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This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1989.

1: Introduction -- 1.1. The Study -- 1.2. The Setting -- 1.3. Methodology -- 1.4. Theoretical Perspectives on Health Care Decisions -- 2: The Cultural Context of Therapeutic Choice -- 2.1. Bariba Conceptions of the Order of the Universe -- 2.2. Diagnosis and Treatment -- 2.3. Divination -- 2.4. The Use of Substances -- 2.5. Medicines -- 3: Beliefs and Practices Surrounding Reproductive Processes -- 3.1. Menstruation and Clitoridectomy -- 3.2. Conception -- 3.3. Development of Fetus -- 3.4. Contraception -- 3.5. Abortion -- 3.6. Sterility -- 4: Status Among the Bariba: The Roles and Responsibilities of Women -- 4.1. Status in Bariba Society -- 4.2. Position of Women -- 4.3. Economic Subsistence -- 4.4. Political Arena -- 4.5. Domestic Relations -- 4.6. Household Responsibilities -- 5: Sociological and Career Attributes of Midwives -- 5.1. Healers: Midwives and Medicine People -- 5.2. Implications of Role Expectations for Birth Assistance -- 5.3. Recruitment of Matrones and Method of Skill Acquisition -- 5.4. Sources of Medical Knowledge -- 5.5. Matrones Own Reproductive Histories -- 5.6. Age at Unsupervised Delivery -- 5.7. Assistance at Own Child's Delivery -- 5.8. Remuneration -- 5.9. Comprehensive Care by Matrones -- 5.10. Pregnancy Counseling -- 5.11. Matrone's Role Variability -- 5.12. Spirit Possession -- 5.13. Inheritance of Spirits -- 5.14. Healing and Sambani -- 5.15. The Matrone Prototype -- 6: The Meaning of Efficacy in Relation to Obstetrical Care Preferences -- 7: Birth Assistance in the Rural Area: Patterns of Delivery Assistance -- 7.1. Delivery Assistance: Patterns of Selection in the Rural Area -- 7.2. Midwifery as a Therapeutic System -- 7.3. Structured Interviews with Matrones -- 8: Client-Practitioner Encounters -- 8.1.1. The Case of Adama -- 8.1.2. The Case of Sako -- 8.1.3. The Case of the Prolapsed Cord -- 8.1.4. The Case of the Terrifying Breech 120 -- 8.1.5 The Case of Bona -- 8.2. Pain as a Cultural Phenomenon -- 8.3. Pregnancy (by Nicole) -- 8.4. Conclusion -- 9: Utilization of National Health Services for Maternity Care in the District of Kouande -- 9.1. Clinic vs. Home Delivery: A Pehunko Sample -- 9.2. Utilization of the Pehunko Dispensary -- 9.3. Pehunko Women at the Kouande Maternity Clinic -- 9.4. The Kouande Maternity Clinic: General Utilization -- 10: Conclusion -- 10.1. Implications of the Bariba Study for the Cross-Cultural Study of Midwifery -- 10.2. The Involvement of Indigenous Midwives in National Health Systems -- 10.3. Training Programs -- Appendices -- Appendix A: Demographic Data -- Appendix B: Female Circumcision Songs -- Notes.

Globalization, including the global flows of people, is clearly linked to disease transmission and vulnerability to health risks among immigrant populations. Anthropological research on transnational migration and health documents the implications of population movements for health and well-being. Studies of immigrant health reveal the importance of the social, political, and economic production of distress and disease as well as the structures and dynamics that produce particular patterns of access to health services. This review points to underlying political, economic, and social structures that produce particular patterns of health and disease among transnational migrants. Both critical and phenomenological analyses explore ideas of alterity and community, which underlie the production and management of immigrant health. Research on immigrant health underscores the importance of further attention to policies of entitlement and exclusion, which ultimately determine health vulnerabilities and accessibility of health care.

Strategies of state surveillance shape the construction of migrant identities in France. Focusing on migrants from the Senegal River Valley in West Africa, the authors suggest that ideological and institutional constraints concerning legal status and family reunification create a shifting world of unstable identities for these migrants. The fall 2005 riots across France have been widely cited as an illustration of the failure of the French model of immigrant integration. Restrictive legislation since 1975 has challenged gender relations in migrant communities. The gendered production of immigrant identities merits special attention; women's and men's diverse experiences require differing strategies of adjustment. During the past 30 years, anti-immigrant discourse/practice has effectively contested the state policy of integration and its emphasis on achieving nationality as the ultimate immigrant objective. The gendered strategies of West African migrants demonstrate that state polices have created a new category of migrants whose everyday lives seem permanently in transition.

Através da comparação de conexões e interações entre França e África Ocidental e do uso das telecomunicações por imigrantes chegando à França em períodos diversos entre 1965 e 2005, este artigo demonstra a relevância dessas tecnologias de comunicação na (re)definição da distância social e na facilitação do envolvimento continuado de migrantes na tomada de decisões familiares nas suas comunidades de origem.

Le développement des nouvelles technologies et notamment de la téléphonie mobile a modifié le lien que les migrants entretiennent avec leur famille restée au pays. Chacun, ici ou là-bas, se réjouit d'être en contact rapide et direct avec les parents et de pouvoir régler plus rapidement certains problèmes et conflits. Mais la communication moderne accroît aussi les responsabilités et les possibilités de pressions familiales. Enquête à Paris, chez des migrants originaires du bassin du fleuve Sénégal, situé en Afrique de l'Ouest et partagé par la Guinée, le Mali, la Mauritanie et le Sénégal.