Agencies and challenged stakes involving ARTs in Mozambique: Local and transnational aspects of access, provision and use

Journal title SALUTE E SOCIETÀ
Author/s Inês Faria
Publishing Year 2018 Issue 2018/2
Language English Pages 14 P. 42-55 File size 76 KB
DOI 10.3280/SES2018-002004
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This article focuses on challenges in access to, and the provision of, biomedical infertility treatments and assisted reproduction technologies (ARTs) in Mozambique. Based on ethno-graphic research, it shows how quests for fertility at the ground level shed light on frictions stemming from global encounters (Tsing, 2004). The latter materialised in processes of re-productive travel and attempts to offer ARTs in Mozambique, on the particularities of local medicoscapes of fertility treatment provision and access (Hörbst and Wolf, 2014), and on the ways in which fluid and negotiated environments interact and intersect within Mozambican infertile couple’s therapeutic navigations (Vigh, 2009; Faria, 2016). The article is structured in seven parts. The first three parts consist of an introduction to the methods, local stakes on reproduction and infertility in southern Mozambique, and the healthcare provision contexts involved in the research. After such introduction, the following sections present cases regarding processes of ART provision and use encompassing Mozambique and South Africa. The cases support the article’s argument regarding the interinfluence between pragmatic agencies and local stakes in ART providers’ and users’ navigations within entangled local and global medicoscapes. The final section discusses the findings presented and draws some conclusions on local challenges affecting and stemming from ARTs provision and use.

Keywords: Infertility; Mozambique; South Africa; Assisted Reproductive Technologies; Therapeutic Navigations; Medicoscapes

  1. Hörbst V. (2012). Assisted Reproduction in Mali and Togo: circulating knowledge, mobile technology, transnational efforts. In: Dilger H., Kane A. and Langwick S., eds, Transnational Medicine, Mobile Experts: Globalization, Health and Power In And Beyond Africa. Bloomington: Indiana University Press:163-189.
  2. Hörbst V. and Wolf A. (2014). ARV and ARTs: Medicoscapes and the Unequal Place-making for Biomedical Treatments in sub-Saharan Africa. Medical Anthropology Quarterly, 28(2): 182-202.
  3. ICPD (2014). Framework of Actions for the follow-up to the Programme of Action of the International Conference of Population and Development beyond 2014. Report of the Secretary General. UN.
  4. Inhorn M. and van Balen F., eds (2002). Infertility Around the Globe: New thinking on childlessness, gender, and reproductive technologies. Berkeley: University of California press.
  5. Inhorn M. (2003). Global Infertility and the Globalization of New Reproductive Technologies: illustrations from Egypt. Social Science and Medicine, 56: 1837-1851. DOI: 10.1016/S0277-9536(02)00208-
  6. Inhorn M. and Patrizio P. (2015). Infertility Around the Globe: new thinking on gender, reproductive technologies and global movements in the 21th century. Human Reproduction Update 21(4): 411-426.
  7. Maillacheruvu P. and McDuff E. (2014). South Africa’s Return to Primary Care: the struggles and strides of the primary health care system. The Journal of Global Health: sexual and reproductive health, 4(1):10-13.
  8. Mariano E. (2014). Understanding experiences of reproductive inability in various medical systems in Southern Mozambique. Unpublished PhD thesis KU Leuven.
  9. Mausse F., Mabota F. and Bugalho A. (2014). Assessment of Male Infertility Causes in Mozambique: a case study of working class patients by IVF at Médicos Associados Clínica Cruz Azul Laboratory, Maputo. International Science and Technology Journal Namibia, 3(1): 100-106.
  10. MISAU (2012). Relatório Revisão do Sector Saúde. Maputo: Health Ministry of Mozambique.
  11. Roberts E. and Scheper-Hughes N. (2011). Introduction: Medical Migrations. Body and Society, 17(2-3): 1-30. DOI: 10.1177/1357034X1140092
  12. Rutstein S. and Shah I. (2004). DHS Comparative Reports 9 – Infecundity, Infertility and Childlessness in Developing Coutries. Geneva: WHO.
  13. Thompson C. (2005). Making Parents: the ontological choreography for reproductive technologies. Massachusetts: MIT press.
  14. Tsing A.L. (2004). Friction: An ethnography of Global Connection. Princeton: Princeton University Press.
  15. Vigh H. (2009). Motion Squared: a second look at the concept of social navigation. Anthropological Theory, 9(4): 419-438. DOI: 10.1177/146349960935604
  16. WHO CP (2015a). WHO Country Porfile Mozambique: http://www.afro.who.int/en/mozambique/who-country-office-south-africa.html (Last access: 24/01/2017).
  17. WHO CP (2015b). WHO Country Profile South Africa: http://www.afro.who.int/en/south-africa/who-country-office-south-africa.html (Last access: 24/01/2017).
  18. Granjo P. (2005). Lobolo em Maputo: um velho idioma para novas vivências conjugais. Porto: Campo das Letras.
  19. Gerrits T. (2015). Introduction: ARTs in Resource Poor Areas: practices, experiences, challenges and theoretical debates. In: Hamshipre K. and Simpson B., eds, Assisted Reproductive Technologies in the Third Phase: global encounters and emerging moral worlds. Oxford: Berghahn Books: 94-104.
  20. Gerrits T. (1997). Social and cultural aspects of infertility in Mozambique. Patient Education and Counseling, 31: 39-48. DOI: 10.1016/S0738-3991(97)01018-
  21. Frede J. (2015). Closing Gaps in Health Care. Development and Cooperation. July 2015. Available on: https://www.dandc.eu/en/article/private-hospital-mozambique-enhances-public-health-care (Last Access 22-05-2015).
  22. Faria I. (2016). Biomedical Infertility Care and Assisted Reproduction: notes on Mozambican infertile couples’ transnational therapeutic itineraries. In: Duchesne V. and Bonnet D., eds, Procréation Médicale et Mondialization: experiences africaines. Paris: L’Harmattan.
  23. Faria I. (2015). Family Re-imagined: assisted reproduction and parenthood in Mozambique. In: Kroløkke C., Myong L., Adrian S. and Tjørnhøj-Thomsen T., eds, Critical Kinship Studies. London: Rowman and Littlefield International.
  24. Carsten J. (2000). Cultures of relatedness: new approaches to the study of kinship. Cambridge: Cambridge University Press.
  25. Bookman M. and Bookman K. (2007). Medical Tourism in Developing Countries. UK: Palgrave-Macmillan.
  26. Arnaldo C. and Cau M.B. (2013). Dinâmicas da População e Saúde em Moçambique. Mozambique: CEPSA.

  • Reproductive travel to, from and within sub-Saharan Africa: A scoping review Tessa Moll, Trudie Gerrits, Karin Hammarberg, Lenore Manderson, Andrea Whittaker, in Reproductive Biomedicine & Society Online /2022 pp.271
    DOI: 10.1016/j.rbms.2021.12.003
  • Emerging “repronubs” and “repropreneurs”: Transnational surrogacy in Ghana, Kazakhstan, and Laos Andrea Whittaker, Trudie Gerrits, Christina Weis, in International Journal of Comparative Sociology /2022 pp.304
    DOI: 10.1177/00207152221097600

Inês Faria, Agencies and challenged stakes involving ARTs in Mozambique: Local and transnational aspects of access, provision and use in "SALUTE E SOCIETÀ" 2/2018, pp 42-55, DOI: 10.3280/SES2018-002004