"An unparalleled study of a transforming and privatizing Russian
health care system, of the promises and perils of prescriptive
programs for change, that points to the areas that need change in
the change-makers themselves.... part of a larger story about the
inherent dangers of current neoliberal economic transformations of
fragile post-socialist social welfare arrangements.... "Rivkin-Fish
takes the reader into a new understanding of the fragile and tense
relations between state and market transitions, and into the deep
and largely silent struggle for gender and health equity in
Russia." Adriana Petryna, author of Life Exposed: Biological
Citizens after Chernobyl
In the first decade after the collapse of the Soviet Union,
deteriorating public health indicators such as below-replacement
fertility and high rates of sexually transmitted diseases,
abortions, birth traumas, and maternal mortality raised acute
anxieties about Russia s future. This study documents the efforts
of global and local experts, and ordinary Russian women in St.
Petersburg, to explain Russia s maternal health problems and devise
reforms to solve them. Examining both official health projects and
informal daily practices, Michele Rivkin-Fish draws ethnographic
and theoretical insights about the contested processes of
interpreting and managing neo-liberal transitions in Russia and
explores the challenges of bringing anthropological insights to
public health interventions for women s empowerment."
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