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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