Award Date
May 2023
Degree Type
Dissertation
Degree Name
Doctor of Philosophy (PhD)
Department
Anthropology
First Committee Member
Alyssa Crittenden
Second Committee Member
Danielle Benyshek
Third Committee Member
Peter Gray
Fourth Committee Member
Gabriela Buccini
Number of Pages
147
Abstract
Many low and middle-income countries have implemented new national policy measures aimed at reducing maternal morbidity and mortality due to globalized efforts to improve women’s maternal health. One of the main goals is to move childbirth into hospital facilities and improve health access and education outreach. For Indigenous communities around the world, these measures have fallen short of their goals. Indigenous women suffer from greater social, political, and economic disparities and inequalities, have poorer health indicators overall, and worse maternal health outcomes compared to their non-Indigenous counterparts. For small-scale communities, we have limited data on reproductive health among women, specifically how the subjective experiences of mothering, pregnancy, childbirth, and postpartum impact health outcomes.In this paper, we report on three generations of Hadzabe women’s pregnancy, childbirth, and postpartum practices and experiences. We also report on a cross-sectional survey designed to examine how much access, if any, Hadzabe women have regarding birth registration for their children. We found that Hadzabe women predominantly give birth at home with female birth attendants, but there is increasing access to hospital birth in the event of emergencies, though emergency care is still extremely difficult to access. This is significant because Tanzania has recently outlawed homebirth with fines and penalties for women who do not follow the mandate. We also found that Hadzabe women have intimate support systems during the postpartum period to help with healing, recovery, and taking care of the newborn through the first year postpartum. Finally, we found that the community has extremely limited access to birth registration for their children, despite mandates of children needing to be enrolled 90 days after birth. The qualitative data our woefully limited understanding of hunter-gatherer women’s subjective reproductive experiences and serve to understand Hadzabe women’s specific health beliefs and practices. The survey data can also assist with informing health policy initiatives affecting the most rural communities in Tanzania. Much of the localized policy initiatives (like birth registration mandates and the outlawing of homebirth) have yet to impact health beliefs and practices among these rural communities.
Disciplines
Gender and Sexuality | Medicine and Health Sciences | Sociology | Women's Studies
File Format
Degree Grantor
University of Nevada, Las Vegas
Language
English
Repository Citation
Herlosky, Kristen, "Maternal Health in the Context of Social, Political, and Economic Change Among Hadzabe Foragers of Tanzania" (2023). UNLV Theses, Dissertations, Professional Papers, and Capstones. 4696.
http://dx.doi.org/10.34917/36114721
Rights
IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/
Included in
Gender and Sexuality Commons, Medicine and Health Sciences Commons, Women's Studies Commons