Thesis ID: CBB907736230

Reproductive Labors: Women’s Expertise and Biomedical Authority in Mali, 1935-1999 (2020)

unapi

Golaszewski, Devon (Author)
Mann, Gregory (Advisor)


Columbia University
Mann, Gregory
Publication date: 2020
Language: English


Publication Date: 2020
Physical Details: 385

Over the 20th century, Malians relied on local reproductive specialists: excisers (who oversaw initiation and circumcision ceremonies), nuptial counselors (who provided sexual education at marriage), and midwives. These older women’s work remained vital to social conceptions of proper reproduction, even as the biomedical maternal health system expanded, and Malians adjusted to new forms of religiosity and new ideas of status. Reproductive Labors: Women’s Expertise and Biomedical Authority in Mali 1935-1999 traces how, as biomedical care expanded over the 20th century, women and their families, feminist activists, medical professionals, and non-profit workers began to debate the importance of local reproductive practices. Part 1 explores the role of specialist labor in socializing sexuality and gender norms. In Chapter 1, I argue that following the end of slavery in the early 20th century, Malian families used nuptial counseling to instill concepts of honorable sexuality and demonstrate status at marriage (1935-1958). After independence, public outcry over unwed mothers revealed different visions of extra/marital sexuality and adolescence for nuptial counselors and state-affiliated women activists (1959-1986). In Part 2, I turn to reproductive health interventions. Chapter 3 reveals how the colonial maternal health system relied on external actors, from benevolent associations to Malian midwives, all of whom defined women’s bodies as childbearing bodies (1935-1958). Successive post-colonial governments sought to develop policies to ensure rural health access, toggling between training medical professionals to work in rural places and training local specialists, such as midwives, in biomedical techniques (1957-1976). The integration of midwives into biomedical clinics created substantial overlap between various therapeutic interventions, as I show in Chapter 5. Finally, Chapter 6 demonstrates how Malian participation in anti-excision activism owed as much to previous debates over marriage, unwed mothers, and rural maternity care as to transnational feminist movements and developmentalist interventions (1984-1999). Reproductive Labors is based on interdisciplinary research in Mali, Senegal, France and the US, including archival research, oral histories, and ethnographic work. In addition to working in national archives, the project engages with the floatsam of project reports now safe-guarded in people’s homes, bureaucratic documents from institutional archives like Mali’s National Health Directorate, and student theses. However, women’s specialist labor is less visible in archival material. In response to this elision of gendered knowledge, the project integrates ethnographic observation and French and Bamanakan oral history interviews with women specialists, as well as medical personnel and gender-rights activists. Reproductive Labors demonstrates how Malians were socialized into heterosexuality not simply through family or media, but through specific specialist interventions which linked heterosexuality to biological reproduction and gendered identities, deepening key themes in gender and sexuality studies. Reproductive specialists’ expertise was defined by their gender, skill, age, and social status, as most were older women of endogamous social group descent. Conversely, the activists who campaigned against them were usually highly-educated young women with close ties to international feminist institutions, although these linkages were structured by the colonial afterlives of educational and financial networks. Over the 20th century, questions about which group should have authority over young women’s reproductive experiences led to numerous debates for women and their families. Secondly, this project demonstrates that the continued value of local specialists for Malians, alongside the medical system’s reliance on external actors and instability in rural areas, created a specific form of Malian biomedicine driven as much by local therapeutic practices and social hierarchies as by international norms, enriching recent scholarship on the local specificities of biomedicine. Finally, this dissertation deepens scholarship on state-making in Africa. It demonstrates that reproductive health was not simply a subfield of the post-colonial Malian health system but that it became a key site for innovation in governance. As the first academic history of reproductive health in Mali, which has one of the world’s highest rates of maternal and child mortality, this dissertation seeks to understand the history of reproductive practices as a step towards reproductive justice.

...More
Citation URI
data.isiscb.org/p/isis/citation/CBB907736230

This citation is part of the Isis database.

Similar Citations

Article Devon Golaszewski; (2021)
‘Traditional Birth Attendants’ and Reproductive Expertise in Postcolonial Mali unapi

Article Jesse Olszynko-Gryn; Patrick Ellis; (2017)
‘A Machine for Recreating Life’: An Introduction to Reproduction on Film unapi

Book Matthew Kelly; (2023)
The Sounds of Furious Living: Everyday Unorthodoxies in an Era of AIDS unapi

Book Roberts, Elizabeth F. S.; (2012)
God's Laboratory: Assisted Reproduction in the Andes unapi

Article Arni, Caroline; (2008)
Menschen machen aus Akt und Substanz: Prokreation und Vaterschaft im reproduktions-medizinischen und im literarischen Experiment unapi

Article Daphna Oren-Magidor; (2016)
Literate Laywomen, Male Medical Practitioners and the Treatment of Fertility Problems in Early Modern England unapi

Book Karen Bloom Gevirtz; (2024)
The Apothecary's Wife: The Hidden History of Medicine and How It Became a Commodity unapi

Book Sarah Fox; (2022)
Giving Birth in Eighteenth-century England unapi

Article Patrick Ellis; (2017)
A Cinema for the Unborn: Moving Pictures, Mental pictures and Electra Sparks's New Thought Film Theory unapi

Article Breathnach, Ciara; (2012)
Medicalizing the Female Reproductive Cycle in Rural Ireland, 1926--56 unapi

Article Maurizio Balistreri; (2018)
La ricerca sugli embrioni umani alla luce dei nuovi scenari riproduttivi: considerazioni sull’individualità dell’embrione e sui limiti alla sperimentazione unapi

Book Solinger, Rickie; (2013)
Reproductive Politics: What Everyone Needs to Know unapi

Article Jennifer R. Webster; (2021)
A Place for Women Only: Health, Healing and the Divine at an Islamic Shrine in Central Asia unapi

Book Georgina Feldberg; Molly Ladd-Taylor; (2003)
Women, Health, and Nation: Canada and the United States since 1945 unapi

Article Sioban Nelson; (2021)
Nursing Experts, Hygienic Modernity, and Nation Building: The Case of Nursing in Ethiopia in the Post-Colonial Era unapi

Article Ashlyn Jaeger; (2019)
(Re)Producing Cyborgs: Biomedicalizing Abortion through the Congressional Debate over Fetal Pain unapi

Article Kenton Kroker; (2022)
Insomnia, Medicalization, and Expert Knowledge unapi

Article Beth Greenhough; Emma Roe; (July 2018)
Exploring the Role of Animal Technologists in Implementing the 3Rs: An Ethnographic Investigation of the UK University Sector unapi

Article Clay Davis; (2024)
The routinization of lay expertise: A diachronic account of the invention and stabilization of an open-source artificial pancreas unapi

Article Monica H. Green; (2020)
Emerging Diseases, Re-Emerging Histories unapi

Authors & Contributors
Patrick Ellis
Arni, Caroline
Breathnach, Ciara
Gevirtz, Karen Bloom
Green, Monica H.
Kroker, Kenton
Journals
British Journal for the History of Science
Gender and History
Science, Technology, and Human Values
Canadian Bulletin of Medical History/Bulletin Canadienne d'Histoire de la Medecine
Centaurus: International Magazine of the History of Mathematics, Science, and Technology
Gesnerus
Publishers
University of California Press
McGill-Queen's University Press
Oxford University Press
Rutgers University Press
University of London Press
Concepts
Reproductive medicine
Women in medicine
Reproduction
Biomedicine
Expertise
Medicine and society
Time Periods
20th century
21st century
19th century
20th century, late
17th century
18th century
Places
United States
England
Great Britain
Ireland
Mali
Canada
Comments

Be the first to comment!

{{ comment.created_by.username }} on {{ comment.created_on | date:'medium' }}

Log in or register to comment