A summative content analysis of how programmes to improve the right to sexual and reproductive health address power.


Journal

BMJ global health
ISSN: 2059-7908
Titre abrégé: BMJ Glob Health
Pays: England
ID NLM: 101685275

Informations de publication

Date de publication:
04 2022
Historique:
received: 04 01 2022
accepted: 27 03 2022
entrez: 21 4 2022
pubmed: 22 4 2022
medline: 23 4 2022
Statut: ppublish

Résumé

Power shapes all aspects of global health. The concept of power is not only useful in understanding the current situation, but it is also regularly mobilised in programmatic efforts that seek to change power relations. This paper uses summative content analysis to describe how sexual and reproductive health (SRH) programmes in low-income and middle-income countries explicitly and implicitly aim to alter relations of power. Content analysis is a qualitative approach to analysing textual data; in our analysis, peer-reviewed articles that describe programmes aiming to alter power relations to improve SRH constituted the data. We searched three databases, ultimately including 108 articles. We extracted the articles into a spreadsheet that included basic details about the paper and the programme, including what level of the social ecological model programme activities addressed. The programmes reviewed reflect a diversity of priorities and approaches to addressing power, though most papers were largely based in a biomedical framework. Most programmes intervened at multiple levels simultaneously; some of these were 'structural' programmes that explicitly aimed to shift power relations, others addressed multiple levels using a more typical programme theory that sought to change individual behaviours and proximate drivers. This prevailing focus on proximate behaviours is somewhat mismatched with the broader literature on the power-related drivers of SRH health inequities, which explores the role of embedded norms and structures. This paper adds value by summarising what the academic public health community has chosen to test and research in terms of power relations and SRH, and by raising questions about how this corresponds to the significant task of effecting change in power relations to improve the right to SRH.

Identifiants

pubmed: 35443940
pii: bmjgh-2022-008438
doi: 10.1136/bmjgh-2022-008438
pmc: PMC9021801
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : World Health Organization
ID : 001
Pays : International

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Marta Schaaf (M)

Independent Consultant, Brooklyn, New York, USA martaschaafconsult@gmail.com.
Department of Sexual and Reproductive Health and Research, WHO, Geneva, Switzerland.

Victoria Boydell (V)

School of Health and Social Care, University of Essex Faculty of Science and Health, Colchester, UK.

Stephanie M Topp (SM)

College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.

Aditi Iyer (A)

Ramalingaswami Centre on Equity and Social Determinants of Health, Public Health Foundation of India, Bangalore, India.

Gita Sen (G)

Ramalingaswami Centre on Equity and Social Determinants of Health, Public Health Foundation of India, Bangalore, India.

Ian Askew (I)

WHO, Geneva, Switzerland.

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