Constructing Access to Reproductive and Sexual Health Services (RSHS) in Small Urban Settings: An Institutional Ethnographic Approach
Access to appropriate, timely, and affordable reproductive and sexual health services is essential to the establishment of equity and equality for women. Yet, some of the most vulnerable individuals, such as young women and those who live within the confines of poverty, still experience limited access to appropriate reproductive and sexual health care. This can be particularly pronounced in small urban centres, where there are fewer health and social resources than in the larger cities. My analysis builds on existing research on social determinants of women’s health and explores how the neoliberal erosion of welfare state programs has influenced front-line RSHS within small urban centres, and shaped women’s access to and experiences of those services within these settings.