Making And Unmaking Public Health In Africa
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Making and Unmaking Public Health in Africa
Author: Ruth J. Prince
language: en
Publisher: Ohio University Press
Release Date: 2013-11-15
Africa has emerged as a prime arena of global health interventions that focus on particular diseases and health emergencies. These are framed increasingly in terms of international concerns about security, human rights, and humanitarian crisis. This presents a stark contrast to the 1960s and ‘70s, when many newly independent African governments pursued the vision of public health “for all,” of comprehensive health care services directed by the state with support from foreign donors. These initiatives often failed, undermined by international politics, structural adjustment, and neoliberal policies, and by African states themselves. Yet their traces remain in contemporary expectations of and yearnings for a more robust public health. This volume explores how medical professionals and patients, government officials, and ordinary citizens approach questions of public health as they navigate contemporary landscapes of NGOs and transnational projects, faltering state services, and expanding privatization. Its contributors analyze the relations between the public and the private providers of public health, from the state to new global biopolitical formations of political institutions, markets, human populations, and health. Tensions and ambiguities animate these complex relationships, suggesting that the question of what public health actually is in Africa cannot be taken for granted. Offering historical and ethnographic analyses, the volume develops an anthropology of public health in Africa. Contributors:Hannah Brown, P. Wenzel Geissler, Murray Last, Rebecca Marsland, Lotte Meinert, Benson A. Mulemi, Ruth J. Prince, Noémi Tousignant, and Susan Reynolds Whyte
Routledge Handbook on the Politics of Global Health
In the early twenty-first century, key public health issues and challenges have taken centre stage on the global scene, and health has been placed at the heart of our collective aspirations for human development and well-being. But significant debate exists not only about the causes, but also about the possible solutions for nearly all of the most important global health challenges. Competing visions of the values and perspectives that should underlie global health policies have emerged, ranging from an emphasis on cost eff ectiveness and resource constraints on one extreme, to new calls for health and human rights, and renewed calls for health and social justice on the other. The role of different intergovernmental agencies, bilateral or unilateral donors, public or private institutions and initiatives, has increasingly been called into question, whilst the spread of neoliberal policies and programmes, and existing international trade regimes and intellectual property rights, are deeply implicated in relation to global health responses. This volume critically evaluates how the global health industry has evolved and how the interests of diverse political and economic stakeholders are shaping the context of a rapidly changing institutional landscape. Bringing together leading authors from across the world, the Handbook’s eight sections explore: • Critical perspectives on global health • Globalisation, neoliberalism, and health systems • The changing shape of global health governance • Development assistance and the politics of global health • Scale-up, scale-down, and the sustainability of global health programmes • Intellectual property rights, trade relations, and global health • Humanitarian emergencies and global health politics • Human rights, social justice, and global health The Routledge Handbook on the Politics of Global Health addresses both the emerging issues and conceptualisations of the political strategies, policy-making processes, and global governance of global health, along with expanding upon and highlighting the critical priorities in this rapidly evolving field. It provides an authoritative overview for students, practitioners, researchers, and policymakers working in or concerned with the politics of public health around the globe.
Public Health at the Border of Zimbabwe and Mozambique, 1890–1940
This book is the first major work to explore the utility of the border as a theoretical, methodological, and interpretive construct for understanding colonial public health by considering African experiences in the Zimbabwe-Mozambique borderland. It examines the impact of colonial public health measures such as medical examinations/inspections, vaccinations, and border surveillance on African villagers in this borderland. The book asks whether the conjunction of a particular colonized society, a distinctive kind of colonialism, and a particular territorial border generated reluctance to embrace public health because of certain colonial circumstances which impeded the acceptance of therapeutic alternatives that were embraced by colonized people elsewhere. It asks historians to look elsewhere for similar kinds of histories involving racialized application of public health policies in colonial borderlands.