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      Re-Conceptualising Gender and Power Relations for Sexual and Reproductive Health: Contrasting Narratives of Tradition, Unity, and Rights

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          Abstract

          Sexual and reproductive health interventions in sub-Saharan Africa will be most effective if grounded in emic (insider) perspectives of gender and power in intimate relationships. We conducted eight focus group discussions with 62 young adults in Malawi to explore conceptions of gender and power relations and areas of tension between different perspectives. We framed our enquiry according to the three social structures of the Theory of Gender and Power: gender norms, division of labour, and division of power. Young adults drew on interrelated and competing narratives to describe the state of gender relations, which we named tradition, unity, and rights. Participants used tradition narratives most frequently to describe patriarchal gender roles, norms and ideals. Some participants challenged this predominant discourse using unity and rights narratives. Unity narratives illustrated how love and couple reciprocity were essential sources of ‘power with’ as opposed to ‘power over’. Rights narratives were more contested than other narratives, with some participants acknowledging that women’s rights were important to the family’s survival and others viewing women’s rights as problematic for gender relations. Gender-responsive interventions should consider the tensions and intersections between multiple narratives on gender and power, including unity as a gender-equitable form of power.

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          Author and article information

          Journal
          100883416
          27090
          Cult Health Sex
          Cult Health Sex
          Culture, health & sexuality
          1369-1058
          1464-5351
          27 September 2019
          21 October 2019
          April 2020
          01 April 2021
          : 22
          : SUP1
          : 48-64
          Affiliations
          [a ]Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA, USA
          [b ]Department of Medicine, Brown University, Providence, RI, USA
          Author notes
          [* ]Corresponding Author: Amy A. Conroy amy.conroy@ 123456ucsf.edu
          Article
          PMC7170748 PMC7170748 7170748 nihpa1540698
          10.1080/13691058.2019.1666428
          7170748
          31633456
          5424c272-5b20-4ca3-8249-0d2b301ede9f
          History
          Categories
          Article

          sexual and reproductive health,women’s empowerment,gender inequality,couples,African culture

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