Mesh : Humans COVID-19 / epidemiology South Africa Politics Pandemics SARS-CoV-2 Delivery of Health Care / organization & administration Capitalism

来  源:   DOI:10.1016/j.socscimed.2024.116881

Abstract:
Feminist perspectives on care have demonstrated how capitalism undervalues care work. The Covid-19 pandemic highlighted this further, as systems of production and social reproduction became destabilized globally. In many countries, the formal pandemic response fell short of attending to the daily, fundamental care needs of people living through the crisis, especially those compromised by the socio-economic effects of the pandemic. These needs were often attended to at the community level. This article explores a community-led network of care, known as CANs, that emerged in response to the pandemic in Cape Town. It makes three overarching observations. The first is that community-led responses were characterised by a push towards the collectivisation of care work. The second is that this enabled emergent strategies and relational practices of care, centring notions of solidarity, inter-dependence and horizontal exchange of resources and knowledge. Finally, we observed that, although the devaluation of care work limited the recognition and material support extended to CANs, opportunities to re-politicise care work as resistance work emerged. These represent a prefigurative moment in which alternative logics and strategies can transform the vision of our health and care systems, and the notion of community participation in and ownership of those systems.
摘要:
女权主义对护理的观点已经证明了资本主义低估护理的工作方式。新冠肺炎大流行进一步强调了这一点,随着生产和社会再生产系统在全球范围内变得不稳定。在许多国家,正式的大流行应对措施没有达到每日水平,生活在危机中的人们的基本护理需求,特别是那些受到大流行的社会经济影响的人。这些需求经常在社区一级得到满足。本文探讨了一个社区主导的护理网络,被称为CAN,这是为了应对开普敦的大流行而出现的。它提出了三个总体观察。首先是社区主导的反应的特点是推动护理工作的集体化。第二个是,这使得紧急战略和相关的护理实践成为可能,集中团结的概念,资源和知识的相互依赖和横向交换。最后,我们观察到,尽管护理工作的贬值限制了对CAN的认可和物质支持,随着阻力工作的出现,将护理工作重新政治化的机会。这些代表了一个预示的时刻,在这个时刻,替代逻辑和策略可以改变我们健康和护理系统的愿景,以及社区参与和拥有这些系统的概念。
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