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Managing an Epidemic: Zika Interventions and Community Responses in Belize

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Date Issued:
2018
Abstract/Description:
Implementing effective health interventions in recent epidemics has been difficult due to the potentially global nature of their spread and sociocultural dynamics, raising questions concerning how to develop culturally-appropriate preventive measures, and how these health threats are understood locally. In Belize, health policy makers have only been marginally effective in managing infections and mosquito vectors, and Zika has been declared endemic in multiple regions of the country, particularly on the island of Caye Caulker. With one locally confirmed case of microcephaly on this small island already, this disease has the potential to severely impact the health and wellness of pregnant women and future generations. Based on ethnographic and Geographic Information Systems research conducted primarily in 2017, I examine how perspectives of Zika-related health risk are shaped, and how state interventions to manage Zika are understood. I argue that despite its declared endemic status, Zika is not perceived as a true health concern for community members due to numerous neoliberal structural challenges. Moreover, the state's restrictive form of reproductive governance which limits family planning services is forcing individuals to weigh conflicting conceptions of health consequences. This also contributes to an ambiguous healthcare environment for health practitioners, giving them an unclear picture of the scope of Zika as a public health concern and limiting their ability to treat patients. This thesis also considers how critical medical anthropology and feminist analytical approaches are useful in exploring these questions and contributing to understandings of the health impacts of Zika.
Title: Managing an Epidemic: Zika Interventions and Community Responses in Belize.
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Name(s): Gray, Deven, Author
Mishtal, Joanna, Committee Chair
Harris, Shana, Committee Member
Reyes-Foster, Beatriz, Committee Member
Branting, Scott, Committee Member
University of Central Florida, Degree Grantor
Type of Resource: text
Date Issued: 2018
Publisher: University of Central Florida
Language(s): English
Abstract/Description: Implementing effective health interventions in recent epidemics has been difficult due to the potentially global nature of their spread and sociocultural dynamics, raising questions concerning how to develop culturally-appropriate preventive measures, and how these health threats are understood locally. In Belize, health policy makers have only been marginally effective in managing infections and mosquito vectors, and Zika has been declared endemic in multiple regions of the country, particularly on the island of Caye Caulker. With one locally confirmed case of microcephaly on this small island already, this disease has the potential to severely impact the health and wellness of pregnant women and future generations. Based on ethnographic and Geographic Information Systems research conducted primarily in 2017, I examine how perspectives of Zika-related health risk are shaped, and how state interventions to manage Zika are understood. I argue that despite its declared endemic status, Zika is not perceived as a true health concern for community members due to numerous neoliberal structural challenges. Moreover, the state's restrictive form of reproductive governance which limits family planning services is forcing individuals to weigh conflicting conceptions of health consequences. This also contributes to an ambiguous healthcare environment for health practitioners, giving them an unclear picture of the scope of Zika as a public health concern and limiting their ability to treat patients. This thesis also considers how critical medical anthropology and feminist analytical approaches are useful in exploring these questions and contributing to understandings of the health impacts of Zika.
Identifier: CFE0007402 (IID), ucf:52068 (fedora)
Note(s): 2018-05-01
M.A.
Sciences, Anthropology
Masters
This record was generated from author submitted information.
Subject(s): Zika -- Syndemics -- Reproductive Governance -- GIS -- Belize
Persistent Link to This Record: http://purl.flvc.org/ucf/fd/CFE0007402
Restrictions on Access: public 2018-11-15
Host Institution: UCF

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