Understanding gendered influences on women's reproductive health in Pakistan: Moving beyond the autonomy paradigm

MUMTAZ, Zubia and SALWAY, Sarah (2009). Understanding gendered influences on women's reproductive health in Pakistan: Moving beyond the autonomy paradigm. Social Science and Medicine, 68 (7), 1349-1356.

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    Official URL: http://www.sciencedirect.com/science/article/pii/S...
    Link to published version:: 10.1016/j.socscimed.2009.01.025


    Recent research and policy discourse commonly view the limited autonomy of women in developing countries as a key barrier to improvements in their reproductive health. Rarely, however, is the notion of women's autonomy interrogated for its conceptual adequacy or usefulness for understanding the determinants of women's reproductive health, effective policy formulation or program design. Using ethnographic data from 2001, including social mapping exercises, observation of daily life, interviews, case studies and focus group discussions, this paper draws attention to the incongruities between the concept of women's autonomy and the gendered social, cultural, economic and political realities of women's lives in rural Punjab, Pakistan. These inadequacies include: the concept's undue emphasis on women's independent, autonomous action; a lack of attention to men and masculinities; a disregard for the multi-sited constitution of gender relations and gender inequality; an erroneous assumption that uptake of reproductive health services is an indicator of autonomy; and a failure to explore the interplay of other axes of disadvantage such as caste, class or socio-economic position. This paper calls for alternative, more nuanced, theoretical approaches for conceptualizing gender inequalities in order to enhance our understanding of women's reproductive wellbeing in Pakistan. The extent to which our arguments may be relevant to the wider South Asian context, and women's lives in other parts of the world, is also discussed.

    Item Type: Article
    Research Institute, Centre or Group: Centre for Health and Social Care Research
    Identification Number: 10.1016/j.socscimed.2009.01.025
    Depositing User: Sarah Salway
    Date Deposited: 22 Aug 2011 17:18
    Last Modified: 22 Aug 2011 17:18
    URI: http://shura.shu.ac.uk/id/eprint/3797

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