[4] In Cuba Elise Andaya focused on how the fall of the Soviet Union effected economics and ideals and in turn how they changed views on reproduction, gender, and kinship strategies as well as prenatal care.
She asserts that the government's lack of care, men's general indifference toward children, and the difficulty of obtaining contraceptives cause women to seek abortions.
Andaya argues that due to the destabilization of the Cuban Government, healthcare no longer follows the socialist idea of egalitarianism, instead it is based on small "gifts" given as payment for the doctor.
"[10] The Journal of Pan African Studies writes that Andaya's book, Conceiving Cuba: Reproduction, Women, and the State in the Post-Soviet Era, "considers not only how socialist policies have profoundly affected the ways Cuban families imagine the future, but also how the current crisis in reproduction has deeply influenced ordinary Cubans' views on socialism and the future of the revolution.
She focused on one public hospital to observe and examined how health care and health-seeking[5] for women who work in low-paying service-center jobs was affected by time and scheduling issues.