Програмата на родилни сертификати в Русия: политика и прагматика на една реформа
The Birth Certificate Program: Politics and Pragmatic of the Reform

Summary/Abstract: Since the mid 2000’s medical help to expectant mothers has been one of the key issues in Russian social policy. The birth certificate program is one of the most significant policy innovations introduced in the sphere in order to ameliorate healthcare services and increase their availability to different categories of pregnant women. This paper considers the reform from a social science perspective and studies how the program is actually implemented, i.e., how innovations of social policy are „translated“ into the pragmatic language of the everyday professional practice of Russian obstetricians. The results of case studies conducted in four state-funded maternity clinics show that the reform has different effects on the actors involved in the process of medical care for pregnant women. On the level of the everyday practices this expectedly liberal political measure has unexpectedly led to more bureaucratization of doctors’ work as well as to increased responsibility for each pregnancy case.

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