Mexico's Prospera Program and Indigenous Women's Reproductive Rights.

Abstract

In this study, I examine Indigenous women's autonomy and reproductive rights within Mexico's Prospera program. Prospera gave women living in poverty bimonthly cash stipends for complying with requirements argued to improve the health and welfare of their families, including attending regular appointments at the clinic. Although hailed as successful, Mexico's new administration recently eliminated the health care component, citing various abuses. Some policy experts argue that these claims are unfounded and have questioned how Mexico will now address the health care needs of marginalized populations. Drawing on more than 2 years of fieldwork (2012-2014) in a Mayan community in Chiapas, I present evidence of abusive practices related to reproductive health care based on direct observations and audio-recordings of clinical interactions and program operations in IMSS-Prospera. Furthermore, I show how the reproductive habitus that supported these actions was shaped by long-standing institutional habits and sociocultural factors that need to be directly addressed in present reforms.