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University of Toronto Scarborough
Health Studies
Krista Maxwell

HLTC02 WINTER 2013 Week 3: Political Economy of Women’s Health – Local/Global Perspectives Lecture:  What are the main processes of globalization, which Lesley Doyal identifies as having implications for health? o Doyal’s Framework for Comparing Gendered Health Effects of Globalization o Increase in poverty and income inequities o Globalization of production o Liberalization of Trade o Reduction in state expenditure on public programming  For each process, identify an example of how this process may have a particular impact on women’s health  Increase in Income Inequities & Poverty o Gender relations structure women’s experiences: single mothers and widows, reduced access to resources including food, land, credit, etc o Household division of labour and gendered labour demands leading to exhaustion o Social & economic dependence reducing capacity for autonomous decision making regarding sexual partners, including reliance on sex work o Exacerbation of violence against women  Globalization of Production o Implications for labour migration and conditions o Environmental degradation o Increasing participation in waged labour, often as informal, migrant, home-based and/ or “flexible” workers o Almost always combined with child-bearing leading to increase in overall volume of daily work o Exposure to workplace hazards ranging from sexual harassment to RSI to toxic substances: immediate and long-term health implications. o Environmental degradation and domestic hazards e.g. increased use of non-wood fuels, increasing burden of firewood collection  Liberalization of Trade o growth of consumption potentially harmful products, e.g. growth of tobacco industry and marketing, increase in tobacco consumption among young women in some areas o unaffordability of beneficial products: basic food stuffs; some pharmaceuticals o dumping of unsafe products e.g. reproductive health devices and pharmaceuticals  Reduction of state expenditures on public programmes o Health care: user fees leading to increases in maternal mortality rates o Decline in state services leading to increase in burden of women in providing unpaid care labour within the household and community  What does Cornwall’s account of the life histories of 3 Yoruba women in southwestern Nigeria – add to our understanding of the relationship between women’s livelihoods and health?  Cornwall’s contributions o Must factor sociality – importance of social relationships and social context- into our understanding HLTC02 WINTER 2013 o Interdeterminant relationship between money and well-being – not only economic success may lead to improved health, but baseline of health is necessary to achieve economic success  Which elements of Doyal’s globalization & health framework are significant in this account? o Doyal’s framework themes of globalization of labour & income inequities and poverty are most applicable to the work experiences of Yourba migrants o Gender anxiety & women’s double burden (domestic & work duties) o Child bearing sometimes difficult to do with additional work duties o Women have more difficulty in accessing opportunities, education and capital  How is sociality important in understanding these women’s experiences of work and health? o Mediates the ability to access to certain social determinants o Familial obligations impact the way in which you allocate resources, notion of maternal altruism o Sociality impacts health – care of child is given greater precendence over own (diet, medication and overall general care is neglected for the sake of children or other members of family) o Women in general have been socialized in a way o be most agreeable and almost self-sarcifical for their loved ones in addition face societal barriers to asking necessary resources such as health care etc. Article: Putting Gender into Health and Globalization Debates: New Perspectives & Old Challenges by Leslie Doyal  What is globalization? o Intensification of worldwide social relations and increasing global interdependence o Compression of space an time via new technology o Quicker economic, financial, technical and cultural interchanges between nations  Varying notions on the impact of globalization on health – has it been good or bad?  Four Key Processes: Globalization of production, liberalization of trade, hollowing out nation states, changes in distribution of income and poverty  So far, the discourse of globalization has been predominantly male-oriented with emphasis on the public sphere of life and market macro level forces instead of the female domain of private life and micro/household level economics  Significant differences in health experiences between women and men due to reproductive differences as well as the patriarchy that impacts the resource allocation and attitudes (Child Bearing capability vs. social differences)  Wom
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