HLTC02- Lecture 3
Jan 21, 2013
Note takers needed!
Outline/proposal due soon!
Office hours: 12-2
Midterm will be in week 6- not in class time
Women’s livelihoods and health: Political economy, Structure and Sociality
Lesley Doyal: political economy, macro-sociology, health policy, Marxist
feminism (global approach to analyzing women and health)-> focusing on
Andrea Cornwall: anthropology of development, anthropology of gender,
ethnography (more traditional, micro-level)-> focusing on sociality
A. what are the 4 main processes of globalization which Lesley Doyal identifies
as having implications for health?
1) changes in the distribution of income and poverty: 70% of the unemployed
people in the world are women; women are poorer than men; unequal wages
in gender ; responsibilities have increased (reproductive and domestic
-> single mothers and widows
-> violence against women increases
2) the globalization of production/increase in transnational labour flow:
women still have to do domestic work PLUS other work ; targeted by multi-
national companies and pay them lower wages;
end up working in home-based work
workplace hazards : toxic substances; sexual harassment; repetitive
In India, for example, deforestation means that women now have to walk
many extra hours each day for a headload of firewood, while in many
African communities water may be many hours away.-> this also may put
them in sexual abuse risk , and also musculo-skeletal injuries
3) the liberalization of trade: Encourages ‘specialization- single crops -> not
producing own food -> increased price of own food stock
prices for pharmaceutical products increase
Dumping of products which may not be used/liscenced/approved in
Western America or Europe, on these people (people in Global South,
because there’s less restriction, so people buy and use these products)
Tobacco increasingly common in other parts of the world-> young
women are the target group 4) the reshaping or 'hollowing out' ofnation-states: individuals would suffer
more, because reduce expenditure at health and social programming
user fees : consequences for reproductive health
Maternal mortality rates have gone up where user fees have gone up:
probably because mothers cannot afford to pay so much
HIV/AIDS: bigger burden at home, so no time to take care of self
Decline in $ increases domestic burden on women
This article shows:
how so many things are interconnected.
State-level health policies do have an effect on people’s everyday lives.
But there may be a lot of variation also.
Being a woman does not mean the same thing everywhere.
Ignores the cultural aspect of health research – most research is based on
Based on a very idealistic/individualistic understanding
Autonomic individual who is free to make choices
Situational constraints: caused by other people
Discussion Question 2: What does Cornwall’s account of the life histories of 3
Yoruba women in southwestern Nigeria—Maria, Ilya Onibat and Alhaja Taliatu—
add to our understanding of the relationship between women’s livelihoods and
Relationship between women’s empowerment and health: