Scrambling for Africa: AIDS, Expertise, and the Rise of American Global Health Science (Expertise: C

Author by : Johanna Tayloe Crane
Languange Used : en
Release Date : 2013-09-15
Publisher by : Cornell University Press

ISBN :

Description : Countries in sub-Saharan Africa were once dismissed by Western experts as being too poor and chaotic to benefit from the antiretroviral drugs that transformed the AIDS epidemic in the United States and Europe. Today, however, the region is courted by some of the most prestigious research universities in the world as they search for "resource-poor" hospitals in which to base their international HIV research and global health programs. In Scrambling for Africa, Johanna Tayloe Crane reveals how, in the space of merely a decade, Africa went from being a continent largely excluded from advancements in HIV medicine to an area of central concern and knowledge production within the increasingly popular field of global health science. Drawing on research conducted in the U.S. and Uganda during the mid-2000s, Crane provides a fascinating ethnographic account of the transnational flow of knowledge, politics, and research money—as well as blood samples, viruses, and drugs. She takes readers to underfunded Ugandan HIV clinics as well as to laboratories and conference rooms in wealthy American cities like San Francisco and Seattle where American and Ugandan experts struggle to forge shared knowledge about the AIDS epidemic. The resulting uncomfortable mix of preventable suffering, humanitarian sentiment, and scientific ambition shows how global health research partnerships may paradoxically benefit from the very inequalities they aspire to redress. A work of outstanding interdisciplinary scholarship, Scrambling for Africa will be of interest to audiences in anthropology, science and technology studies, African studies, and the medical humanities....

Author by : Elijah Bisung
Languange Used : en
Release Date : 2023-11-24
Publisher by : Taylor & Francis

ISBN :

Description : This thoughtful book offers unique insights on global health research, drawing attention to the equity choices embedded in day-to-day patterns and assumptions that shape how people do, think about, and navigate research. It invites readers to position equity as the driving principle and purpose of this field and presents a plethora of examples that demonstrate how to navigate the complex work of centring equity in research. This book provides foundational content on the standards of guiding equity considerations in global health, with chapters adopting cross-disciplinary methods of engaging in equity thinking and doing. Chapters explore applications of six distinct elements of the CCGHR Principles for Global Health Research, including partnering authentically, embracing inclusion, sharing benefits, committing to the future, acting on causes of inequities and practicing humility. Each chapter is accompanied with engaging reflection questions. This book is a pivotal resource for those who perform, use or support global equity health research. It will appeal to students, researchers, policy makers, professionals and funders, as well as those with an interest in and commitment to centring equity in their approaches to doing, using, or supporting health research....

Author by : Lindsey Reynolds
Languange Used : en
Release Date : 2020-06-09
Publisher by : Routledge

ISBN :

Description : Drawing on a growing consensus about the importance of community representation and participation for ethical research, community engagement has become a central component of scientific research, policy-making, ethical review, and technology design. The diversity of actors involved in large-scale global health research collaborations and the broader ‘background conditions’ of global inequality and injustice that frame the field have led some researchers, funders, and policy-makers to conclude that community engagement is nothing less than a moral imperative in global health research. Rather than taking community engagement as a given, the contributions in this edited volume highlight how processes of community engagement are shaped by particular local histories and social and political dynamics, and by the complex social relations between different actors involved in global public health research. By interrogating the everyday politics and practices of engagement across diverse contexts, the book pushes conversations around engagement and participation beyond their conventional framings. In doing so, it raises radical questions about knowledge, power, expertise, authority, representation, inclusivity, and ethics and to make recommendations for more transformative, inclusive, and meaningful community engagement. This book was originally published as a special issue of the Critical Public Health journal....

Author by : Clare Herrick
Languange Used : en
Release Date : 2017-03-16
Publisher by : Taylor & Francis

ISBN :

Description : To date, geography has not yet carved out a disciplinary niche within the diffuse domain that constitutes global health. However, the compulsion to do and understand global health emerges largely from contexts that geography has long engaged with: urbanisation, globalisation, political economy, risk, vulnerability, lifestyles, geopolitics, culture, governance, development and the environment. Moreover, global health brings with it an innate, powerful and politicising spatial logic that is only now starting to emerge as an object of enquiry. This book aims to draw attention to and showcase the wealth of existing and emergent geographical contributions to what has recently been termed ‘critical global health studies’. Geographical perspectives, this collection argues, are essential to bringing new and critical perspectives to bear on the inherent complexities and interconnectedness of global health problems and purported solutions. Thus, rather than rehearsing the frequent critique that global health is more a ‘set of problems’ than a coherent disciplinary approach to ameliorating the health of all and redressing global bio-inequalities; this collection seeks to explore what these problems might represent and the geographical imaginaries inherent in their constitution. This unique volume of geographical writings on global health not only deepens social scientific engagements with health itself, but in so doing, brings forth a series of new conceptual, methodological and empirical contributions to social scientific, multidisciplinary scholarship....

Author by : Carolyn Smith-Morris
Languange Used : en
Release Date : 2015-08-20
Publisher by : Routledge

ISBN :

Description : This collection is dedicated to the diagnostic moment and its unrivaled influence on encompassment and exclusion in health care. Diagnosis is seen as both an expression and a vehicle of biomedical hegemony, yet it is also a necessary and speculative tool for the identification of and response to suffering in any healing system. Social scientific studies of medicalization and the production of medical knowledge have revealed tremendous controversy within, and factitiousness at the outer parameters of, diagnosable conditions. Yet the ethnographically rich and theoretically complex history of such studies has not yet congealed into a coherent structural critique of the process and broader implications of diagnosis. This volume meets that challenge, directing attention to three distinctive realms of diagnostic conflict: in the role of diagnosis to grant access to care, in processes of medicalization and resistance, and in the transforming and transformative position of diagnosis for 21st-century global health. Smith-Morris’s framework repositions diagnosis as central to critical global health inquiry. The collected authors question specific diagnoses (e.g., Lyme disease, Parkinson's, andropause, psychosis) as well as the structural and epistemological factors behind a disease’s naming and experience....

Author by : Crystal Biruk
Languange Used : en
Release Date : 2018-03-30
Publisher by : Duke University Press

ISBN :

Description : In Cooking Data Crystal Biruk offers an ethnographic account of research into the demographics of HIV and AIDS in Malawi to rethink the production of quantitative health data. While research practices are often understood within a clean/dirty binary, Biruk shows that data are never clean; rather, they are always “cooked” during their production and inevitably entangled with the lives of those who produce them. Examining how the relationships among fieldworkers, supervisors, respondents, and foreign demographers shape data, Biruk examines the ways in which units of information—such as survey questions and numbers written onto questionnaires by fieldworkers—acquire value as statistics that go on to shape national AIDS policy. Her approach illustrates how on-the-ground dynamics and research cultures mediate the production of global health statistics in ways that impact local economies and formulations of power and expertise....

Author by : Annie Bunting
Languange Used : en
Release Date : 2023-10-24
Publisher by : Ohio University Press

ISBN :

Description : This volume offers practical, detailed guidance and case studies on how to avoid exacerbating inequalities while researching gender-based violence and other related issues in Africa. Wartime violence and its aftermath present numerous practical, ethical, and political challenges that are especially acute for researchers working on gender-based and sexual violence. Drawing upon applied examples from across the African continent, this volume features unique contributions from researchers and practitioners with decades of experience developing research partnerships, designing and undertaking fieldwork, asking sensitive questions, negotiating access, collecting and evaluating information, and validating results. These are all endeavors that also raise pressing ethical questions, especially in relation to retraumatization, social stigma, and even payment of participants. Ethical and methodological questions cannot be separated from political and institutional considerations. Systems of privilege and marginalization cannot be wished away, so they need to be both interrogated and contested. This is where precedents and power relations established under colonialism and imperialism take center stage. Europeans have been extracting valuable resources from the African continent for centuries. Research into gender-based violence risks being yet another extractive industry. There are times when committed individuals can make valuable contributions to a more equitable future, but funding streams, knowledge hierarchies, and institutional positions continue to have powerful effects. Accordingly, the contributors to this volume also concentrate upon the layered effects of power and position, relationships between researchers, organizations, and communities, and the political economy of knowledge production; this brings into focus questions about how and why information gets generated, for which kinds of audiences, and for whose benefit....