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Medical technologies and abortion care in Eastern Uganda
فن آوری های پزشکی و مراقبت های سقط جنین در اوگاندا شرقی-2020 Manual Vacuum Aspirators (MVA), Dilation and Curettage (D&C), and medical abortifacients (Misoprostol,
Mifepristone and Divabo) are available in clinical settings that offer abortion and post-abortion care in Uganda.
While these technologies imply appropriate and safe abortion care, legal and policy ambiguities impact health
outcomes. In this article, we draw on an ethnography of abortion care delivery practice conducted in one district
in Eastern Uganda between August 2018 and March 2019, with data from interviews and observations, both of
interactions and during quality of care improvement and training meetings. We illuminate how, in the context of
a financialized healthcare system and legal restrictions, the meanings and use of medical technologies and
abortion care vary across different health facility types. In public health facilities, health workers become state
agents in the control of womens bodies. In private health facilities, they become transgressors, who use medical
technologies to help women attain termination surreptitiously. Health workers offset risks associated with any
involvement in termination, such that pecuniary interests dominate their motivation. Normalized and disciplinary
power enact and reproduce unsafe and risky conditions, leading to poor abortion care outcomes. We
illustrate the mechanisms of domination and tactics of resistance in abortion care, and expose conditions upon
which unsafe and risky outcomes are contingent. Keywords: Uganda | Abortion | Categorization | Criminalization | Domination | Instrumental reason |
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