Local hierarchies and distributor (non) compliance: A case study of community-based distribution in rural North India

Libby Abbott, Nancy Luke

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Community-based distribution of family planning services is particularly appropriate for South Asia, which has hard-to-reach rural populations. In Uttar Pradesh (UP), India, local status hierarchies of gender, caste, and generation shape the nature of relationships that community-based distributors (CBDs) create with their clients. In this case study of an "ideal" distributor, we uncover the conflicting expectations that many CBDs experience: to comply with project objectives without violating local social norms that limit interactions across status boundaries. Our CBD responded to these dual pressures with varying strategies, often perpetuating social distance and restricting information and services for men, adolescents, and other marginalized populations.

Original languageEnglish (US)
Pages (from-to)225-242
Number of pages18
JournalHealth Care for Women International
Volume32
Issue number3
DOIs
StatePublished - Mar 2011

All Science Journal Classification (ASJC) codes

  • Health Professions(all)

Fingerprint

Dive into the research topics of 'Local hierarchies and distributor (non) compliance: A case study of community-based distribution in rural North India'. Together they form a unique fingerprint.

Cite this