Ethnography Report I

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Catherine Maternowska’s study of family planning takes place in one of the world’s poorest slums Cité Soleil in Haiti. Cité Soleil is a dirty and violent place. The main concern of the residents is survival; however, due to political instability it’s been a struggle. Duvalier family ruled Haiti for a long time, and poor people were often target of violence. Duvalier dictatorship was followed by democracy and new president Aristide. However, it all came to an end pretty soon, and those supporting democracy and Aristide were punished by beating, or even by death. Due to political reasons and events it was tough for Maternowska to access the field. Women have lower status than men, and sometimes men had to give consent for conducting an interview with women. Beating of innocent people, shooting, and rapes were common.
The main questions of the research were: “What influences high fertility and low contraceptive use in this urban community? And, why have international agencies’ responses to the problem failed?” (Maternowska 19). Maternowska used semistructured interviews of the residents of Cité Soleil including current and former contraceptive users as well as people who had never used it before, interviews of formal residents that escaped to Miami, observation, participant observation (attending rituals and events), or loosely structured interviews of family-planning professionals. She also got a lot of information at a family planning clinic where she attended staff meetings, interviewed medical director of the clinic, doctors, nurses, and family planning promoters, and observed the interaction between a doctor and a client. Maternowska adopted a theoretical approach called political economy of fertility (PEF) that portrays the r...

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...ust be willing to help. People ruling the country (their practices, distribution of power and resources) should also be questioned and possibly replaced; however, I believe it would need a great support of other countries. People in Haiti need to be educated and empowered. They must realize that the conditions they live in could be so much different if certain things like power relations change. Finally, they need to be included in the problem solving. The most effective changes will not come from outside, it will come from the residents of Cité Soleil themselves. When doctors give women certain type of contraceptive when different one is preferred, it will not lead to lower fertility rates. The same applies for tackling the complex problem. A solution from outside that is not in conformity with beliefs of residents of Cité Soleil will most likely be unsuccessful.

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