Advanced Search
MyIDEAS: Login to save this article or follow this journal

Capitals diminished, denied, mustered and deployed. A qualitative longitudinal study of women's four year trajectories after acute health crisis, Burkina Faso

Contents:

Author Info

  • Murray, Susan F.
  • Akoum, Mélanie S.
  • Storeng, Katerini T.
Registered author(s):

    Abstract

    Accumulating evidence indicates that health crises can play a key role in precipitating or exacerbating poverty. For women of reproductive age in low-income countries, the complications of pregnancy are a common cause of acute health crisis, yet investigation of longer-term dynamics set in motion by such events, and their interactions with other aspects of social life, is rare. This article presents findings from longitudinal qualitative research conducted in Burkina Faso over 2004–2010. Guided by an analytic focus on patterns of continuity and change, and drawing on recent discussions on the notion of ‘resilience’, and the concepts of ‘social capital’ and ‘bodily capital’, we explore the trajectories of 16 women in the aftermath of costly acute healthcare episodes. The synthesis of case studies shows that, in conditions of structural inequity and great insecurity, an individual's social capital ebbs and flow over time, resulting in a trajectory of multiple adaptations. Women's capacity to harness or exploit bodily capital in its various forms (beauty, youthfulness, physical strength, fertility) to some extent determines their ability to confront and overcome adversities. With this, they are able to further mobilise social capital without incurring excessive debt, or to access and accumulate significant new social capital. Temporary self-displacement, often to the parental home, is also used as a weapon of negotiation in intra-household conflict and to remind others of the value of one's productive and domestic labour. Conversely, diminished bodily capital due to the physiological impact of an obstetric event or its complications can lead to reduced opportunities, and to further disadvantage.

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612006892
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 75 (2012)
    Issue (Month): 12 ()
    Pages: 2455-2462

    as in new window
    Handle: RePEc:eee:socmed:v:75:y:2012:i:12:p:2455-2462

    Contact details of provider:
    Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description

    Order Information:
    Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional
    Web: http://www.elsevier.com/orderme/journalorderform.cws_home/315/journalorderform1/orderooc/id=654&ref=654_01_ooc_1&version=01

    Related research

    Keywords: Burkina Faso; Qualitative longitudinal research; Maternal morbidity; Social capital; Bodily capital; Resilience; Trajectories; Costs of healthcare;

    References

    References listed on IDEAS
    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
    as in new window
    1. Sauerborn, R. & Adams, A. & Hien, M., 1996. "Household strategies to cope with the economic costs of illness," Social Science & Medicine, Elsevier, vol. 43(3), pages 291-301, August.
    2. Russell, Steven & Gilson, Lucy, 2006. "Are health services protecting the livelihoods of the urban poor in Sri Lanka? Findings from two low-income areas of Colombo," Social Science & Medicine, Elsevier, vol. 63(7), pages 1732-1744, October.
    3. Narayan, Deepa & Pritchett, Lant, 1999. "Cents and Sociability: Household Income and Social Capital in Rural Tanzania," Economic Development and Cultural Change, University of Chicago Press, vol. 47(4), pages 871-97, July.
    4. Silvey, Rachel & Elmhirst, Rebecca, 2003. "Engendering Social Capital: Women Workers and Rural-Urban Networks in Indonesia's Crisis," World Development, Elsevier, vol. 31(5), pages 865-879, May.
    5. Storeng, Katerini Tagmatarchi & Murray, Susan F. & Akoum, Mélanie S. & Ouattara, Fatoumata & Filippi, Véronique, 2010. "Beyond body counts: A qualitative study of lives and loss in Burkina Faso after 'near-miss' obstetric complications," Social Science & Medicine, Elsevier, vol. 71(10), pages 1749-1756, November.
    6. Chapman, Rachel R., 2003. "Endangering safe motherhood in Mozambique: prenatal care as pregnancy risk," Social Science & Medicine, Elsevier, vol. 57(2), pages 355-374, July.
    7. Abel, Thomas & Frohlich, Katherine L., 2012. "Capitals and capabilities: Linking structure and agency to reduce health inequalities," Social Science & Medicine, Elsevier, vol. 74(2), pages 236-244.
    8. Storeng, Katerini Tagmatarchi & Baggaley, Rebecca F. & Ganaba, Rasmané & Ouattara, Fatoumata & Akoum, Mélanie S. & Filippi, Véronique, 2008. "Paying the price: The cost and consequences of emergency obstetric care in Burkina Faso," Social Science & Medicine, Elsevier, vol. 66(3), pages 545-557, February.
    9. Cleaver, Frances, 2005. "The inequality of social capital and the reproduction of chronic poverty," World Development, Elsevier, vol. 33(6), pages 893-906, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:75:y:2012:i:12:p:2455-2462. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.