Human rights, decentralization and maternal health in Rio de Janeiro: an NGO perspective

Brazil has one of the largest rates of maternal deaths in the world and it accounts for over a quarter of Latin America's maternal deaths. Notably, in spite of the influence of the feminist movements on reproductive public policy making, minority women are still disproportionately affected. T...

Full description

Bibliographic Details
Main Author: Marianna Leite
Format: Article
Language:English
Published: Faculty of Social Sciences and Humanities, UKM,Bangi 2010
Online Access:http://journalarticle.ukm.my/808/1/7.2010-3-mariana_lette-english-2.pdf
_version_ 1796914311451377664
author Marianna Leite,
author_facet Marianna Leite,
author_sort Marianna Leite,
collection UKM
description Brazil has one of the largest rates of maternal deaths in the world and it accounts for over a quarter of Latin America's maternal deaths. Notably, in spite of the influence of the feminist movements on reproductive public policy making, minority women are still disproportionately affected. The highest maternal mortality rates are among black, indigenous, and single women living in the poorest regions of Brazil. The objective of this paper is to examine the truth of this problem through the local perspective of a non-governmental organization in Deodoro. Although the data presented here is neither conclusive nor representative they show that the socioeconomic and demographic profiles of maternal deaths in the city of Rio de Janeiro reflect a vulnerable social situation. Yet, the government has remained unresponsive to the real needs of the women of Deodoro and their families, thus affirming the World Bank view that Brazil is disproportionately directing government spending for health to the affluent while the poor lack access to basic health services and receive low-quality care. There are also health sector fragmentation, loss of policy leadership, confusion of responsibilities and deterioration of services due to the adoption of top-down policies which in turn create further complications and discrepancies in health policies. This does not mean that in Deodoro the women have full control of all aspects of their reproductive life. It means that the official discourse of the modern Brazilian State was at times embraced, combined or rejected by informal local groups and individuals.
first_indexed 2024-03-06T03:40:44Z
format Article
id ukm.eprints-808
institution Universiti Kebangsaan Malaysia
language English
last_indexed 2024-03-06T03:40:44Z
publishDate 2010
publisher Faculty of Social Sciences and Humanities, UKM,Bangi
record_format dspace
spelling ukm.eprints-8082016-12-14T06:28:14Z http://journalarticle.ukm.my/808/ Human rights, decentralization and maternal health in Rio de Janeiro: an NGO perspective Marianna Leite, Brazil has one of the largest rates of maternal deaths in the world and it accounts for over a quarter of Latin America's maternal deaths. Notably, in spite of the influence of the feminist movements on reproductive public policy making, minority women are still disproportionately affected. The highest maternal mortality rates are among black, indigenous, and single women living in the poorest regions of Brazil. The objective of this paper is to examine the truth of this problem through the local perspective of a non-governmental organization in Deodoro. Although the data presented here is neither conclusive nor representative they show that the socioeconomic and demographic profiles of maternal deaths in the city of Rio de Janeiro reflect a vulnerable social situation. Yet, the government has remained unresponsive to the real needs of the women of Deodoro and their families, thus affirming the World Bank view that Brazil is disproportionately directing government spending for health to the affluent while the poor lack access to basic health services and receive low-quality care. There are also health sector fragmentation, loss of policy leadership, confusion of responsibilities and deterioration of services due to the adoption of top-down policies which in turn create further complications and discrepancies in health policies. This does not mean that in Deodoro the women have full control of all aspects of their reproductive life. It means that the official discourse of the modern Brazilian State was at times embraced, combined or rejected by informal local groups and individuals. Faculty of Social Sciences and Humanities, UKM,Bangi 2010-07 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/808/1/7.2010-3-mariana_lette-english-2.pdf Marianna Leite, (2010) Human rights, decentralization and maternal health in Rio de Janeiro: an NGO perspective. Geografia : Malaysian Journal of Society and Space, 6 (3). pp. 76-88. ISSN 2180-2491 http://www.ukm.my/geografia/v1/index.php
spellingShingle Marianna Leite,
Human rights, decentralization and maternal health in Rio de Janeiro: an NGO perspective
title Human rights, decentralization and maternal health in Rio de Janeiro: an NGO perspective
title_full Human rights, decentralization and maternal health in Rio de Janeiro: an NGO perspective
title_fullStr Human rights, decentralization and maternal health in Rio de Janeiro: an NGO perspective
title_full_unstemmed Human rights, decentralization and maternal health in Rio de Janeiro: an NGO perspective
title_short Human rights, decentralization and maternal health in Rio de Janeiro: an NGO perspective
title_sort human rights decentralization and maternal health in rio de janeiro an ngo perspective
url http://journalarticle.ukm.my/808/1/7.2010-3-mariana_lette-english-2.pdf
work_keys_str_mv AT mariannaleite humanrightsdecentralizationandmaternalhealthinriodejaneiroanngoperspective