in the late 1980s, the author explores the similarities in the language used and solutions proposed by health development experts over time. This set of "official" maternal health risks is then compared to an alternative set of risks that emerge when attention is focused on women's experiences of pregnancy and childbirth at the local level. Although some of these latter risks are often spoken about as deriving from spiritual or supernatural causes, the case studies presented throughout the second half of the book reveal that the concept of risk in the context of pregnancy and childbirth is much more complex, involving the interplay of spiritual, physical, and economic aspects of everyday life.
This book asserts that women attain higher levels of health in the mothering role when they achieve increased control over their own health, lifestyle and environment. Reflecting the philosophy of health promotion, it explores the meaning of the positive coping experience for new mothers, identifying the essential features of resilience in a new coping model based on ground-breaking analytical techniques. Further, the book discusses preventative strategies for building resilience and quality of life during the period of new motherhood, opening new horizons and dialogues related to what “coping” can actually mean when underpinned by a well-being paradigm.
This book asserts that women attain higher levels of health in the mothering role when they achieve increased control over their own health, lifestyle and environment. Reflecting the philosophy of health promotion, it explores the meaning of the positive coping experience for new mothers, identifying the essential features of resilience in a new coping model based on ground-breaking analytical techniques. Further, the book discusses preventative strategies for building resilience and quality of life during the period of new motherhood, opening new horizons and dialogues related to what “coping” can actually mean when underpinned by a well-being paradigm.
Vivid ethnographies of reproductive risk and responsibility that speak to the conflicts between pregnant women and mothers and statesanctioned biomedicine
How to understand the simultaneity of parental love and care with inaction when a child is ill? This question inspired author Lianne Holten to conduct the ethnographic study presented in this book. Holten worked and lived in the isolated village of Farabako (Mali) to help establish a maternity clinic. She clearly describes the tension between Western biomedical thinking and local ideas on health. Holten explains how biomedical assumptions make the mothers' actions appear incomprehensible, but she also shows the logic within the local context. This study contributes to the understanding of the importance of local moralities in health and will be useful for public health initiatives in sub-Saharan Africa. (Series: Mande Worlds - Vol. 6)