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HLTC02H3 (47)
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Week 1 readings and questions.doc

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Department
Health Studies
Course
HLTC02H3
Professor
Denis Maxwell
Semester
Winter

Description
Understand healthcare systems as sites which dynamic (gendered, raced, classed) relations of power are both transformed and reinscribed -the hookworm example of dynamics of power transformed and reinscribed. The idea of masculinity and manhood over womanhood, was used to prevent disease. Identify multiple entry points of relationship between health and women Women as providers Women as users of services Women as targets of health policy and interventions Women as activist, mediators and critics - mother feminism targeted laws that threatened the ability to give birth and be mothers. Women took social issues and attempted to bring a policy out of it - advocated for better working and living conditions Understand the critique of a too-narrow focus on women as child bearers and rearers in international health initiatives as instrumentalists, imperialistic and negligent of women’s rights and needs -Anne-Emmanuelle Birn’s—critique of a narrow focus on reproductive and maternal health in international health - neglects of broader determinants of women’s health - a classic example was the blaming of midwives for infant mortality. It neglected the economic and social factors that lead to mortality and soley based it on the site of infections and problems caused by midwives. They remeded this by training midwives. Explain and illustrate the particular contributions of a) historical and b) ethnographic approaches of analyzing women and health - historically mothers and children were used as public health interventions - Describe how political and social forces can shape scholarly research and health care systems using examples Rockefeller foundation’s hookworm campaign—Women as users, -gendered differences in rates of infestation liked to (re) productive roles - Women were less infested since they deficated in one place, and wore shoes at age 10 - men deficated in multiple places which reduced infection, but as they started working they concentrated their deposits in one place increasing infection -failure to advocate for latrine-construction by landowners: existing socio-economic order reinforced - despite the fact that it was discovered the need for latrine construction and shoes, the people felt it was household responsibility and not landonwers - -health promotion campaigns invoked Mexican masculinity and American morality - sickness was feminized and men were encouraged to handle hookworms, to enhancemanhood. - this masculinity was enforced according to American morality where everyone is responsible for their health themselves—the individualistic approach Training Mexican public health nurses—Women as providers, women as targets of health policy and intervention, - from 1932 middle class women especially trained to staff newly established sanitary units o nurses training in mexico was believed to be primitive - maternal and infant health was monitored via home visits - mode
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