This book examines the idea of a fundamental entitlement to health and healthcare from a human rights perspective. The volume is based on a particular conceptual reasoning that balances critical thinking and pragmatism in the context of a universal right to health. Thus, the primary focus of the book is the relationship or contrast between rights-based discourse/jurisprudential arguments and real-life healthcare contexts. The work sets out the constraints that are imposed on a universal right to health by practical realities such as economic hardship in countries, lack of appropriate governance, and lack of support for the implementation of this right through appropriate resource allocation. It queries the degree to which the existence of this legally enshrined right and its application in instruments such as the International Covenant on Economic, Social and Cultural Rights (ICESCR) and the Universal Declaration of Human Rights (UDHR) can be more than an ephemeral aspiration but can, actually, sustain, promote, and instil good practice. It further asks if social reality and the inequalities that present themselves therein impede the implementation of laudable human rights, particularly within marginalised communities and cadres of people. It deliberates on what states and global bodies do, or could do, in practical terms to ensure that such rights are moved beyond the aspirational and become attainable and implementable. Divided into three parts, the first analyses the notion of a universal inalienable right to health(care) from jurisprudential, anthropological, legal, and ethical perspectives. The second part considers the translation of international human rights norms into specific jurisdictional healthcare contexts. With a global perspective it includes countries with very different legal, economic, and social contexts. Finally, the third part summarises the lessons learnt and provides a pathway for future action. The book will be an invaluable resource for students, academics, and policymakers working in the areas of health law and policy, and international human rights law.

As a group, western diseases such as type 2 diabetes, cardiovascular disease, breast cancer, allergies and mental health problems constitute one of the major problems facing humans at the beginning of the 21st century, particularly as they extend into poorer countries. An evolutionary perspective has much to offer standard biomedical understandings of western diseases. At the heart of this approach is the notion that human evolution occurred in circumstances very different from the modern affluent western environment and that, as a consequence, human biology is not adapted to the contemporary western environment. Written with an anthropological perspective and aimed at advanced undergraduates and graduates taking courses in the ecology and evolution of disease, Tessa Pollard applies and extends this evolutionary perspective by analysing trends in rates of western diseases and providing a new synthesis of current understandings of evolutionary processes, and of the biology and epidemiology of disease.

As a group, western diseases such as type 2 diabetes, cardiovascular disease, breast cancer, allergies and mental health problems constitute one of the major problems facing humans at the beginning of the 21st century, particularly as they extend into poorer countries. An evolutionary perspective has much to offer standard biomedical understandings of western diseases. At the heart of this approach is the notion that human evolution occurred in circumstances very different from the modern affluent western environment and that, as a consequence, human biology is not adapted to the contemporary western environment. Written with an anthropological perspective and aimed at advanced undergraduates and graduates taking courses in the ecology and evolution of disease, Tessa Pollard applies and extends this evolutionary perspective by analysing trends in rates of western diseases and providing a new synthesis of current understandings of evolutionary processes, and of the biology and epidemiology of disease.

What happens to national HIV programmes when Science and Religion collide and when both ignore the setting of most infections: in or on the way to marriage? HIV and AIDS are serious social and public-health problems in Papua New Guinea. After long delays, community-, business- and faith-based organizations have launched an impressive multi-sectoral response. But health-service systems are overwhelmed by the need for HIV antibody testing and counselling, and for treatment with antiretrovirals. Foreign notions of epidemiology, such as 'sex worker', 'risk group' and 'rural/urban', have gained traction despite massive empirical evidence as to their inapplicability. Each of these has fuelled, rather than confronted, the gendered contradictions of marriage and sexuality in Papua New Guinea. Quantitative approaches have fetishized numbers at the expense of enabling changes in social-structure. Part One of Sin, Sex and Stigma draws upon ethnography, public discourse and archival data to critique public-health policy and epidemiological modelling. Christian-inflected sex-negativity and anti-condom rhetoric are shown to have stymied prevention initiatives. Part Two enlists experts in antiretroviral therapy, sex work activism and ethnography in dialogues focused on strengthening the national response to HIV and AIDS. 'A "hot glow of anger" compelled Lawrence Hammar to write this fiery account of the many factors preventing successful HIV and AIDS interventions in Papua New Guinea. Drawing on his extensive research experience on sexuality and sex work, on cultural and Christian ideologies, and on outrageous stories of denial, abuse, and stigma, Hammar paints a rich and devastating portrait of the history of AIDS in PNG. Read it and weep. Lawrence Hammar is an inspiring reminder for AIDS scholars and activists everywhere of the differences committed social scientists can make to the way things are done.', Leslie Butt, Dept. of Pacific and Asian Studies, University of Victoria

Modern medicine has penetrated Bedouin tribes in the course of rapid urbanization and education, but when serious illnesses strike, particularly in the case of incurable diseases, even educated people turn to traditional medicine for a remedy. Over the course of 30 years, the author gathered data on traditional Bedouin medicine among pastoral-nomadic, semi-nomadic, and settled tribes. Based on interviews with healers, clients, and other active participants in treatments, this book will contribute to renewed thinking about a synthesis between traditional and modern medicine - to their reciprocal enrichment.

This new edition of Sarah Franklin's classic monograph on the development of in vitro fertilisation (IVF) includes two entirely new chapters reflecting on the relevance of the book's findings in the context of the past two decades and providing a 'state-of-the-art' review of the field today. Over the past 25 years, both the assisted conception industry and the academic field of reproductive studies have grown enormously. IVF, in particular, is belatedly becoming recognised as one of the most influential technologies of the twentieth and twenty-first centuries, with a far-reaching set of implications that have to date been underestimated, understudied and under-reported. This pioneering text was the first to explore the emergence of commercial IVF in the United Kingdom, where the technique was originally developed. During the 1980s, the British Parliament devised a unique system of comprehensive national regulation of assisted reproduction amidst fractious public and media debate over IVF and embryo research. Franklin chronicles these developments and explores their significance in relation to classic anthropological debates about the meanings of kinship, gender and the 'biological facts' of parenthood. Drawing on extensive personal interviews with women and couples undergoing IVF, as well as ethnographic fieldword in early IVF clinics, the book explores the unique demands of the IVF technique. In richly detailed chapters, it documents the 'topsy-turvy' world of IVF, and how the experience of undergoing IVF changes its users in ways they had not anticipated. Franklin argues that such experiences reveal a crucial feature of translational biomedical procedures more widely - namely, that these are 'hope technologies' that paradoxically generate new uncertainties and risks in the very space of their supposed resolution. The final chapter closely engages with the 'hope technology' concept, as well as the idea of 'having to try' and uses these frames to link contemporary reproductive studies to core sociological and anthropological arguments about economy, society and technology. In the context of rapid fertility decline and huge growth in the fertility industry, this volume is even more relevant today than when it was first published at the dawn of what Franklin calls the era of 'iFertility'. Embodied Progress is an essential read for all social science academics and students with an interested in the burgeoning new field of reproductive studies. It is also a valuable resource for practitioners working in the fields of reproductive health, biomedicine and policy.

Sue Savage-Rumbaugh's work on the language capabilities of the bonobo Kanzi has intrigued the world because of its far-reaching implications for understanding the evolution of the human language. This book takes the reader behind the scenes of the filmed language tests. It argues that while the tests prove that Kanzi has language, the even more remarkable manner in which he originally acquired it - spontaneously, in a culture shared with humans - calls for a re-thinking of language, emphasizing its primal cultural dimensions.

This anthropological study explores the beliefs and practices that emerged around masking in the U.S. during the COVID-19 pandemic. Americans responded to this illness as unique subjects navigating the flux of social and corporeal boundaries, supporting certain beliefs and acting to shape them as compelling realities. Debates over health and safety mandates indicated that responses were fractured with varied subjectivities in play-people lived in different worlds and bodies were central in conflicts over breathing, masking and social distancing. Contrasting approaches to practices marked the limits and possibilities of imaginaries, signaling differences and similarities between groups, and how actions could be passageways between people and possibilities. During a time of uncertainty and loss, the "efficacious intimacy" of bodies and materials embedded beliefs, values, and emotions of care in mask sewing and usage. By exploring these practices, the author reflects on how American subjects became relational selves and sustained response-able communities, helping people protect each other from mutating viruses as well as moving forward in a shifting terrain of intimacy and distance, connection, and containment.

After the revolution of 2011, the electoral victory of the Islamist party 'Ennahdha' allowed previously silenced religious and conservative ideas about women's right to abortion to be expressed. This also allowed healthcare providers in the public sector to refuse abortion and contraceptive care. This book explores the changes and continuity in the local discourses and practices related to the body, sexuality, reproduction and gender relationships. It also investigates how the bureaucratic apparatus of government healthcare facilities affects the complex moral world of clinicians and patients.

This innovative work combines a rigorous academic analysis of the political economy of organ supply for transplantation with autobiographical narratives that illuminate the complex experience of being an organ recipient. Organs for transplantations come from two sources: living or post-mortem organ donations. These sources set different routes of movement from one body to another. Postmortem organ donations are mainly sourced and allocated by state agencies, while living organ donations are the result of informal relations between donor and recipient. Each route traverses different social institutions, determines discrete interaction between donor and recipient, and is charged with moral meanings that can be competing and contrasting. The political economy of organs for transplants is the gamut of these routes and their interconnections, and this book suggests how such a political economy looks like: what are its features and contours, its negotiation of the roles of the state, market and the family in procuring organs for transplantations, and its ultimate moral justifications. Drawing on Boas' personal experiences of waiting, searching and obtaining organs, each autobiographical section of the book sheds light on a different aspect of the discussed political economy of organs - post-mortem donations, parental donation, and organ market - and illustrates the experience of living with the fear of rejection and the intimidation of chronic shortage. A Political Economy of Organ Transplantation is of interest to students and academics with an interest in bioethics, sociology of health and illness, medical anthropology, and science and technology studies.

This book investigates the impact of the COVID-19 pandemic on the health and well-being of Indigenous Peoples and assesses the policy responses taken by governments and Indigenous communities across the world. Bringing together innovative research and policy insights from a range of disciplines, this book investigates the impact of the COVID-19 pandemic on the health and well-being of Indigenous Peoples across the world, with coverage of North America, Central America, Africa, and Oceania. Further, it explores the actions taken by governments and Indigenous communities in addressing the challenges posed by this public health crisis. The book emphasises the social determinants of health and well-being, reflecting on issues such as self-governance, human rights law, housing, socioeconomic conditions, access to health care, culture, environmental deprivation, and resource extraction. Chapters also highlight the resilience and agency of Indigenous Peoples in combating the COVID-19 pandemic, despite the legacy of colonialism, patterns of systemic discrimination, and social exclusion. Providing concrete pathways for improving the conditions of Indigenous Peoples in the wake of the COVID-19 pandemic, this book is essential reading for researchers across indigenous studies, public health, and social policy.

This new edition of Sarah Franklin's classic monograph on the development of in vitro fertilisation (IVF) includes two entirely new chapters reflecting on the relevance of the book's findings in the context of the past two decades and providing a 'state-of-the-art' review of the field today. Over the past 25 years, both the assisted conception industry and the academic field of reproductive studies have grown enormously. IVF, in particular, is belatedly becoming recognised as one of the most influential technologies of the twentieth and twenty-first centuries, with a far-reaching set of implications that have to date been underestimated, understudied and under-reported. This pioneering text was the first to explore the emergence of commercial IVF in the United Kingdom, where the technique was originally developed. During the 1980s, the British Parliament devised a unique system of comprehensive national regulation of assisted reproduction amidst fractious public and media debate over IVF and embryo research. Franklin chronicles these developments and explores their significance in relation to classic anthropological debates about the meanings of kinship, gender and the 'biological facts' of parenthood. Drawing on extensive personal interviews with women and couples undergoing IVF, as well as ethnographic fieldword in early IVF clinics, the book explores the unique demands of the IVF technique. In richly detailed chapters, it documents the 'topsy-turvy' world of IVF, and how the experience of undergoing IVF changes its users in ways they had not anticipated. Franklin argues that such experiences reveal a crucial feature of translational biomedical procedures more widely - namely, that these are 'hope technologies' that paradoxically generate new uncertainties and risks in the very space of their supposed resolution. The final chapter closely engages with the 'hope technology' concept, as well as the idea of 'having to try' and uses these frames to link contemporary reproductive studies to core sociological and anthropological arguments about economy, society and technology. In the context of rapid fertility decline and huge growth in the fertility industry, this volume is even more relevant today than when it was first published at the dawn of what Franklin calls the era of 'iFertility'. Embodied Progress is an essential read for all social science academics and students with an interested in the burgeoning new field of reproductive studies. It is also a valuable resource for practitioners working in the fields of reproductive health, biomedicine and policy.

The Science of Life: Andrew Huxley, Richard Keynes and Horace Barlow is part of the series Creative Lives and Works. It is a collection of interviews conducted by one of England's leading social anthropologists and historians, Professor Alan Macfarlane. Filmed over a period of 40 years, the three conversations in this volume are part of a larger set of interviews that cut across various disciplines-from the social sciences, the sciences, to the performing and visual arts. The current volume on two of England's foremost physiologists and a vision scientist is yet another addition to the series of several such books. These Cambridge men of science, Sir Andrew Huxley, Richard Keynes and Horace Barlow, apart from shaping certain very fundamental and critical elements in the disciplines of Physiology and Neuroscience also belong to illustrious lineages. Sir Andrew Huxley, for instance is a direct descendant of T.H. Huxley, while Richard Keynes and Horace Barlow are both the great grandsons of Charles Darwin. Their conversations greatly expand our understanding of physiology and neuroscience. The book will be of very great value not just to those interested in Physiology, Medicine and Neuroscience. The interviews also take us into a fascinating period of Cambridge Science, dominated by certain key families of distinguished thinkers. Print edition not for sale in South Asia (India, Sri Lanka, Nepal, Bangladesh, Pakistan or Bhutan).

This book provides an ethnographic account of the ways in which biomedicine, as a part of the modernization of healthcare, has been localized and established as the culturally dominant medical system in rural Bangladesh. Dr Faruk Shah offers an anthropological critique of biomedicine in rural Bangladesh that explains how the existing social inequalities and disparities in healthcare are intensified by the practices undertaken in biomedical health centres through the healthcare bureaucracy and local gendered politics. This work of villagers' healthcare practices leads to a fascinating analysis of the local healthcare bureaucracy, corruption, structural violence, commodification of health, pharmaceutical promotional strategies and gender discrimination in population control. Shah argues that biomedicine has already achieved cultural authority and acceptability at almost all levels of the health sector in Bangladesh. However, in this system healthcare bureaucracy is shaped by social capital, power relations and kin networks, and corruption is a central element of daily care practices.

This book examines the phenomenon of social withdrawal in Japan, which ranges from school non-attendance to extreme forms of isolation and confinement, known as hikikomori. Based on extensive original research including interview research with a range of practitioners involved in dealing with the phenomenon, the book outlines how hikikomori expresses itself, how it is treated and dealt with and how it has been perceived and regarded in Japan over time. The author, a clinical psychologist with extensive experience of practice, argues that the phenomenon although socially unacceptable is not homogenous, and can be viewed not as a mental disorder, but as an idiom of distress, a passive and effective way of resisting the many great pressures of Japanese schooling and of Japanese society more widely. The Open Access version of this book, available at http://www.taylorfrancis.com/books/e/9781351260800, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives (CCBY-NC-ND) licence.

Migration and Health: Critical Perspectives offers a radical rethinking of the field by unsettling conventional ideas of mobility and borders to highlight the ways in which they produce health inequalities. Covering a wide range of topics, the text provides insight through a critical lens, and proposes areas for intervention along with an added emphasis on the need for future research to address the health inequities that affect migrants. It illustrates how a critical perspective can deepen our understanding of the relationship between migration and health, which remains a defining global issue of our century. The text employs a critical approach to examine the structural conditions of inequality and larger historical and political processes, recognizing that exclusionary bordering practices increasingly occur away from physical points of entry. It posits the concept of migration as complex, tangled and multi-directional and underscores how migrant vulnerability can shape the lives of people in wider communities. Furthermore, it acknowledges diverse and intersectional standpoints, as well as shifting spatial and temporal influences. Chapters include coverage of health in transit; healthcare access and utilization; clinical encounters; communicable disease; labor and occupational health; gender and sexuality; immigration enforcement, detention, deportation; and the effects of forced displacement on refugee and asylum-seeker health. The text is useful for students and scholars of migration or health disparities seeking to understand how the two issues can be approached in a more holistic and critical way. It is further aimed at practitioners and policymakers who are interested in gaining familiarity with the structural conditions of inequality along with the larger historical and political processes that influence contemporary migration patterns.

This book explores the experiences of Muslims in the United States as they interact with the health care system during serious illness and end-of-life care. It shifts "actively dying" from a medical phrase used to describe patients who are expected to pass away soon or who exhibit signs of impending death, to a theoretical framework to analyze how end-of-life care, particularly within a hospital, shapes the ways that patients, families, and providers understand Islam and think of themselves as Muslim. Using the dying body as the main object of analysis, the volume shows that religious identities of Muslim patients, loved ones, and caregivers are not only created when living, but also through the physical process of dying and through death. Based on ethnographic and qualitative research carried out mainly in the Washington, D.C. region, this volume will be of interest to scholars in anthropology, sociology, public health, gerontology, and religious studies.

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Migration and Health: Critical Perspectives offers a radical rethinking of the field by unsettling conventional ideas of mobility and borders to highlight the ways in which they produce health inequalities. Covering a wide range of topics, the text provides insight through a critical lens, and proposes areas for intervention along with an added emphasis on the need for future research to address the health inequities that affect migrants. It illustrates how a critical perspective can deepen our understanding of the relationship between migration and health, which remains a defining global issue of our century. The text employs a critical approach to examine the structural conditions of inequality and larger historical and political processes, recognizing that exclusionary bordering practices increasingly occur away from physical points of entry. It posits the concept of migration as complex, tangled and multi-directional and underscores how migrant vulnerability can shape the lives of people in wider communities. Furthermore, it acknowledges diverse and intersectional standpoints, as well as shifting spatial and temporal influences. Chapters include coverage of health in transit; healthcare access and utilization; clinical encounters; communicable disease; labor and occupational health; gender and sexuality; immigration enforcement, detention, deportation; and the effects of forced displacement on refugee and asylum-seeker health. The text is useful for students and scholars of migration or health disparities seeking to understand how the two issues can be approached in a more holistic and critical way. It is further aimed at practitioners and policymakers who are interested in gaining familiarity with the structural conditions of inequality along with the larger historical and political processes that influence contemporary migration patterns.

This classic book, first published in 1992 and again in 2003, has inspired three generations of childbearing people, birth activists and researchers, and birth practitioners-midwives, doulas, nurses, and obstetricians-to take a fresh look at the "standard procedures" that are routinely used to "manage" American childbirth. It was the first book to identify these non-evidence-based obstetric interventions as rituals that enact and transmit the core values of the American technocracy, thereby answering the pressing question of why these interventions continue to be performed despite all evidence to the contrary. This third edition brings together Davis-Floyd's insights into the intense ritualization of labor and birth and the technocratic, humanistic, and holistic models of birth with new data collected in recent years.

Transcendental Medication considers why human brains evolved to have consciousness, yet we spend much of our time trying to reduce our awareness. It outlines how limiting consciousness-rather than expanding it-is more functional and satisfying for most people, most of the time. The suggestion is that our brains evolved mechanisms to deal with the stress of awareness in concert with awareness itself-otherwise it is too costly to handle. Defining dissociation as "partitioning of awareness," Lynn touches on disparate cultural and psychological practices such as religion, drug use, 12-step programs, and dancing. The chapters draw on biological and cultural studies of Pentecostal speaking in tongues and stress, the results of our 800,000+ years watching hearth and campfires, and unconscious uses of self-deception as mating strategy. Written in a highly engaging style, Transcendental Medication will appeal to students and scholars interested in mind, altered states of consciousness, and evolution. It is particularly suitable for those approaching the issue from cultural, biological, psychological, and cognitive anthropology, as well as evolutionary psychology, cognitive neuroscience, and religious studies.

Transcendental Medication considers why human brains evolved to have consciousness, yet we spend much of our time trying to reduce our awareness. It outlines how limiting consciousness-rather than expanding it-is more functional and satisfying for most people, most of the time. The suggestion is that our brains evolved mechanisms to deal with the stress of awareness in concert with awareness itself-otherwise it is too costly to handle. Defining dissociation as "partitioning of awareness," Lynn touches on disparate cultural and psychological practices such as religion, drug use, 12-step programs, and dancing. The chapters draw on biological and cultural studies of Pentecostal speaking in tongues and stress, the results of our 800,000+ years watching hearth and campfires, and unconscious uses of self-deception as mating strategy. Written in a highly engaging style, Transcendental Medication will appeal to students and scholars interested in mind, altered states of consciousness, and evolution. It is particularly suitable for those approaching the issue from cultural, biological, psychological, and cognitive anthropology, as well as evolutionary psychology, cognitive neuroscience, and religious studies.

This book documents the emergence of doulas as care professionals in Italy, considers their training, practices, and representation, and analyses their role in national and international context. Doulas offer emotional, informational and practical support to women and their families during pregnancy, childbirth and the postpartum period. Pamela Pasian explores the development of this 'new' profession and how doulas are defining their space in the Italian maternity care system. Whilst doulas are gaining recognition they are also facing opposition. The book reflects on the conflicts and collaborations between doulas and midwives, as well as relations between different doula associations. Interweaving ethnography and autoethnography, it will be of interest to anthropologists, sociologists and those working in health and maternity care.

This book centers on negotiations around cultural, governmental, and individual constructions of COVID-19. It considers how the coronavirus pandemic has been negotiated in different cultures and countries, with the final part of the volume focusing on South Asia and Pakistan in particular. The chapters include auto-ethnographic accounts and ethnographic explorations that reflect upon experiences of living with the pandemic and its implications for all areas of life. The book explicates people's dealings with COVID-19 at various levels, situates the spread of rumors, conspiracy theories, and new social rituals within micro- and/or macro-contexts, and describes the interplay between the virus and various institutionalized forms of inequalities and structural vulnerabilities. Bringing together a variety of perspectives, the volume relates to the past, describes the Covidian present, and offers futuristic implications. It enlists distinct imaginaries based on current understandings of an extraordinary challenge that holds significant importance for our human future.

This book paints a comprehensive portrait of Mexico's system of assisted reproduction first from a historical perspective, then from a more contemporary viewpoint. Based on a detailed analysis of books and articles published between the 1950s and 1980s, the first section tells the story of how the epistemic, normative, and material infrastructure of the assisted reproduction system was built. It traces the professionalization process of assisted reproduction as a medical field and the establishment of its professional association. Drawing on ethnographic material, the second part looks at how this system developed and flourished from the 1980s up to 2010, its commercialization process, how the expansion of reproductive services took place, and the messages regarding reproductive technologies that circulated within a wide discursive landscape. Given its scope and methods, this book will appeal to scholars interested in science and technology studies, reproduction studies, history of medicine, medical anthropology, and sociology.