{"id":"https://openalex.org/W2167304953","doi":"https://doi.org/10.1111/maq.12195","title":"Gendering the Burden of Care: Health Reform and the Paradox of Community Participation in Western Belize","display_name":"Gendering the Burden of Care: Health Reform and the Paradox of Community Participation in Western Belize","publication_year":2015,"publication_date":"2015-02-12","ids":{"openalex":"https://openalex.org/W2167304953","doi":"https://doi.org/10.1111/maq.12195","mag":"2167304953","pmid":"https://pubmed.ncbi.nlm.nih.gov/25677372"},"language":"en","primary_location":{"id":"doi:10.1111/maq.12195","doi":"https://doi.org/10.1111/maq.12195","is_oa":false,"landing_page_url":"https://doi.org/10.1111/maq.12195","pdf_url":null,"source":{"id":"https://openalex.org/S71057445","display_name":"Medical Anthropology Quarterly","issn_l":"0745-5194","issn":["0745-5194","1548-1387"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-2","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Anthropology Quarterly","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5020175805","display_name":"Beth A. Uzwiak","orcid":"https://orcid.org/0000-0002-3461-9544","observed_orcids":["https://orcid.org/0000-0002-3461-9544"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Beth A. Uzwiak","raw_affiliation_strings":["Creative Research and Evaluation, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Creative Research and Evaluation, Philadelphia, PA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5086277700","display_name":"Siobh\u00e1n Curran","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210095690","display_name":"Pavee Point","ror":"https://ror.org/008m7sk62","country_code":"IE","type":"nonprofit","lineage":["https://openalex.org/I4210095690"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Siobhan Curran","raw_affiliation_strings":["Pavee Point Traveller and Roma Centre, Dublin, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pavee Point Traveller and Roma Centre, Dublin, Ireland","institution_ids":["https://openalex.org/I4210095690"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3400,"currency":"USD","value_usd":3400},"apc_paid":null,"fwci":0.3438,"has_fulltext":false,"cited_by_count":17,"citation_normalized_percentile":{"value":0.69402259,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"30","issue":"1","first_page":"100","last_page":"121"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.5151000022888184,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.5151000022888184,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13503","display_name":"Gender, Health, and Social Inequality","score":0.15479999780654907,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12196","display_name":"Community Health and Development","score":0.12160000205039978,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.875},{"id":"https://openalex.org/keywords/community-engagement","display_name":"community participation","score":0.9120000004768372},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.8769999742507935},{"id":"https://openalex.org/keywords/intersectoral-collaboration","display_name":"intersectoral collaboration","score":0.9169999957084656},{"id":"https://openalex.org/keywords/gender","display_name":"gender","score":0.5350000262260437},{"id":"https://openalex.org/keywords/neoliberalism","display_name":"neoliberalism","score":0.7950000166893005},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.6190000176429749},{"id":"https://openalex.org/keywords/universal-access","display_name":"universal access","score":0.4959999918937683}],"concepts":[{"id":"https://openalex.org/C2777720223","wikidata":"https://www.wikidata.org/wiki/Q5255430","display_name":"Demise","level":2,"score":0.6296267509460449},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.6025022268295288},{"id":"https://openalex.org/C203663800","wikidata":"https://www.wikidata.org/wiki/Q848979","display_name":"Citizen journalism","level":2,"score":0.5496625900268555},{"id":"https://openalex.org/C179454799","wikidata":"https://www.wikidata.org/wiki/Q132151","display_name":"Ethnography","level":2,"score":0.5332512259483337},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.4821197986602783},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.45969122648239136},{"id":"https://openalex.org/C2778355321","wikidata":"https://www.wikidata.org/wiki/Q17079427","display_name":"Identity (music)","level":2,"score":0.4418884515762329},{"id":"https://openalex.org/C48103436","wikidata":"https://www.wikidata.org/wiki/Q599031","display_name":"State (computer science)","level":2,"score":0.42355629801750183},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.41371795535087585},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.411689817905426},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.33654993772506714},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.323283314704895},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.11751958727836609},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.09658896923065186},{"id":"https://openalex.org/C24890656","wikidata":"https://www.wikidata.org/wiki/Q82811","display_name":"Acoustics","level":1,"score":0.0},{"id":"https://openalex.org/C11413529","wikidata":"https://www.wikidata.org/wiki/Q8366","display_name":"Algorithm","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C19165224","wikidata":"https://www.wikidata.org/wiki/Q23404","display_name":"Anthropology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001531","descriptor_name":"Belize","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":false},{"descriptor_ui":"D003256","descriptor_name":"Community Participation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011634","descriptor_name":"Public Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012959","descriptor_name":"Socioeconomic Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D060432","descriptor_name":"Anthropology, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/maq.12195","doi":"https://doi.org/10.1111/maq.12195","is_oa":false,"landing_page_url":"https://doi.org/10.1111/maq.12195","pdf_url":null,"source":{"id":"https://openalex.org/S71057445","display_name":"Medical Anthropology Quarterly","issn_l":"0745-5194","issn":["0745-5194","1548-1387"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-2","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Anthropology Quarterly","raw_type":"journal-article"},{"id":"pmid:25677372","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25677372","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical anthropology quarterly","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.8048999905586243,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.7307999730110168,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":47,"referenced_works":["https://openalex.org/W77684312","https://openalex.org/W569489207","https://openalex.org/W602807363","https://openalex.org/W1559656136","https://openalex.org/W1566125242","https://openalex.org/W1902625156","https://openalex.org/W1974034550","https://openalex.org/W1974662705","https://openalex.org/W1979199181","https://openalex.org/W1985572790","https://openalex.org/W1987051423","https://openalex.org/W1989629613","https://openalex.org/W1991788592","https://openalex.org/W2016514651","https://openalex.org/W2016823011","https://openalex.org/W2017027559","https://openalex.org/W2019515430","https://openalex.org/W2020861543","https://openalex.org/W2028111530","https://openalex.org/W2033651670","https://openalex.org/W2040460188","https://openalex.org/W2043178168","https://openalex.org/W2045237672","https://openalex.org/W2062112983","https://openalex.org/W2070011348","https://openalex.org/W2090419843","https://openalex.org/W2094998323","https://openalex.org/W2096608173","https://openalex.org/W2100619499","https://openalex.org/W2111259121","https://openalex.org/W2123513001","https://openalex.org/W2126388032","https://openalex.org/W2132791076","https://openalex.org/W2140834838","https://openalex.org/W2147041958","https://openalex.org/W2151062748","https://openalex.org/W2154590821","https://openalex.org/W2182266564","https://openalex.org/W2301699822","https://openalex.org/W2304657103","https://openalex.org/W2610736915","https://openalex.org/W2616599026","https://openalex.org/W2968959997","https://openalex.org/W4231176379","https://openalex.org/W4236728834","https://openalex.org/W4252970877","https://openalex.org/W4389412547"],"related_works":["https://openalex.org/W163690967","https://openalex.org/W4387660167","https://openalex.org/W2098072520","https://openalex.org/W4385434810","https://openalex.org/W609915385","https://openalex.org/W2033199335","https://openalex.org/W2017267629","https://openalex.org/W2109880187","https://openalex.org/W3170384511","https://openalex.org/W615673495"],"abstract_inverted_index":{"Belizean":[0,64],"health":[1,6,36,47,65,84,88,105],"policy":[2],"supports":[3],"a":[4,23,60,112],"primary":[5],"care":[7],"(PHC)":[8],"strategy":[9],"of":[10,20,26,70,83,96,103,114,128,138,144],"universal":[11],"access,":[12],"community":[13,78],"participation,":[14],"and":[15,31,68,106],"multisectoral":[16,71],"collaboration.":[17],"The":[18],"principals":[19],"PHC":[21,97,110],"were":[22],"key":[24],"part":[25],"Belize's":[27],"emergent":[28],"national":[29],"identity":[30],"built":[32],"on":[33],"existing":[34],"community-based":[35],"strategies.":[37],"Ethnographic":[38],"research":[39],"in":[40,63,80,93,109],"western":[41],"Belize,":[42],"however,":[43],"reveals":[44],"that":[45,119,134],"ongoing":[46],"reform":[48],"is":[49],"removing":[50],"providers":[51,89],"from":[52],"participatory":[53],"arenas.":[54],"In":[55],"this":[56,145],"article,":[57],"we":[58],"foreground":[59],"particular":[61],"moment":[62],"history--the":[66],"rise":[67],"demise":[69],"collaboration--to":[72],"question":[73],"what":[74],"can":[75],"constitute":[76],"meaningful":[77],"participation":[79],"the":[81,94,100,121,126,141],"midst":[82],"reform.":[85,146],"Many":[86],"allied":[87],"continue":[90],"to":[91,98,107,140],"believe":[92],"potential":[95],"alleviate":[99],"structural":[101],"causations":[102],"poor":[104],"invest":[108],"despite":[111],"lack":[113],"state":[115],"support.":[116],"This":[117],"means":[118,133],"providers,":[120],"majority":[122],"women,":[123],"are":[124],"palliating":[125],"consequences":[127],"neoliberal":[129],"reform;":[130],"it":[131],"also":[132],"they":[135],"provide":[136],"spaces":[137],"contestation":[139],"consumer":[142],"\"logic\"":[143]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":13},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}