Structural Inequality and Reproductive Health in Puerto Rico

corinne mayle

2019 DSRF Award Winner Corinne Mayle

I conducted qualitative, open-ended interviews in Puerto Rico of patients, physicians, policymakers, and activists to investigate the status of the reproductive healthcare system for modern Puerto Rican women. Puerto Rico experienced a mass sterilization campaign led by mainland United States physicians in the mid-twentieth century, but there has been little research on how the healthcare system for women transitioned in the wake of that program, and how the modern colonial system influences access to reproductive healthcare services. I analyzed interviewee perspectives through the lenses of social determinants of health, structural inequality, and majority-minority construction theory, and am producing a Public Policy and Global Health thesis that assesses key drivers of access to care.