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Chapter 23: Capacities to exercise strategic decision-making agency: exploring the gendered production of health within intimate partnerships and households

Tolhurst, Rachel, Dusabe-Richards, Esther, MacPherson, Eleanor, Kamuya, Dorcas M., Zalwango, Flavia and Theobald, Sally ORCID: https://orcid.org/0000-0002-9053-211X (2016) 'Chapter 23: Capacities to exercise strategic decision-making agency: exploring the gendered production of health within intimate partnerships and households' in: Gideon, Jasmine, (ed) Handbook on Gender and Health, Cheltenham, Edward Elgar Publishing Ltd, pp. 394-416.

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Abstract

This chapter explores the conceptualization and empirical evidence for gendered social processes for the production of health and illness within intimate relationships and households, drawing on international literature, additional grey literature from the Global South and four case studies from the authors’ own research. In particular, the chapter considers the capacity (by both women and men in different contexts) to exercise strategic agency in making decisions with regard to health and well-being both in their own lives and in those of their children. The authors explore how these capacities are conceptualized in both the development and health literature and the findings of empirical research in this area, particularly in three areas that have received particular attention in health: maternal, sexual and reproductive and child health. They then present and discuss four case studies from their own research in sub-Saharan Africa which illustrate the dynamics of the gendered production of health in intimate partnerships and households at different stages of the life cycle, including gendered bargaining processes (and their material and ideological bases), in order to explore these complex processes and outcomes in more depth. The case studies also examine the ways in which gender interacts with other axes of inequality to shape health experiences and outcomes, including for example age, livelihood strategies, socio-economic status, geographical location (for example, urban or rural), marital status and household structure. Finally, the authors discuss whether and how capacities for exercising strategic agency have been considered in health policies, programming and interventions within different contexts, and identify key areas for action and further research.

Item Type: Book Section
Subjects: W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care
WA Public Health > WA 20.5 Research (General)
WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 309 Women's health
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WA Public Health > Health Administration and Organization > WA 525 General works
WA Public Health > Health Administration and Organization > WA 540 National and state health administration
WA Public Health > Health Administration and Organization > WA 546 Local Health Administration. Community Health Services
WA Public Health > Health Administration and Organization > WA 590 Health education, Health communication
Digital Object Identifer (DOI): https://doi.org/10.4337/9781784710866.00037
Related URLs:
Depositing User: Martin Chapman
Date Deposited: 22 Jun 2016 10:05
Last Modified: 06 Feb 2018 13:12
URI: https://archive.lstmed.ac.uk/id/eprint/5941

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