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Gender, Reproductive Health, and Climate Change: Freedom to Sustainable Development? A case study on the needs for, and challenges with implementing a Population, Health, and Environment (PHE) project in Western Kenya

机译:性别,生殖健康和气候变化:可持续发展的自由?关于在肯尼亚西部实施人口,健康与环境(PHE)项目的需求和挑战的案例研究

摘要

Within an overall framework of sustainable development, and exemplified through an ethnographic empirical-based case study of a human rights-based “Population, Health and Environment” (PHE) development project implemented in two rural communities in western Kenya, this master thesis sets out to examine the needs for and implementational challenges with taking an integrated and rights-based approach to development by seeking out the how’s and the why’s, as inspired by the anthropologist David Mosse (2005); How and why do challenges with 1) achieving PHE-related wellbeing and 2) implementing the rights-based PHE project arise? Based on the hypothesis that challenges arise when implementing a such project due to the novelty and complex realm hereof, this thesis analytically investigates the above-mentioned questions through four steps. Informed by welfare economist Amartya Sen’s (1999) theoretical framework and a capability approach to development, a list of SRHR- and agriculture/environment-related valuable PHE capabilities for the people for whom a PHE project is supposed to bring positive change are deduced firstly, based on secondary literature. Secondly, the contextual unfreedoms, to paraphrase Sen, which people experience in relation to their agricultural/environmental- and especially their sexual and reproductive health and rights (SRHR)-related freedoms are scrutinised. Thereafter, the types of and reasons for challenges faced by the practitioners in relation to implementing a rights-based PHE project are critically analysed. Lastly, in a wider and global perspective, it is briefly discussed if and why a disconnect can be detected between what is perceived as “good policy” (rights-based approach), and what is actually implementable in local contexts where especially SRHR-related rights are talked of and perceived differently than in the global development agendas. It is deduced that the complex nexus between an increased risk of climate change effects, corrupt institutions, deprivation of livelihood opportunities and free and safe access to SRHR, as well as culturally based gender-divided traditions are especially detrimental for women’s development opportunities. Furthermore, a final (non-exhaustive) set of nine implementational challenges is deduced and presented. And, additionally, and on a wider global political scale, neo-colonial and unequal global power relations are found to possibly be at risk of warping the rights-based sustainable development agenda and appertaining eradication of inequality, poverty and climate change-induced insecurity. The findings are based on qualitative data consisting of observations of and interviews regarding the needs for and challenges with rights-based PHE implementation as mainly analysed based on the articulations and actions of the practitioners, conducted during a four-week long fieldwork stay in Kenya in October 2015, and supplemented with secondary literature and statistical data.
机译:在可持续发展的总体框架内,并以民族志实证为基础的案例研究为例,该案例研究在肯尼亚西部的两个农村社区实施了基于人权的“人口,健康与环境”(PHE)发展项目,在人类学家戴维·莫斯(David Mosse,2005)的启发下,通过寻求方式和原因,以综合的,基于权利的方法来研究需求和实施方面的挑战; 1)实现与PHE相关的福祉和2)实施基于权利的PHE项目会带来什么挑战?为什么?基于这种新颖性和复杂性,在实施此类项目时会遇到挑战的假设,本论文通过四个步骤对上述问题进行了分析研究。在福利经济学家阿玛蒂亚·森(Amartya Sen(1999))的理论框架和发展能力方法的指导下,首先推导了SRHR和与农业/环境相关的宝贵PHE能力清单,这些资源应该为PHE项目带来积极变化的人们带来帮助,根据二手文献。其次,对人们在与农业/环境有关的,特别是与性健康和生殖健康及权利(SRHR)有关的自由方面所经历的环境自由进行了解释。此后,严格分析了从业者在实施基于权利的公共卫生和教育项目方面面临挑战的类型和原因。最后,从更广泛的全球角度出发,简要讨论了是否以及为什么可以在被认为是“良好政策”(基于权利的方法)与在与SRHR相关的地方环境中实际可以实现的之间发现脱节。与全球发展议程相比,人们对权利的谈论和理解有所不同。可以推断出,气候变化影响的风险增加,机构腐败,剥夺生计的机会和自由,安全地获得SRHR以及基于文化的性别划分的传统之间的复杂联系尤其不利于妇女的发展机会。此外,得出并提出了九个实施挑战的最终(非穷举性)集合。另外,在更广泛的全球政治范围内,新殖民主义和不平等的全球权力关系可能有可能扭曲基于权利的可持续发展议程,并有力消除不平等,贫困和气候变化引起的不安全感。调查结果基于定性数据,包括对基于权利的公共卫生教育实施的需求和挑战的观察和访谈,主要是根据从业人员的口头表达和行动进行的分析,这些活动是在肯尼亚于肯尼亚进行的为期四周的长期野外工作期间进行的。 2015年10月,并补充了二手文献和统计数据。

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    Strøh Anne Louise Bjørn;

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  • 年度 2016
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