Publications

Medical Anthropology

Special Issue: Uterus Talks

Manuscript in process

Technologies of uterine control: misoprostol and the politics of reproduction in Burkina Faso and Senegal

African women’s uteri have long been objects of biomedical and technological control, from promotion of births by colonial authorities to fertility reduction by development experts. Technologies such as Cesarean section and vacuum aspiration continue to target African women’s uteri to reduce maternal mortality. We explore misoprostol–a medication for safe abortion and preventing postpartum hemorrhage–as a technology of reproductive control in Burkina Faso and Senegal. By situating authorized and off-label misoprostol use within political, clinical, pharmaceutical, and community landscapes of obstetric care, we examine perils of and possibilities for uterine control offered by this medication to local, national, and global stakeholders.

Conferences and Presentations

Center for Health Action and Social Medicine Speaker Series

Department of Family and Community Medicine

24-25 October 2024

University of California, Davis

Saving Lives?  Post-Abortion Care, Misoprostol, and Global Maternal Health Politics in West Africa

  • Participant: Siri Suh

Almost all global maternal deaths occur in sub-Saharan Africa.  In addition to promoting facility-based births, global health experts have encouraged harm reduction interventions and medications such as the post-abortion care (PAC) model and misoprostol to reduce maternal mortality related to abortion complications and postpartum hemorrhage (PPH).  Misoprostol can be administered by non-physicians, or by women themselves, in managing abortion complications and PPH and in terminating pregnancies.  Drawing on ethnographic research in Burkina Faso and Senegal, I explore how models and discourses of harm reduction and self care are transforming clinical, professional, and technological landscapes of reproductive health in West Africa.  While these approaches have increased access to life-saving care for some, they have also exacerbated reproductive health inequalities and constrained mid level providers’ capacity to provide care.  In this talk, I call attention to the role of aid donors, NGOs, and pharmaceutical companies in the global governance of reproductive health, and reflect on possibilities for reproductive justice.   

Into Women’s Hands? Misoprostol and Reproductive Justice in West Africa 

  • Participant: Siri Suh

“Into Women’s Hands” is a collaborative research project involving faculty and graduate students from Université Cheikh Anta Diop in Senegal, Université Joseph Ki-Zerbo in Burkina Faso, and Brandeis University in the US.  We conduct ethnographic research on the use and circulation of misoprostol in Burkina Faso and Senegal.  At a time when misoprostol is widely recognized as a pharmaceutical approach to reducing maternal mortality in sub-Saharan Africa, we ask: how does a life-saving medication end up in the hands of some consumers, patients, and health workers, but not others?  We draw on the principle of reproductive justice to investigate structural inequalities in reproductive health care. We train, mentor, and supervise graduate students in collecting and analyzing ethnographic data.  Research methods include interviews, observation in health facilities and pharmacies, and mystery client studies with in-person and virtual vendors. Through our collaborative approach, we aim to center African scholars and universities in the production of knowledge about reproduction in Africa.  In this talk, I highlight the advantages, possibilities, and challenges of conducting collaborative research on reproductive health.


  

Re-worlding Reproduction: Navigating Emerging Knowledge, Politics, and Justice

16-19 September 2024

University of Pretoria
South Africa

Panel: Problematizing Reproduction in Africa: Critical Perspectives on Pregnancy, Birth, and Abortion from Benin, Burkina Faso, Ethiopia, Kenya, Nigeria, and Senegal

  • Participant: Tidiane Ndoye, “Into women’s hands? Exploring availability and use of misoprostol in Burkina Faso and Senegal”

American Sociological Association Annual Meeting

9-13 August 2024
Montréal, Québec

Thematic Session Panel: Liberating Abortion: Intersectional and Transnational Opportunities for Achieving Reproductive Justice

  • Participant: Siri Suh, “Into Women’s Hands: Authorized and Off-Label Use of Misoprostol in Burkina Faso and Senegal”

Plenary Session Panel: Transnational Feminist Solidarities

  • Participant: Siri Suh

M. Jacqui Alexander Lecture Series

4 April 2024
Brandeis University

  • Participant: Siri Suh, “Reproductive Justice in Global Perspective:  Histories, Politics, and Practices of Reproductive Control in the African Diaspora”

12th Annual Meeting of the Ouagadougou Partnership

11-13 December 2023

Abidjan, Ivory Coast

Poster Session: Gender and reproductive health: Strategies for social and behavioral change in favor of young people

  • Participant: Tidiane Ndoye, “Recourse to abortion among young women and induced vulnerabilities in Senegal”

Consortium for Graduate Studies in Gender, Culture, Women and Sexuality, MIT

30 November 2023

Virtual Event

Panel: Feminisms Unbound, Radicalizing Reproduction

  • Participant: Siri Suh

American Anthropological Association Annual Meeting

15-19 November 2023

Toronto, Ontario

Round Table: Biomedical Objects: technologies, techniques, transitions 

  • Participant: Siri Suh

Late-Breaking Roundtable: Abolition and Pathways to Reproductive Liberation

  • Participant, Siri Suh

Deeply Rooted: Faith in Reproductive Justice Series

6 November 2023

Hadassah-Brandeis Institute, Brandeis University

Seminar: "Into Women's Hands: Misoprostol and the Global Politics of Reproduction in Burkina Faso and Senegal"

  • Participant: Siri Suh

Symposium: New Perspectives on the Politics of Global Health

5 October 2023

Watson Institute for International and Public Affairs, Brown University

Talk: Into Women’s Hands? Misoprostol and the Global Politics of Reproduction in Burkina Faso and Senegal

  • Participant: Siri Suh