The unravelling of person-centred care: The value and necessity of analysing power relations in contraceptive services

Simple item page
dc.citation.volumeOnlineFirst
dc.contributor.authorMorison T
dc.contributor.authorMacleod CI
dc.contributor.authorNdabul Y
dc.date.accessioned2025-05-07T20:38:13Z
dc.date.available2025-05-07T20:38:13Z
dc.date.issued2025-04-30
dc.description.abstractGlobal research indicates ongoing challenges in delivering person-centred contraceptive care. Much of the contraceptive research investigates this issue using systems-focussed approaches to map institutional constraints (e.g. institutional or health system barriers to accessing contraception). The assumption underlying this research approach is that simply removing structural barriers can address issues and enhance contraceptive autonomy, but this is not the case. Our research shows how discursively constructed power relations undermine bodily integrity and contraceptive agency even as contraceptive providers endorse the principles of patient-centred care. Using a synthetic narrative/discourse approach to analyse provider interviews in South Africa and New Zealand, we draw on Foucauldian analytics of biopower to show how an idealised person-centred care narrative collapses under the weight of discourses of medicalised risk, protectionism, and biomedical expertise, signalling practices of power through confession, responsibilisation and surveillance. Our findings highlight an essential perspective frequently missing in systems-focussed research on contraceptive care: the crucial dimension of power and reproductive politics. Thus, we argue for the necessity of investigating this dimension, in addition to systemic challenges. Our work demonstrates the value of frameworks that illuminate power dynamics, such as the Foucauldian analytics of biopower we undertook. Expanding the range of research perspectives in contraceptive research can deepen understandings of how systems constraints and power relations together undermine relational person-centred contraceptive care.
dc.description.confidentialfalse
dc.format.pagination1-22
dc.identifier.citationMorison T, Macleod CI, Ndabul Y. (2025). The unravelling of person-centred care: The value and necessity of analysing power relations in contraceptive services. Health (United Kingdom). OnlineFirst. (pp. 1-22).
dc.identifier.doi10.1177/13634593251336175
dc.identifier.eissn1461-7196
dc.identifier.elements-typejournal-article
dc.identifier.issn1363-4593
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/72874
dc.languageEnglish
dc.publisherSAGE Publications
dc.publisher.urihttps://journals.sagepub.com/doi/10.1177/13634593251336175
dc.relation.isPartOfHealth (United Kingdom)
dc.relation.urihttps://journals.sagepub.com/doi/10.1177/13634593251336175
dc.rights(c) 2025 The Author/s
dc.rightsCC BY 4.0
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectbiopolitics
dc.subjectcontraception
dc.subjectcontraceptive services
dc.subjectfamily planning
dc.subjectperson-centered care
dc.subjectperson-centred care
dc.subjecthealth systems
dc.titleThe unravelling of person-centred care: The value and necessity of analysing power relations in contraceptive services
dc.typeJournal article
massey.relation.uri-descriptionPublished version
pubs.elements-id500558
pubs.organisational-groupCollege of Humanities and Social Sciences
Files
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
9.22 KB
Format:
Plain Text
Description:
Download
Collections
Internet Publication