Making and Unmaking Public Health in Africa

Making and Unmaking Public Health in Africa

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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 a€˜70s, when many newly independent African governments pursued the vision of public health a€œfor all, a€ 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.... an element ofunease inside the new, air-conditioned Honda Accord speeding by; my friends in Abuja say they half expect to die in their bedsa€”murdered, by their servants. ... the fate of the primary health services under this new decentralized system ofgovernment. ... work in progress. everyone knows it needs reform, and many a commission over the years has made recommendations (often acceptedanbsp;...

Title:Making and Unmaking Public Health in Africa
Author: Ruth J. Prince, Rebecca Marsland
Publisher:Ohio University Press - 2013-11-15

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