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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.
AIDS (Disease) -- Treatment -- Africa. --- Medical care -- Research -- Africa. --- Medical policy -- Africa. --- Medical care --- Medical policy --- AIDS (Disease) --- Science --- Medicine --- HIV Infections --- Public Policy --- Health --- Slow Virus Diseases --- Environment and Public Health --- Virus Diseases --- Immunologic Deficiency Syndromes --- Lentivirus Infections --- Health Care --- Social Control Policies --- Health Occupations --- Natural Science Disciplines --- Population Characteristics --- Sexually Transmitted Diseases, Viral --- Social Control, Formal --- Disciplines and Occupations --- Sexually Transmitted Diseases --- Retroviridae Infections --- Diseases --- Policy --- Immune System Diseases --- Sociology --- Social Sciences --- RNA Virus Infections --- Health Care Economics and Organizations --- Anthropology, Education, Sociology and Social Phenomena --- Acquired Immunodeficiency Syndrome --- Health Policy --- Public Health --- Research --- Health & Biological Sciences --- Public Health - General --- Treatment --- Acquired immune deficiency syndrome --- Acquired immunodeficiency syndrome --- Acquired immunological deficiency syndrome --- HIV infections --- Immunological deficiency syndromes --- Virus-induced immunosuppression --- Health care policy --- Health policy --- Medicine and state --- Policy, Medical --- Public health --- Public health policy --- State and medicine --- Science and state --- Social policy --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Government policy --- africa --- medicine --- public health --- Expatriate --- Ghadamès language --- Malaria
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Medical research has been central to biomedicine in Africa for over a century, and Africa, along with other tropical areas, has been crucial to the development of medical science. At present, study populations in Africa participate in an increasing number of medical research projects and clinical trials, run by both public institutions and private companies. Global debates about the politics and ethics of this research are growing and local concerns are prompting calls for social studies of the "trial communities" produced by this scientific work. Drawing on rich, ethnographic and historiogra
Human experimentation in medicine -- Moral and ethical aspects -- Africa. --- Medical ethics. --- Medicine -- Research -- Moral and ethical aspects -- Africa. --- Medicine --- Human experimentation in medicine --- Medical ethics --- Research --- Culture --- Investigative Techniques --- History, Modern 1601 --- -Ethics --- History --- Science --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Sociology --- Humanities --- Health Care Quality, Access, and Evaluation --- Anthropology, Cultural --- Natural Science Disciplines --- Social Sciences --- Anthropology --- Health Care --- Anthropology, Education, Sociology and Social Phenomena --- Disciplines and Occupations --- Human Experimentation --- Cross-Cultural Comparison --- History, 20th Century --- Ethics, Research --- Biomedical Research --- Health & Biological Sciences --- Medical Ethics & Philosophy --- #SBIB:39A9 --- #SBIB:39A73 --- Moral and ethical aspects --- Medische antropologie / gezondheid / handicaps --- Etnografie: Afrika --- Moral and ethical aspects. --- Africa. --- Ethics --- -Human Experimentation --- Human experimentation in medicine -- Moral and ethical aspects -- Africa --- Medicine -- Research -- Moral and ethical aspects -- Africa --- Clinical sciences --- Medical profession --- Human biology --- Life sciences --- Medical sciences --- Pathology --- Physicians --- Transcultural Studies --- Comparison, Cross-Cultural --- Comparisons, Cross-Cultural --- Cross Cultural Comparison --- Cross-Cultural Comparisons --- Studies, Transcultural --- Study, Transcultural --- Transcultural Study --- Cultural Characteristics --- Culture. --- Delivery of Health Care. --- History. --- Natural Science Disciplines. --- Social Sciences. --- Science, Social --- Sciences, Social --- Social Science --- Natural Sciences --- Physical Sciences --- Discipline, Natural Science --- Disciplines, Natural Science --- Natural Science --- Natural Science Discipline --- Physical Science --- Science, Natural --- Science, Physical --- Sciences, Natural --- Sciences, Physical --- Aspects, Historical --- Historical Aspects --- Aspect, Historical --- Historical Aspect --- Histories --- Beliefs --- Cultural Background --- Customs --- Background, Cultural --- Backgrounds, Cultural --- Belief --- Cultural Backgrounds --- Cultures --- Custom --- History of Medicine, Modern --- Medicine, Modern --- Modern History (Medicine) --- Modern Medicine --- History, Modern --- Modern History --- 1601- History, Modern --- History, Modern (Medicine) --- Modern 1601- History --- Health Workforce --- Cultural Relativism --- Cultural Relativisms --- Relativism, Cultural --- Relativisms, Cultural --- Delivery of Health Care --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Egoism --- Ethical Issues --- Metaethics --- Moral Policy --- Natural Law --- Situational Ethics --- Ethical Issue --- Ethics, Situational --- Issue, Ethical --- Issues, Ethical --- Law, Natural --- Laws, Natural --- Moral Policies --- Natural Laws --- Policies, Moral --- Policy, Moral --- Censorship, Research --- Human Research Subject Protection --- Experimentation, Human --- Helsinki Declaration --- Bioethical Issues --- Embryo Research --- Fetal Research --- Research Subjects --- 20th Cent. History (Medicine) --- 20th Cent. History of Medicine --- 20th Cent. Medicine --- Historical Events, 20th Century --- History of Medicine, 20th Cent. --- History, Twentieth Century --- Medical History, 20th Cent. --- Medicine, 20th Cent. --- 20th Century History --- 20th Cent. Histories (Medicine) --- 20th Century Histories --- Cent. Histories, 20th (Medicine) --- Cent. History, 20th (Medicine) --- Century Histories, 20th --- Century Histories, Twentieth --- Century History, 20th --- Century History, Twentieth --- Histories, 20th Cent. (Medicine) --- Histories, 20th Century --- Histories, Twentieth Century --- History, 20th Cent. (Medicine) --- Twentieth Century Histories --- Twentieth Century History --- Healthcare Quality, Access, and Evaluation --- Cultural Anthropology --- Material Culture --- Ethnography --- Culture, Material --- Ethnographies --- Material Cultures --- Qualitative Research --- Experimental Medicine --- Investigational Medicine --- Investigative Medicine --- Research, Biomedical --- Research, Medical --- Medical Research --- Medicine, Experimental --- Medicine, Investigational --- Medicine, Investigative --- Animals, Laboratory --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Experimentation on humans, Medical --- Medical experimentation on humans --- Clinical trials --- General Social Development and Population --- Sciences --- Laboratory Research --- Research Activities --- Research and Development --- Research Priorities --- Activities, Research --- Activity, Research --- Development and Research --- Priorities, Research --- Priority, Research --- Research Activity --- Research Priority --- Research, Laboratory --- Investigative Technics --- Investigative Technic --- Investigative Technique --- Technic, Investigative --- Technics, Investigative --- Technique, Investigative --- Techniques, Investigative --- Research Ethics --- Animal Experimentation --- ethics
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This volume explores how AIDS is understood, confronted and lived with through religious ideas and practices, and how these, in turn, are reinterpreted and changed by the experience of AIDS. Examining the social production, and productivity, of AIDS - linking bodily and spiritual experiences, and religious, medical, political and economic discourses - the papers counter simplified notions of causal effects of AIDS on religion (or vice versa). Instead, they display people’s resourcefulness in their struggle to move ahead in spite of adversity. This relativises the vision of doom widely associated with the African AIDS epidemic; and it allows to see AIDS, instead of a singular event, as the culmination of a century-long process of changing livelihoods, bodily well-being and spiritual imaginaries.
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Medical research has been central to biomedicine in Africa for over a century, and Africa, along with other tropical areas, has been crucial to the development of medical science. At present, study populations in Africa participate in an increasing number of medical research projects and clinical trials, run by both public institutions and private companies. Global debates about the politics and ethics of this research are growing and local concerns are prompting calls for social studies of the "trial communities" produced by this scientific work. Drawing on rich, ethnographic and historiographic material, this volume represents the emergent field of anthropological inquiry that links Africanist ethnography to recent concerns with science, the state, and the culture of late capitalism in Africa.
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