Tag: women

Maternal Health and the Status of Women

Both globally and domestically, maternal health and the standing of women are inextricably linked. If women do not have the means and access to give birth safely, with trained and educated midwives, physicians and nurses, with appropriate prenatal education and care, it is often indicative of the standing of women in their communities and countries overall. Women’s inequality is also linked to the soaring population growth in developing countries, which will pose a range of new challenges for the next few generations.

Some may point to the United States as an anomaly, citing women’s increasing economic and financial independence, education, and leadership roles in America, while in terms of maternal health rankings, we remain pathetically far down the line for our resources (49 other countries are safer places to give birth than the U.S. – despite us spending more money on healthcare than anywhere else). Of course, the recent and incessant attacks on allowing women to access credible, accurate, up-to-date and comprehensive sexual and reproductive health education and services makes this statistic not entirely…surprising, shall we say.

So, I found the incredibly detailed and visually impressive infographic by the National Post, pulled from spectacular data and research done by Save the Children to be particularly fascinating. What they did was combine information on the health, economic, and education status of women to create overall rankings of the best and worst countries for women, splitting the countries into categories of more developed, less developed, and least developed, and the countries were ranked in relation to the other countries in their category (the divisions were based on the 2008 United Nations Population Division’s World Population Prospects, which most recently no longer classified based on development standing). While these divisions and the rankings can certainly be contentious and may incite some disagreement (nothing unusual there, these kind of rankings usually are), I thought the results were interesting. Some highlights – Norway is first, Somalia is last. The United States was 19th, and Canada was 17th (Estonia fell in between us and the Great White North) in the most developed. Israel is first in the less developed category, and Bhutan is first in the least developed category. The full report with data from Save the Children is also available, if you want to learn more about the information combined to make this image. Take a look:

A Woman’s Place – Courtesy of the National Post

One thing that I thought was particularly great was that the researchers combined women’s health and children’s heath data to create rankings specific to being a mother, when that category is sometimes only assessed based on access to reproductive care.The specific rankings of maternal health highlights largely mimics the overall standing of women, as seen here – Norway is number one, again, and Niger falls into last place:

Mother’s Index, Courtesy of Save the Children

I think these images and graphs are particularly moving given one of the top health stories coming out of the New York Times today, which showed that a recent Johns Hopkins study indicated meeting the contraception needs of women in developing countries could reduce maternal mortality (and thereby increase the standing of women in many of the nations doing poorly in the above ranking) globally by a third. When looking at the countries in the infographic that have low rates of using modern contraception and the correlation between that and their ranking in terms of status of women, it’s not surprising what the JH researchers found. Many of the countries farther down in the rankings have rates below 50%, and for those countries filling the bottom 25 slots, none of them even reach a rate that is a third of the population in terms of contraceptive use – which of course in most cases has to do with availability, not choice. Wonderfully, the Gates Foundation yesterday announced that they would be donating $1 billion to increase the access to contraceptives in developing countries.

Also of note, and in relation to maternal and newborn health, is a new study recently published by Mailman researchers that showed PEPFAR funded programs in sub-Saharan Africa increased access to healthcare facilities for women (particularly important for this region, as 50% of maternal deaths occur there), thereby increasing the number of births occurring in these facilities – reducing the avoidable (and sometimes inevitable) complications from labor and delivery, decreasing the chance of infection and increasing treatment if contracted. This has clear implications for children as well (and why I think this study relates to the National Post infographic and the NY Times article), since newborns are also able to be assessed by trained healthcare workers and potentially life-threatening conditions averted – including HIV, if the newborns have HIV+ mothers and need early anti-retroviral treatment and a relationship with a healthcare worker and system. And it goes without saying that if a new mother is struggling with post-delivery healthcare issues, including abscesses and fistulas, or was dealing with a high-risk pre-labor condition like preeclampsia, the child will have an increasingly difficult early life, perhaps even a motherless one.

A Bunny’s Return

“The Playboy Club,” a show debuting on NBC’s fall lineup has had its fair share of publicity. A Salt Lake City NBC affiliate is refusing to air the show for moral reasons, Troy Patterson’s thinly veiled assault on Maureen Dowd’s coverage of the show, in which he quotes Amber Heard – the show’s leading Bunny – as saying “what’s wrong with being sexy? Why is that subservient?” Even NPR covered the show’s bizarre claim that it was empowering for women because, as Hefner says, “a bunny could be anything they wanted;” an odd claim since the identity of a bunny was scripted with a hard line and came with a hefty set of rules and guidelines.

One of those rules that Gloria Steinem revealed in her great expose “A Bunny’s Tale” about going undercover as a Playboy Bunny, was STI examinations and a physical. This logically leads one to the assumption that the bunnies were expected, encouraged, or even forced to engage in sexual relationships with the clients under the identity of Bunny – why else require a waitress to get an STI test? This is where my first retort to Ms. Heard’s bafflingly short-sighted comment comes into play. The Bunnies have to get tested so they don’t infect the men – what about the men infecting the Bunnies? Were they swabbed upon entrance to the club to ensure that they weren’t putting the waitresses at risk? It seems they were excused because they were funneling money into the pockets of Hefner, and this is a perfect example of why Ms. Heard is serving above all else. Catering to the whims of the customers with the most money without protection or regard for the workers doesn’t make it seem like those workers are so empowered after all. Seems more like they’re at risk.

Ms. Steinem had a great response to the show, in which she said: “It normalizes a passive dominant idea of gender. So it normalizes prostitution and male dominance.” She has hopes that it will be boycotted, and I fully share in Ms. Steinem’s vision of what the show projects. Normalization of unhealthy behaviors and images is a primary topic of my blog. Despite it taking place 50 years ago, witnessing the power dynamic between the bunnies and the customers reinforces how damaging those scripted gender roles truly are – and for viewers who still think those gender roles should remain as scripted, this show and the participants’ comments that it’s all just fun and games helps to serve their ideal. Why would we want to bring back – even as a source of entertainment – the vision of a reality that restrained women from being seen in their workplace as anything more than a decoration? Beyond that, this show isn’t even an attempt at parody, it’s an attempt to glorify this world that Ms. Steinem points out resulted in “women…[telling] me horror stories of what they experienced at the Playboy Club and at the Playboy Mansion.”

There are also serious flaws with the idea that these roles were empowering for the women simply because the men were told “not to touch” the bunnies. This creates the false notion that the best way for a woman to maintain a position of power is to withhold sex. The bunnies could have had this “power” which was limited to withholding sexual pleasure while in a sexual pleasure palace taken away from them easily, through direct assault or coerced sexual relationships that they felt they needed to engage in given their role as servers. Withholding something is not in and of itself an act of positive power but one of passivity masquerading as control – which can easily yield to the money these customers had. An act of positive power would be intellect, a skill set, developed talent, cultivated life experiences leading to the fully fleshed out self not entirely composed of a sexuality and not reliant on the financing – whether in tips or in marriage – of men. True power exists when the reliance on others or threat of others ceases to exist. This isn’t to say that sexuality isn’t a part of an identity, I most certainly think it is. However, the bunnies – infantilized, presented as reward, reduced to the image of a cuddly baby rabbit – are not actually presented (in this show, and in Ms. Steinem’s brilliant ‘A Bunny’s Tale’) as women who have a deep understanding of their sexuality and identity. The power in sexuality lies in one’s ability to articulate what their sexual needs and wants are, to respect those of others, and to communicate with partners. That is what prevents one partner from feeling or being subservient to the other – something The Playboy Club doesn’t seem to promote.