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Structural Violence and Maternal Health Care in sub-Saharan Africa: A Theoretical Perspective

Received: 30 May 2022     Accepted: 20 June 2022     Published: 5 July 2022
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Abstract

This paper is intended to contribute to the debate about the influence of the social structure on maternal healthcare in sub-Saharan Africa in view of the increased interest to consider broader social determinants of health in social, medical, and public health research. The concept of structural violence was deployed as an overarching framework that conceptualize aspects of the social structure which may prevent individual women from realizing their maternal health needs in terms of utilization of maternal healthcare services. The paper argues that gender norms, human rights violations and globalization may be regarded as such, and collectively, they may bolster in-adequate maternal healthcare utilization. The gender division of labor in most sub-Saharan African societies is such that women are assigned maternal and childbirth roles often without adequate accompanying resources to fulfil those roles. This phenomenon, coupled with pervasive violations of both civil and socio-economic rights as well as a stratified global economic and social system may be detrimental to maternal healthcare. It is critical though, that further research uses a holistic approach that does not only focus on the influence of structural violence on individual outcomes but also how individual capabilities can be harnessed to circumvent the influence of structural violence.

Published in Social Sciences (Volume 11, Issue 4)
DOI 10.11648/j.ss.20221104.11
Page(s) 194-200
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Structural Violence, Maternal Health Care, sub-Saharan Africa, Gender Norms, Globalization, Human Rights

References
[1] Bloom S William (2002) The Word as Scalpel: A History of Medical Sociology. Oxford University Press, Oxford.
[2] Labonté R, Schrecker T (2007) Globalization and social determinants of health: Introduction and methodological background (part 1 of 3). Globalization and Health 3: 1–10.
[3] Audibert M, Mathonnat J (2013) Facilitating access to healthcare in low-income countries: a contribution to the debate. Field Actions Science Reports. The journal of field actions, (Special Issue, 8).
[4] Das S (2018) Maternal health, human rights, and the politics of state accountability: Lessons from the Millennium Development Goals and implications for the Sustainable Development Goals. Journal of Human Rights 17: 550–567.
[5] Robert E, Samb OM, Marchal B, Ridde V (2017) Building a middle-range theory of free public healthcare seeking in sub-Saharan Africa: a realist review. Health policy and planning 32: 1002–1014.
[6] Robert E, Ridde V, Marchal B, Fournier P (2012) Protocol: a realist review of user fee exemption policies for health services in Africa. BMJ Open 2: e000706.
[7] Bank W (2018) Poverty and shared prosperity 2018: Piecing together the poverty puzzle. The World Bank.
[8] Sanders DM, Todd C, Chopra M (2005) Confronting Africa’s health crisis: more of the same will not be enough. BMJ 331: 755–758.
[9] Simona S, Muchindu M, Ntalasha H (2018) Intimate Partner Violence (IPV) in Zambia: Socio-demographic Determinants and Association with Use of Maternal Health Care. Int’l J Soc Sci Stud 6: 42.
[10] Adjiwanou V, LeGrand T (2014) Gender inequality and the use of maternal healthcare services in rural sub-Saharan Africa. Health & place 29: 67–78.
[11] Simona SJ (2020) Structural violence and maternal healthcare Utilisation in sub-Saharan Africa: A Bayesian multilevel analysis. University of Glasgow.
[12] Say L, Raine R (2007) A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context. Bulletin of the World Health Organization 85: 812–819.
[13] Galtung J (1969) Violence, peace, and peace research. Journal of peace research 6: 167–191.
[14] Farmer P (1999) Pathologies of power: rethinking health and human rights. American journal of public health 89: 1486–1496.
[15] Farmer P (2004) Pathologies of power. University of California Press.
[16] Alkema L, Chou D, Hogan D, Zhang S, Moller A-B, Gemmill A, Fat DM, Boerma T, Temmerman M, Mathers C (2016) Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. The lancet 387: 462–474.
[17] Galtung J (1990) Cultural violence. Journal of peace research 27: 291–305.
[18] Calasanti T (2010) Gender relations and applied research on aging. The Gerontologist 50: 720–734.
[19] West C, Fenstermaker S (1995) Doing difference. Gender & society 9: 8–37.
[20] Simona S, Lumamba C, Moyo F, Ng’andu E, Phiri M (2022) The Influence of Contextual Factors on Maternal Healthcare Utilization in sub-Saharan Africa: A Scoping Review of Multilevel Models. medRxiv Preprint. DOI: https://doi.org/10.1101/2022.03.15.22272437
[21] Eckersley R (2015) Beyond inequality: Acknowledging the complexity of social determinants of health. Social science & medicine 147: 121–125.
[22] Mawere M, Mubaya TR (2016) African philosophy and thought systems: A search for a culture and philosophy of belonging. Langaa Research and Publishing CIG.
[23] Simona S, Likando N, Banda A, Phiri M (2022) Integrating the Rights-based and Capability Approaches in the Analysis of Maternal Healthcare Utilization in sub-Saharan Africa: A Multilevel Modelling Study. Research Square Preprint: DOI: https://doi.org/10.21203/rs.3.rs-1627881/v1
[24] Ratsma YE, Malongo J (2009) Maternal health and human rights. Malawi Medical Journal 21: 2.
[25] Assembly UG (1948) Universal declaration of human rights. UN General Assembly 302: 14–25.
[26] Ho K (2007) Structural violence as a human rights violation. University of Essex, Essex.
[27] Evans M (2016) Structural violence, socioeconomic rights, and transformative justice. Journal of Human Rights 15: 1–20.
[28] Liebenberg S (2005) The value of human dignity in interpreting socio-economic rights. South African Journal on human rights 21: 1–31.
[29] Pogge T (2005) World poverty and human rights. Ethics & international affairs 19: 1–7.
[30] Pogge T (2001) Priorities of global justice. Metaphilosophy 32: 6–24.
[31] Frank AG (1967) Capitalism and underdevelopment in Latin America. NYU Press.
[32] Sen AK (1999) Development as Freedom Oxford University Press Shaw TM & Heard. 1979) The Politics of Africa: Dependence and Development London: Longman
[33] Dunn JT, Lesyna K, Zaret A (2017) The role of human rights litigation in improving access to reproductive health care and achieving reductions in maternal mortality. BMC pregnancy and childbirth 17: 1–13.
[34] Srikantia J (2016) The structural violence of globalization. Critical perspectives on international business.
[35] Sachs W (1997) Development dictionary, The: A guide to knowledge as power. Orient Blackswan.
[36] Moyo D (2009) Dead aid: Why aid is not working and how there is a better way for Africa. Macmillan.
[37] Wallerstein I (1974) The modern world-system: Capitalist agriculture and the origins of the European world-economy in the sixteenth century. JSTOR.
[38] McCormick TJ (1990) World systems. The Journal of American History 77: 125–132.
[39] Gereffi G (1989) Rethinking development theory: insights from East Asia and Latin America. In: Sociological Forum. Springer, pp 505–533.
[40] Shandra JM, Nobles JE, London B, Williamson JB (2005) Multinational corporations, democracy and child mortality: a quantitative, cross-national analysis of developing countries. Social Indicators Research 73: 267–293.
[41] Frey RS, Field C (2000) The determinants of infant mortality in the less developed countries: a cross-national test of five theories. Social Indicators Research 52: 215–234.
[42] Schoepf BG, Schoepf C, Millen JV (2000) Theoretical therapies, remote remedies: SAPs and the political ecology of poverty and health in Africa. Dying for growth: Global inequality and the health of the poor 91–126.
Cite This Article
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    Simona Simona. (2022). Structural Violence and Maternal Health Care in sub-Saharan Africa: A Theoretical Perspective. Social Sciences, 11(4), 194-200. https://doi.org/10.11648/j.ss.20221104.11

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    Simona Simona. Structural Violence and Maternal Health Care in sub-Saharan Africa: A Theoretical Perspective. Soc. Sci. 2022, 11(4), 194-200. doi: 10.11648/j.ss.20221104.11

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    AMA Style

    Simona Simona. Structural Violence and Maternal Health Care in sub-Saharan Africa: A Theoretical Perspective. Soc Sci. 2022;11(4):194-200. doi: 10.11648/j.ss.20221104.11

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  • @article{10.11648/j.ss.20221104.11,
      author = {Simona Simona},
      title = {Structural Violence and Maternal Health Care in sub-Saharan Africa: A Theoretical Perspective},
      journal = {Social Sciences},
      volume = {11},
      number = {4},
      pages = {194-200},
      doi = {10.11648/j.ss.20221104.11},
      url = {https://doi.org/10.11648/j.ss.20221104.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ss.20221104.11},
      abstract = {This paper is intended to contribute to the debate about the influence of the social structure on maternal healthcare in sub-Saharan Africa in view of the increased interest to consider broader social determinants of health in social, medical, and public health research. The concept of structural violence was deployed as an overarching framework that conceptualize aspects of the social structure which may prevent individual women from realizing their maternal health needs in terms of utilization of maternal healthcare services. The paper argues that gender norms, human rights violations and globalization may be regarded as such, and collectively, they may bolster in-adequate maternal healthcare utilization. The gender division of labor in most sub-Saharan African societies is such that women are assigned maternal and childbirth roles often without adequate accompanying resources to fulfil those roles. This phenomenon, coupled with pervasive violations of both civil and socio-economic rights as well as a stratified global economic and social system may be detrimental to maternal healthcare. It is critical though, that further research uses a holistic approach that does not only focus on the influence of structural violence on individual outcomes but also how individual capabilities can be harnessed to circumvent the influence of structural violence.},
     year = {2022}
    }
    

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    AB  - This paper is intended to contribute to the debate about the influence of the social structure on maternal healthcare in sub-Saharan Africa in view of the increased interest to consider broader social determinants of health in social, medical, and public health research. The concept of structural violence was deployed as an overarching framework that conceptualize aspects of the social structure which may prevent individual women from realizing their maternal health needs in terms of utilization of maternal healthcare services. The paper argues that gender norms, human rights violations and globalization may be regarded as such, and collectively, they may bolster in-adequate maternal healthcare utilization. The gender division of labor in most sub-Saharan African societies is such that women are assigned maternal and childbirth roles often without adequate accompanying resources to fulfil those roles. This phenomenon, coupled with pervasive violations of both civil and socio-economic rights as well as a stratified global economic and social system may be detrimental to maternal healthcare. It is critical though, that further research uses a holistic approach that does not only focus on the influence of structural violence on individual outcomes but also how individual capabilities can be harnessed to circumvent the influence of structural violence.
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Author Information
  • Department of Social Work and Sociology, School of Humanities and Social Sciences, University of Zambia, Lusaka, Zambia

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