TY  - JOUR
AU  - Pantovic, Ljiljana
PY  - 2022
UR  - http://rifdt.instifdt.bg.ac.rs/123456789/2527
AB  - Background: For pregnant and birthing women, maintaining a relationship
with the same health care practitioner is critical to establishing a sense of safety.
In postsocialist Serbia, where care is fragmented and depersonalized, this continuity is often missing. Patients are frequently handed over to new practitioners,
sometimes without even knowing the name of the person overseeing their care.
In response, many women turn to the private sector to keep the same practitioner
across their prenatal period and their birth by establishing a personal “connection” within the hospital that they believe will shield them from mistreatment
during childbirth.
Methods: Data presented in this paper were collected through participant observation in one public maternity hospital and one public primary care center in
Serbia; semistructured interviews with 14 physicians; and semistructured interviews with 80 women who had given birth in one public maternity hospital in
Serbia.
Results: Public maternity hospital physicians who supplement their income
working in the private sector have the power to blur the distinctions between
favors and services. They offer continuity of personalized care to their private
clients/patients once they enter the public system, and they themselves obtain
social and economic security unavailable to those working in only one sector.
At the same time, there is evidence that personalized continuity of care does not
actually shield women from mistreatment in hospitals.
Conclusions: The private sector is reshaping existing informal strategies and
blurring the lines between formal and informal payments. In the postsocialist
context, consumer practices are not separate from, but entangled with, informality. Neoliberalism has not brought about empowerment and eliminated informality, but has instead further exacerbated existing inequalities in maternity care in
Eastern Europe.
PB  - Wiley
T2  - Birth. Issues in Perinatal Care
T1  - Providing a service or seeking a favor? The role of private prenatal care on the continuity of care in Serbian public maternity hospitals
DO  - 10.1111/birt.12621
ER  - 

@article{
author = "Pantovic, Ljiljana",
year = "2022",
abstract = "Background: For pregnant and birthing women, maintaining a relationship
with the same health care practitioner is critical to establishing a sense of safety.
In postsocialist Serbia, where care is fragmented and depersonalized, this continuity is often missing. Patients are frequently handed over to new practitioners,
sometimes without even knowing the name of the person overseeing their care.
In response, many women turn to the private sector to keep the same practitioner
across their prenatal period and their birth by establishing a personal “connection” within the hospital that they believe will shield them from mistreatment
during childbirth.
Methods: Data presented in this paper were collected through participant observation in one public maternity hospital and one public primary care center in
Serbia; semistructured interviews with 14 physicians; and semistructured interviews with 80 women who had given birth in one public maternity hospital in
Serbia.
Results: Public maternity hospital physicians who supplement their income
working in the private sector have the power to blur the distinctions between
favors and services. They offer continuity of personalized care to their private
clients/patients once they enter the public system, and they themselves obtain
social and economic security unavailable to those working in only one sector.
At the same time, there is evidence that personalized continuity of care does not
actually shield women from mistreatment in hospitals.
Conclusions: The private sector is reshaping existing informal strategies and
blurring the lines between formal and informal payments. In the postsocialist
context, consumer practices are not separate from, but entangled with, informality. Neoliberalism has not brought about empowerment and eliminated informality, but has instead further exacerbated existing inequalities in maternity care in
Eastern Europe.",
publisher = "Wiley",
journal = "Birth. Issues in Perinatal Care",
title = "Providing a service or seeking a favor? The role of private prenatal care on the continuity of care in Serbian public maternity hospitals",
doi = "10.1111/birt.12621"
}

Pantovic, L.. (2022). Providing a service or seeking a favor? The role of private prenatal care on the continuity of care in Serbian public maternity hospitals. in Birth. Issues in Perinatal Care
Wiley..
https://doi.org/10.1111/birt.12621

Pantovic L. Providing a service or seeking a favor? The role of private prenatal care on the continuity of care in Serbian public maternity hospitals. in Birth. Issues in Perinatal Care. 2022;.
doi:10.1111/birt.12621 .

Pantovic, Ljiljana, "Providing a service or seeking a favor? The role of private prenatal care on the continuity of care in Serbian public maternity hospitals" in Birth. Issues in Perinatal Care (2022),
https://doi.org/10.1111/birt.12621 . .

TY  - CHAP
AU  - Pantovic, Ljiljana
PY  - 2022
UR  - http://rifdt.instifdt.bg.ac.rs/123456789/2489
AB  - The WHO and UNICEF launched The Baby-Friendly Hospital Initiative (BFHI) in 1991 with the goal of promoting breastfeeding. Four years later, this initiative was adopted in Serbia (then Yugoslavia). Although Serbia has officially been a part of the BFHI for over 26 years, less than 13% of children are currently exclusively breastfed for the first 6 months of life. Drawing on interviews, observations and document review, this chapter offers ethnographic insight into why the BFHI in Serbia has met with little success. I argue that the principles and practices of the initiative to promote breastfeeding have been both thinly learned and thinly applied by healthcare workers and therefore have had little positive impact on women’s empowerment to breastfeed or the rates of breastfeeding in the country. I show how the global Baby-Friendly Hospital Initiative implemented in Serbia in the early 1990s and the national level policies which renewed it in 2018 were severely constrained by social, political and economic conditions that hindered the uptake of the program by frontline health workers – namely the devastating effects of the civil war and international sanctions in the 1990s, and the deleterious effects of IMF policies on the Serbian healthcare system since the 2000s. The pressure of time due to high workloads, and understaffed hospitals, in combination with unsustainable national funds for implementation may contribute to the reality of the thin implementation of BFHI.
PB  - Springer
T2  - Anthropologies of Global Maternal and Reproductive Health
T1  - Baby (Not So) Friendly: Implementation of the Baby-Friendly Hospital Initiative in Serbia
DO  - 10.1007/978-3-030-84514-8_2
ER  - 

@inbook{
author = "Pantovic, Ljiljana",
year = "2022",
abstract = "The WHO and UNICEF launched The Baby-Friendly Hospital Initiative (BFHI) in 1991 with the goal of promoting breastfeeding. Four years later, this initiative was adopted in Serbia (then Yugoslavia). Although Serbia has officially been a part of the BFHI for over 26 years, less than 13% of children are currently exclusively breastfed for the first 6 months of life. Drawing on interviews, observations and document review, this chapter offers ethnographic insight into why the BFHI in Serbia has met with little success. I argue that the principles and practices of the initiative to promote breastfeeding have been both thinly learned and thinly applied by healthcare workers and therefore have had little positive impact on women’s empowerment to breastfeed or the rates of breastfeeding in the country. I show how the global Baby-Friendly Hospital Initiative implemented in Serbia in the early 1990s and the national level policies which renewed it in 2018 were severely constrained by social, political and economic conditions that hindered the uptake of the program by frontline health workers – namely the devastating effects of the civil war and international sanctions in the 1990s, and the deleterious effects of IMF policies on the Serbian healthcare system since the 2000s. The pressure of time due to high workloads, and understaffed hospitals, in combination with unsustainable national funds for implementation may contribute to the reality of the thin implementation of BFHI.",
publisher = "Springer",
journal = "Anthropologies of Global Maternal and Reproductive Health",
booktitle = "Baby (Not So) Friendly: Implementation of the Baby-Friendly Hospital Initiative in Serbia",
doi = "10.1007/978-3-030-84514-8_2"
}

Pantovic, L.. (2022). Baby (Not So) Friendly: Implementation of the Baby-Friendly Hospital Initiative in Serbia. in Anthropologies of Global Maternal and Reproductive Health
Springer..
https://doi.org/10.1007/978-3-030-84514-8_2

Pantovic L. Baby (Not So) Friendly: Implementation of the Baby-Friendly Hospital Initiative in Serbia. in Anthropologies of Global Maternal and Reproductive Health. 2022;.
doi:10.1007/978-3-030-84514-8_2 .

Pantovic, Ljiljana, "Baby (Not So) Friendly: Implementation of the Baby-Friendly Hospital Initiative in Serbia" in Anthropologies of Global Maternal and Reproductive Health (2022),
https://doi.org/10.1007/978-3-030-84514-8_2 . .

TY  - JOUR
AU  - Pantovic, Ljiljana
PY  - 2021
UR  - http://rifdt.instifdt.bg.ac.rs/123456789/2231
AB  - Anthropological research on post-socialism points to the need for informal relations when navigating social and health care systems, while feminist research on childbirth points out the  negative  consequences  of  the  dominant  medicalized  model  of childbirth  on  women’s experience.  This  paper  combines  these  two  types  of  research  and  points  to  the  role  of informal  relations  in  negotiating  childbirth  in  Serbia  and  the role  of  peoples  social positioning influencing the possibilities of using these relations. Based on eighteen months of ethnographic fieldwork on the practices of providing maternal health care in Serbia, the aim of this paper is to show how a woman's social position affects her ability to establish a relationship within the state health care system, and to reconsider the claim that informal relationships  can  protect  women  from  interventionism  during  childbirth  in  Serbia.  Using informal relations (veze) in order to have your doctor during childbirth is a key concern for women  in  Serbia.  Informal  relations  transform  women  from  (no)bodies  into  somebodies, someone’s patient. Women of poorer economic status, women from rural areas, and often women of Roma ethnic origin have limited opportunities to establish informal relations in state maternity hospitals. Informal relations do not fully protect women from interventions but affect the type and timing of interventions.
AB  - Антрополошка истраживања постсоцијализма указују на неопходност стварања
неформалног односа (везе) за навигирање кроз системе социјалне и здравствене
заштите, док феминистичка истраживања порођаја указују на негативне последице
доминантног медикализованог модела рађања на порођајно искуство жена који
одликује технократски и отуђујући приступ према женама. Овај рад спаја ова два вида
истраживања и указује на улогу неформалних односа, веза, приликом преговарања
порођаја у Србији, али и на значај друштвене позиције људи утичу на могућности
коришћења везе. Заснован на осамнаесто-месечном етнографском раду о праксама
пружања здравствене неге трудницама и породиљама, овај ради има за циљ да укаже
како друштвени положај жене утиче на њену способност да успостави везу унутар
система државне здравствене заштите, али и да преиспита тврдњу да везе могу да
заштите жену од интервенционизма приликом порођаја у Србији. Имати свог лекара
„преко везе“ спада у корпус основних брига жена у Србији када се приближи време за
порођај. Ако има успеха у овом подухвату, трудница се претвара из ничије, то јест,
„општенародне“ пацијенткиње у нечију пацијенткињу. Жене лошијег економског
стања, жене из руралних средина и често жене ромског етничког порекла имају
ограничене могућности остварења везе у државним породилиштима. Везе не успевају
у потпуности да заштите жене од интервенција, већ утичу на врсту и време
спровођења интервенција.
PB  - Etnografski institut SANU
T2  - Гласник Етнографског института САНУ
T1  - Нечија или „општенародна“ пацијенткиња: значај друштвеног положаја и неформалних односа приликом порођаја у Србији
VL  - LXIX (1)
DO  - 10.2298/GEI2101205P
ER  - 

@article{
author = "Pantovic, Ljiljana",
year = "2021",
abstract = "Anthropological research on post-socialism points to the need for informal relations when navigating social and health care systems, while feminist research on childbirth points out the  negative  consequences  of  the  dominant  medicalized  model  of childbirth  on  women’s experience.  This  paper  combines  these  two  types  of  research  and  points  to  the  role  of informal  relations  in  negotiating  childbirth  in  Serbia  and  the role  of  peoples  social positioning influencing the possibilities of using these relations. Based on eighteen months of ethnographic fieldwork on the practices of providing maternal health care in Serbia, the aim of this paper is to show how a woman's social position affects her ability to establish a relationship within the state health care system, and to reconsider the claim that informal relationships  can  protect  women  from  interventionism  during  childbirth  in  Serbia.  Using informal relations (veze) in order to have your doctor during childbirth is a key concern for women  in  Serbia.  Informal  relations  transform  women  from  (no)bodies  into  somebodies, someone’s patient. Women of poorer economic status, women from rural areas, and often women of Roma ethnic origin have limited opportunities to establish informal relations in state maternity hospitals. Informal relations do not fully protect women from interventions but affect the type and timing of interventions., Антрополошка истраживања постсоцијализма указују на неопходност стварања
неформалног односа (везе) за навигирање кроз системе социјалне и здравствене
заштите, док феминистичка истраживања порођаја указују на негативне последице
доминантног медикализованог модела рађања на порођајно искуство жена који
одликује технократски и отуђујући приступ према женама. Овај рад спаја ова два вида
истраживања и указује на улогу неформалних односа, веза, приликом преговарања
порођаја у Србији, али и на значај друштвене позиције људи утичу на могућности
коришћења везе. Заснован на осамнаесто-месечном етнографском раду о праксама
пружања здравствене неге трудницама и породиљама, овај ради има за циљ да укаже
како друштвени положај жене утиче на њену способност да успостави везу унутар
система државне здравствене заштите, али и да преиспита тврдњу да везе могу да
заштите жену од интервенционизма приликом порођаја у Србији. Имати свог лекара
„преко везе“ спада у корпус основних брига жена у Србији када се приближи време за
порођај. Ако има успеха у овом подухвату, трудница се претвара из ничије, то јест,
„општенародне“ пацијенткиње у нечију пацијенткињу. Жене лошијег економског
стања, жене из руралних средина и често жене ромског етничког порекла имају
ограничене могућности остварења везе у државним породилиштима. Везе не успевају
у потпуности да заштите жене од интервенција, већ утичу на врсту и време
спровођења интервенција.",
publisher = "Etnografski institut SANU",
journal = "Гласник Етнографског института САНУ",
title = "Нечија или „општенародна“ пацијенткиња: значај друштвеног положаја и неформалних односа приликом порођаја у Србији",
volume = "LXIX (1)",
doi = "10.2298/GEI2101205P"
}

Pantovic, L.. (2021). Нечија или „општенародна“ пацијенткиња: значај друштвеног положаја и неформалних односа приликом порођаја у Србији. in Гласник Етнографског института САНУ
Etnografski institut SANU., LXIX (1).
https://doi.org/10.2298/GEI2101205P

Pantovic L. Нечија или „општенародна“ пацијенткиња: значај друштвеног положаја и неформалних односа приликом порођаја у Србији. in Гласник Етнографског института САНУ. 2021;LXIX (1).
doi:10.2298/GEI2101205P .

Pantovic, Ljiljana, "Нечија или „општенародна“ пацијенткиња: значај друштвеног положаја и неформалних односа приликом порођаја у Србији" in Гласник Етнографског института САНУ, LXIX (1) (2021),
https://doi.org/10.2298/GEI2101205P . .