Des soins différenciés aux violences en salle de naissance : études en Afrique de l’Ouest et du Centre
Abstract
This article discusses childbirth care differentiation in West and Central Africa, which exposes some women to tense relationships and lower quality medical care. An analysis of secondary data from anthropological research in five countries over 15 years shows that discrimination based on age, marital status, parity, ethnicity, and signs of poverty exists from the first contact. Care differentiation is built in the ways of providing care and not so much in their goal. It is part of ordinary social relations and is consistent with forms of personalized care. However, for some women facing discrimination, care differentiation results in violence that intensifies as the birth approaches. Obstetric uncertainties as well as a feeling of powerlessness can lead to irritability among caregivers and the occurrence of mistreatment, despite intentions of health personnel. Physical and verbal violence that was once allowed is less and less common today, which is proof of a shift in sensitivities.
Keywords
