Balancing Profession, Family and Cultural Norms by Women Dentists in Pakistan

摘要

“Feminization of dentistry” in Pakistan is clearly visible in the gender distribution of an average dental class that boasts of 70% - 80% female students. Yet after graduation, many of these women choose not to pursue their careers, resulting in a void of practicing dentists in the country, despite an exponential increase in private sector dental colleges. This phenomenological designed qualitative study aimed to investigate the reasons behind this dynamic. Fourteen in-depth interviews’ and two focus groups’ discussion from a rich and diverse sample of 20 purposively selected working and non-working, younger and older women dentists from the cities of Islamabad, Rawalpindi, Lahore, Peshawar and Abbottabad obtained data to achieve saturation. All interviews were audio recorded with consent, transcribed verbatim, transcripts analyzed and coded into themes and sub-themes. Respondent validation and investigator triangulation ensured validity and credibility of findings. The core finding is that a support system is an essential pre-requisite facilitating a woman dentist to pursue her career; the primary driver for this support is “economic need”. This core factor circuitously interlinks three peripheral themes, which are 1) traditional gender roles dominate, restricting women dentists from pursuance of career, especially if they have a strong economic base; 2) becoming a dentist enhances social capital and lucrative marriage prospects, lending to the concept of “doctor brides” which becomes a prime reason for choosing this education. Practicing the profession becomes secondary, especially when the marital union is with a well-to-do family; 3) life stage priorities with respect to motherhood is a barrier to full time career pursuance and if economic needs are met, most prioritize motherhood over profession. In conclusion, the average graduating dentist is female, from an expensive private sector dental college, affordable by the socio-economically privileged class; she often marries into an equivalent or higher SES class based on her “doctor” title. Since “economic need” is a dominant determinant of pursuance of career, a majority of women dentists opt for the luxury of choosing not to work. Recommendations include revision of policies for admission into dental colleges and retentive protocols on renewal of license to practice.