{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T17:50:20Z","timestamp":1772819420058,"version":"3.50.1"},"reference-count":53,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2011,3,31]],"date-time":"2011-03-31T00:00:00Z","timestamp":1301529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["New Media &amp; Society"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:p> Mobile phones were introduced to rural midwives in tsunami-affected Indonesia, allowing them to contact medical experts and communicate with patients. Ninety-two interviews were conducted with midwives, coordinators, doctors, and village representatives. This study applies a dialectical perspective to supplement the analytical frame of the ICT for healthcare development model (Chib et al., 2008), by addressing the multi-dimensionality of benefits and barriers. The theory of dialectical tension (Baxter and Montgomery, 1996) situates the conceptual discussion around the struggles between autonomy and subordination within gender roles, personal growth versus technological competency, and issues of economic and resource control in traditional hierarchies. We find that midwives engage in legitimization strategies, develop peer support, and focus on strategic issues to develop the capacity for agency and autonomy, despite socio-organizational barriers. Specific recommendations are offered, focusing on the resourcefulness and desire of women. <\/jats:p>","DOI":"10.1177\/1461444810393902","type":"journal-article","created":{"date-parts":[[2011,4,1]],"date-time":"2011-04-01T02:20:06Z","timestamp":1301624406000},"page":"486-501","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":56,"title":["Midwives with mobiles: A dialectical perspective on gender arising from technology introduction in rural Indonesia"],"prefix":"10.1177","volume":"13","author":[{"given":"Arul","family":"Chib","sequence":"first","affiliation":[{"name":"Nanyang Technological University, Singapore,"}]},{"given":"Vivian Hsueh-Hua","family":"Chen","sequence":"additional","affiliation":[{"name":"Nanyang Technological University, Singapore"}]}],"member":"179","published-online":{"date-parts":[[2011,3,31]]},"reference":[{"key":"atypb1","volume-title":"Relating: Dialogues and Dialectics","author":"Baxter LA","year":"1996"},{"key":"atypb2","volume-title":"Indonesia\u2019s Transformation and the Stability of Southeast Asia","author":"Chalk P.","year":"2001"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1083-6101.2010.01515.x"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1080\/01292980802344182"},{"key":"atypb5","doi-asserted-by":"crossref","unstructured":"Davis SS ( 2004) Women weavers online: Rural Moroccan women on the internet . In: Ng C and Mitter S (eds) Gender and the Digital Economy: Perspectives from the Developing World. New Delhi: Sage, 186-208.","DOI":"10.4135\/9788132103622.n7"},{"key":"atypb6","first-page":"3","volume":"246","author":"Drucker P.","year":"2001","journal-title":"Economist"},{"key":"atypb7","series-title":"A Handbook for Agencies in Development","volume-title":"Supporting Women\u2019s ICT-based Enterprises","author":"Duncombe R.","year":"2005"},{"key":"atypb8","volume-title":"Genderstanding Mobile Telephony: Women, Men and their Use of the Cellular Phones in the Caribbean","author":"Dunn HS","year":"2006"},{"issue":"3","key":"atypb9","first-page":"4","volume":"3","author":"Elnaggar A.","year":"2007","journal-title":"International Journal of Education and Development using Information and Communication Technology"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1080\/07491409.2009.10162380"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61581-5"},{"key":"atypb12","volume-title":"The Discovery of Grounded Theory","author":"Glaser BG","year":"1967"},{"key":"atypb13","volume-title":"Bridging the Digital Gender Divide: Issues and Insights on ICT for Women\u2019s Economic Empowerment","author":"Gurumurthy A.","year":"2004"},{"key":"atypb14","volume-title":"Paper presented at the UN Division for the Advancement of Women Expert Group meeting on information and communication technologies and their impact on and use as an instrument for the advancement and empowerment of women, Seoul, Republic of Korea","author":"Hafkin N."},{"key":"atypb15","volume-title":"Cinderella or Cyberella? Empowering Women in the Knowledge Society","author":"Hafkin N","year":"2006"},{"issue":"2","key":"atypb16","first-page":"25","volume":"4","author":"Hafkin N.","year":"2007","journal-title":"The MIT Press"},{"key":"atypb17","volume-title":"Gender, Information Technology, and Developing Countries: An Analytic Study","author":"Hafkin N.","year":"2001"},{"issue":"5","key":"atypb18","author":"Heeks R.","year":"1999","journal-title":"Development Informatics Working Paper Series"},{"key":"atypb19","unstructured":"Henwood F. ( 1993) Establishing gender perspectives on information technology: Problems, issues and opportunities. In: Green E, Owen J and Pain D (eds) Gendered by Design. London: Taylor & Francis, 31-49."},{"key":"atypb20","volume-title":"ICTs, Globalisation and Poverty Reduction: Gender Dimensions of the Information","author":"Huyer S.","year":"2003"},{"key":"atypb21","author":"Huyer S.","year":"2003","journal-title":"INSTRAW"},{"key":"atypb22","volume-title":"World Telecommunication\/ICT Indicators Database","author":"International Telecommunications Union","year":"2009"},{"key":"atypb23","volume-title":"The economics of ICT: Challenges and practical strategies of ICT use for women\u2019s economic empowerment","author":"Jorge, S.","year":"2002"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1177\/0011392102050003008"},{"key":"atypb25","volume-title":"InterViews: An introduction to qualitative research interviewing","author":"Kvale S.","year":"1996"},{"key":"atypb26","unstructured":"Lee S. and Chib A. ( 2008) A framework for wireless initiatives connecting rurul areas. In: Carpentier N and Cleens BD (eds) Participation and Media Production: Critical Reflections on Content Creation. Newcastle, UK: Cambridge Scholars Publishing, 113-128."},{"key":"atypb27","doi-asserted-by":"publisher","DOI":"10.1007\/s007790170015"},{"key":"atypb28","volume-title":"Women, weaving, and the web: An analysis of rural Indian women\u2019s agency in attaining economic empowerment. Unpublished master\u2019s thesis","author":"Maneja CA","year":"2002"},{"key":"atypb29","volume-title":"Barriers and gaps affecting mHealth in low and middle income countries: Policy white paper","author":"Mechael P.","year":"2010"},{"key":"atypb30","doi-asserted-by":"publisher","DOI":"10.1177\/0002716297554001009"},{"key":"atypb31","author":"Mijumbi RM","year":"2002","journal-title":"INSTRAW"},{"key":"atypb32","volume-title":"mHealth: A Developing Country Perspective","author":"Mishra S.","year":"2008"},{"key":"atypb33","author":"Morgan S.","year":"2004","journal-title":"Women\u2019s ICT-based Enterprise for Development Project"},{"key":"atypb34","doi-asserted-by":"publisher","DOI":"10.1080\/10572317.2001.10762556"},{"key":"atypb35","doi-asserted-by":"publisher","DOI":"10.4018\/978-1-59904-690-7.ch001"},{"key":"atypb36","volume-title":"Gender and Empowerment: Definitions, Approaches and Implications for Policy. BRIDGE","author":"Oxaal Z.","year":"1997"},{"key":"atypb37","volume-title":"Paper presented at the UN Division for the Advancement of Women Expert Group meeting on information and communication technologies and their impact on and use as an instrument for the advancement and empowerment of women","author":"Paik Y."},{"key":"atypb38","doi-asserted-by":"publisher","DOI":"10.1162\/1544752054782457"},{"key":"atypb39","volume-title":"8th International Conference of the Gender and Science and Technology Association","author":"Quaisie G."},{"key":"atypb40","doi-asserted-by":"publisher","DOI":"10.1080\/15295039309366856"},{"key":"atypb41","doi-asserted-by":"publisher","DOI":"10.1080\/03637758309390150"},{"key":"atypb42","volume-title":"Gender and development: Concepts and definitions. BRIDGE","author":"Reeves H.","year":"2000"},{"key":"atypb43","volume-title":"Grameen Telecom\u2019s Village Phone Programme in Rural Bangladesh: A Multi-media Case Study Final Report","author":"Richardson D.","year":"2000"},{"key":"atypb44","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2007.00210.x"},{"key":"atypb45","doi-asserted-by":"publisher","DOI":"10.1353\/fro.2005.0015"},{"key":"atypb46","doi-asserted-by":"publisher","DOI":"10.1080\/07491409.2009.10162379"},{"key":"atypb47","volume-title":"Women Empowerment through Information Technology","author":"Sharma U.","year":"2003"},{"key":"atypb48","volume-title":"Basics of Qualitative Research: Grounded Theory Procedures and Techniques","author":"Strauss A.","year":"1990"},{"key":"atypb49","volume-title":"Gender and ICT","author":"Thas AMK","year":"2007"},{"key":"atypb50","unstructured":"Townsend J. ( 1999) Empowerment matters: Understanding power. In: Townsend J, Zapata E, Rowlands J, Alberti P and Mercado M (eds) Women and Power: Fighting Patriarchies and Poverty. London : Zed Books, 19-45."},{"key":"atypb51","volume-title":"Feminism Confronts Technology","author":"Wajcman J.","year":"1991"},{"key":"atypb52","volume-title":"The Betel Chew ritual as a collective learning process to explore gender alternatives in ICT evaluation","author":"Wood P.","year":"2001"},{"key":"atypb53","volume-title":"Maternal mortality in 2005: Estimates developed by WHO","author":"World Health Organization","year":"2007"}],"container-title":["New Media &amp; Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1461444810393902","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1461444810393902","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T12:38:43Z","timestamp":1741005523000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1461444810393902"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,3,31]]},"references-count":53,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,5]]}},"alternative-id":["10.1177\/1461444810393902"],"URL":"https:\/\/doi.org\/10.1177\/1461444810393902","relation":{},"ISSN":["1461-4448","1461-7315"],"issn-type":[{"value":"1461-4448","type":"print"},{"value":"1461-7315","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3,31]]}}}