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"Playing the Numbers Game": Evidence-based Advocacy and the Technocratic Narrowing of the Safe Motherhood Initiative

Medical anthropology quarterly, 2014-06, Vol.28 (2), p.260-279 [Peer Reviewed Journal]

2014 American Anthropological Association ;2014 The Authors. Medical Anthropology Quarterly published by Wiley Periodicals, Inc. on behalf of American Anthropological Association ;2014 The Authors. Medical Anthropology Quarterly published by Wiley Periodicals, Inc. on behalf of American Anthropological Association. ;Copyright Blackwell Publishing Ltd. Jun 2014 ;2014 The Authors. Medical Anthropology Quarterly published by Wiley Periodicals, Inc. on behalf of American Anthropological Association 2014 ;ISSN: 0745-5194 ;EISSN: 1548-1387 ;DOI: 10.1111/maq.12072 ;PMID: 24599672 ;CODEN: MANQED

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Title:
"Playing the Numbers Game": Evidence-based Advocacy and the Technocratic Narrowing of the Safe Motherhood Initiative
Author: Storeng, Katerini T. ; Béhague, Dominique P.
Subjects: Advocacy ; advocacy coalitions ; audit culture ; Birth ; Death Rituals ; Deaths ; Developing Countries ; Ethnographic research ; Ethnography ; Evidence ; Evidence Based Practice ; Evidence-based medicine ; evidence-based policy ; Female ; Feminism ; Global Health ; Graphs ; Health ; Health Care Costs ; Health care policy ; Health education ; Health Policy ; Health Promotion ; Humans ; maternal health ; Maternal Welfare ; Medical anthropology ; Mothers ; Organizational Effectiveness ; Patient Advocacy ; Playing ; Poverty ; Pregnancy ; Public health ; Safe Motherhood Initiative ; Social justice ; Women's health ; Womens health ; Womens Health Care
Is Part Of: Medical anthropology quarterly, 2014-06, Vol.28 (2), p.260-279
Description: Based on an ethnography of the international Safe Motherhood Initiative (SMI), this article charts the rise of evidence-based advocacy (EBA), a term global-level maternal health advocates have used to indicate the use of scientific evidence to bolster the SMI's authority in the global health arena. EBA represents a shift in the SMI's priorities and tactics over the past two decades, from a call to promote poor women's health on the grounds of feminism and social justice (entailing broadscale action) to the enumeration of much more narrowly defined practices to avert maternal deaths whose outcomes and cost effectiveness can be measured and evaluated. Though linked to the growth of an audit- and business-oriented ethos, we draw from anthropological theory of global forms to argue that EBA–or "playing the numbers game"–profoundly affects nearly every facet of evidence production, bringing about ambivalent reactions and a contested technocratic narrowing of the SMI's policy agenda.
Publisher: United States: Blackwell Publishing Ltd
Language: English
Identifier: ISSN: 0745-5194
EISSN: 1548-1387
DOI: 10.1111/maq.12072
PMID: 24599672
CODEN: MANQED
Source: MEDLINE
Alma/SFX Local Collection

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"Playing the Numbers Game": Evidence-based Advocacy and the Technocratic Narrowing of the Safe Motherhood Initiative

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