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Abstract The dominant conceptual framework for understanding reproductive behaviour is highly individualistic. In this article, it is demonstrated that such a conceptualization is flawed, as behaviour is Rh bill conceptual framework by social relations and institutions.
Using ethnographic evidence, the value of a social analysis of the local contexts of reproductive health is highlighted. A framework is set out for conducting such a social analysis, which is capable of generating data necessary to allow health programmes to assess the appropriate means of improving the responsiveness of service-delivery structures to the needs of the most vulnerable.
Six key issues are identified in the framework for the analysis of social vulnerability to poor reproductive health outcomes. The key issues are: The article concludes by briefly identifying the key interventions and strategies indicated by such an analysis.
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|A Conceptual Framework for the Social Analysis of Reproductive Health||Ito ay totoong sulat ng isang batang si Mauricio, 9 na taong gulang. Ang pangalan niya ay Magdalena.|
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Ethnographies have demonstrated that such a paradigm is flawed both in its understanding of human action and in its assumptions about the central units of reproductive decision-making.
Far from being an individual decision-making process, reproductive behaviour is shaped by social relations and institutions at the local level, such as kinship groups, informal social networks, local political institutions, and religious and spiritual advisors and healers, which are influenced by and the product of the wider social, political, economic and historical processes 5 — Inattention to context is evident in many reproductive health interventions and policies.
For example, the reproductive rights discourse focuses on the rights of the individual, often to the exclusion of the wider social and economic conditions within which rights are defined and realized.
Such a perspective underplays the extent to which the poor and vulnerable are unable to realize their rights to the economic and social resources vital for the protection of their health and well-being.
We start with ethnographic illustrations of how sociocultural, economic and political factors shape reproductive behaviour in relation to four key areas: We limit our discussion to these four themes because of space limitations, and, in part, because of our professional expertise.
However, we acknowledge the impact of wider factors on reproductive behaviour, such as education, access to healthcare, occupation, marital status, and harmful traditional practices.
Following the discussion of context, we set out a framework for conducting a social analysis. Data generated by such a social analysis will enable programmes to assess appropriate means of improving the responsiveness of service-delivery structures, including the quality of care they provide.
The article concludes by briefly identifying key interventions and strategies indicated by such an analysis. In contexts of extreme poverty, for example, lack of resources to meet the rising cost of children are often taken to indicate a decline in demand for children, despite evidence that, in such contexts, children are valued as a source of social, economic and political security.
The outcome under such conditions may not be increased demand for modern contraceptive services, but changes in the contexts in which children are conceived and in which they grow up. Increased poverty in many parts of the world combined with globalization of capital provide the context for increased entry of children into the workforce as an economic resource to their families and as a cheap source of labour 12and into economically-based sexual relations 13 — Furthermore, children often have an essential symbolic value and are an important source of social support 9 — Ancestral religion in many societies in sub-Saharan Africa, for example, ascribes an indispensable role to children in the maintenance of the lineage, which is of central importance in the social and political organization of many such societies 9 In China, the symbolic importance of children is translated into resistance to permanent methods of fertility control.
The lineage is perpetuated by economic production and social reproduction, and consequently, the social worth of a person depends on the ability to work and to carry on the family line.
Sterilization is seen as damaging the lineage, production, and reproduction and is viewed with more hostility than other methods of fertility control, including abortion Jun 06, · Conceptual Framework for Adolescent Health 3 dolescence is a crucial developmental period characterized by marked physical, emotional and intellectual changes, as well as changes.
The dominant conceptual framework for understanding reproductive behaviour is highly individualistic. In this article, it is demonstrated that such a conceptualization is flawed, as behaviour is shaped by social relations and institutions.
documents as distilled by Erdman and Cook (), the Framework for Voluntary, Family Planning Programs that Respect, Protect, and Fulfill Human Rights • Describes key family planning program elements in terms of rights, incorporating public health.
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OF REPRODUCTIVE HEALTH BILL ISSUES BY THE PHILIPPINE DAILY INQUIRER AND THE PHILIPPINE STAR FROM – AMORES, ANNA ISSABELE C. Integrated Conceptual Framework Operational Framework Title Frequency count line graph of RH articles in both PDI and Philstar ().
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