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Para-States and Medical Science: Making African Global Health

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Book Series: Critical Global Health: Evidence, Efficacy, Ethnography ISBN: 9780822357490 Year: Pages: 376 DOI: 10.26530/OAPEN_530530 Language: English
Publisher: Duke University Press Grant: Wellcome Trust - 077430, 081507
Subject: Public Health --- Medicine (General) --- Sociology --- Social Sciences
Added to DOAB on : 2015-03-20 11:01:17
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In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and – albeit sometimes counterintuitively - trust for their people. “The state” has morphed into the “para-state” — not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the “global health” paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional.

Keywords

africa --- medicine --- public health

The Territory of Medical Research: Experimentation in Africa’s Smallest State (Book chapter)

Book title: Para-States and Medical Science: Making African Global Health

Author:
Book Series: Critical Global Health: Evidence, Efficacy, Ethnography ISBN: 9780822357353 9780822357490 Year: Pages: 376 Language: English
Publisher: Duke University Press Grant: Wellcome Trust - 077430, 081507
Subject: Public Health --- Medicine (General) --- Sociology --- Social Sciences
Added to DOAB on : 2018-06-22 11:01:04
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Abstract

In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and – albeit sometimes counterintuitively - trust for their people. “The state” has morphed into the “para-state” — not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the “global health” paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional.

Keywords

africa --- medicine --- public health

Introduction: A Life Science in Its African Para-State (Book chapter)

Book title: Para-States and Medical Science: Making African Global Health

Author:
Book Series: Critical Global Health: Evidence, Efficacy, Ethnography ISBN: 9780822357353 9780822357490 Year: Pages: 376 Language: English
Publisher: Duke University Press Grant: Wellcome Trust - 077430, 081507
Subject: Public Health --- Medicine (General) --- Sociology --- Social Sciences
Added to DOAB on : 2018-06-22 11:01:04
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Abstract

In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and – albeit sometimes counterintuitively - trust for their people. “The state” has morphed into the “para-state” — not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the “global health” paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional.

Keywords

africa --- medicine --- public health

What Future Remains? Remembering an African Place of Science (Book chapter)

Book title: Para-States and Medical Science: Making African Global Health

Author:
Book Series: Critical Global Health: Evidence, Efficacy, Ethnography ISBN: 9780822357353 9780822357490 Year: Pages: 376 Language: English
Publisher: Duke University Press Grant: Wellcome Trust - 077430, 081507
Subject: Public Health --- Medicine (General) --- Sociology --- Social Sciences
Added to DOAB on : 2018-06-22 11:01:04
License:

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Abstract

In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and – albeit sometimes counterintuitively - trust for their people. “The state” has morphed into the “para-state” — not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the “global health” paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional.

Keywords

africa --- medicine --- public health

An Intimate Rebuke

Author:
Book Series: Religious Cultures of African and African Diaspora People ISBN: 9781478001201 9781478002635 Year: Language: English
Publisher: Duke University Press Grant: Knowledge Unlatched - 102071
Subject: Ethnology
Added to DOAB on : 2019-03-08 11:21:03
License: Duke University Press

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Throughout West African societies, at times of social crises, postmenopausal women — the Mothers — make a ritual appeal to their innate moral authority. The seat of this power is the female genitalia. Wielding branches or pestles, they strip naked and slap their genitals and bare breasts to curse and expel the forces of evil. In An Intimate Rebuke Laura S. Grillo draws on fieldwork in Côte d’Ivoire that spans three decades to illustrate how these rituals of Female Genital Power (FGP) constitute religious and political responses to abuses of power. When deployed in secret FGP operates as spiritual warfare against witchcraft; in public it serves as a political activism. During Côte d’Ivoire’s civil wars FGP challenged the immoral forces of both rebels and the state. Grillo shows how the ritual potency of the Mothers’ nudity and the conjuration of their sex embodies a moral power that has been foundational to West African civilization.

The Fixer

Authors: ---
Book Series: Theory in Forms ISBN: 9781478003427 9781478001911 Year: Pages: 224 Language: English
Publisher: Duke University Press
Subject: Ethnology
Added to DOAB on : 2019-07-19 11:21:14
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In the West African nation of Togo, applying for the U.S. Diversity Visa Lottery is a national obsession, with hundreds of thousands of Togolese entering each year. From the street frenzy of the lottery sign-up period and the scramble to raise money for the embassy interview to the gamesmanship of those adding spouses and dependents to their dossiers, the application process is complicated, expensive, and unpredictable. In The Fixer Charles Piot follows Kodjo Nicolas Batema, a Togolese visa broker—known as a “fixer”—as he shepherds his clients through the application and interview process. Relaying the experiences of the fixer, his clients, and embassy officials, Piot captures the ever-evolving cat-and-mouse game between the embassy and the hopeful Togolese as well as the disappointments and successes of lottery winners in the United States. These detailed and compelling stories uniquely illustrate the desire and savviness of migrants as they work to find what they hope will be a better life.

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