HLTC02 Lecture 3- Jan 21.docx

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University of Toronto St. George
Trinity College Courses
Barakat- Haddad

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 structure  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 labour) -> 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 strain injuries  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 white males Cornwell’s article  ethnographic research  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 health?  Relationship between women’s empowerment and health:  What
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