In the wake of structural adjustment programs in the 1980s and health reforms in the 1990s, the majority of sub-Saharan African governments spend less than ten dollars per capita on health annually, and many Africans have limited access to basic medical care. Using a community-level approach, anthropologist Ellen E. Foley analyzes the implementation of global health policies and how they become intertwined with existing social and political inequalities in Senegal. ""Your Pocket Is What Cures You"" examines qualitative shifts in health and healing spurred by these reforms, and analyzes the dilemmas they create for health professionals and patients alike. It also explores how cultural frameworks, particularly those stemming from Islam and Wolof ethnomedicine, are central to understanding how people manage vulnerability to ill health. While offering a critique of neoliberal health policies, ""Your Pocket Is What Cures You"" remains grounded in ethnography to highlight the struggles of men and women who are precariously balanced on twin precipices of crumbling health systems and economic decline. Their stories demonstrate what happens when market-based health reforms collide with material, political, and social realities in African societies.

A description of the social, educational, and economic impact of living with a neurological genetic disorder, neurofibromatosis 1. The many unpredictable and potentially stigmatizing possible symptoms of NF1, which range from physical disfigurement to severe learning disorders, may have serious consequences in every aspect of daily life. NF1 was for many years wrongly diagnosed as the Elephant Man's Disease.

Ablon examines the psychosocial costs of this misdiagnosis and the ways in which stage, screen, and television parlayed The Elephant Man into the personification of the grimmist extreme of ugliness. This portrayal engendered fear and anxiety for affected persons and their families and also had an impact on the scientific and medical communities. Ablon analyzes the factors that affect individual positive adaptation to NF1 and the demands of American society, and offers suggestions for families, support systems, and health care providers for treatment of affected individuals.

This book traces the history of formative, enduring concepts, foundational in the development of the health disciplines. It explores existing literature, and subsequent contested applications. Feminist legacies are discussed with a clear message that early sociological and anthropological theories and debates remain valuable to scholars today. Chapters cover historical events and cultural practices from the standpoint of 'difference'; formulate theories about the emergence of social issues and problems and discuss health and illness in light of cultural values and practices, social conditions, embodiment and emotions. This collection will be of great value to scholars of biomedicine, health and gender.

The universality of health concerns and the complexity of dealing with them makes it increasingly important for professionals in sociology, health care, and policy making to become acquainted with the wide variety of strategies used in different social contexts. Although Israel is in some ways unique in its social problems and its approach to health care, many of its problems resemble those of other societies, and many of its solutions can be applied in other countries. Social Dimensions of Health looks at distinctive aspects of the Israeli health care system, while at the same time drawing comparisons with other societies.

Judith Shuval discusses the health and health behavior of a variety of groups in Israeli society that have not been systematically considered in other analyses: women, the elderly, alternative health care providers, immigrants, and Israeli Arabs. Shuval analyzes the critical influence of ultraorthodox parties on health policy in the context of a tenuously balanced coalition government, and shows how the pervasive conflict between Israel and the Arab world penetrates all aspects of social life, including health. Inequality in health is discussed with special reference to Israeli Arabs. The study concludes with a discussion of what can be learned from the Israeli experience, and how it can best be applied in other social contexts. Social Dimensions of Health will prove useful to scholars, health practitioners, and lay people seeking a broad understanding of the social factors underlying health and health care.

This history of the evolution of pediatrics from the beginning of recorded civilization examines chronologically the medical and societal antecedents of current child care. Although the term pediatrics is modern, the book explores the antecedents that facilitated the evolution of pediatric care as a separate discipline and a unique science. These antecedents include ancient manuscripts and the writings of acknowledged medical classicists, and the works of physicians in the East who recorded the medicine of the ancients, their own original theories, clinical observations, and experience, and exported their wisdom to the West.

The book's point of view demonstrates that healers from the beginning of recorded time understood the unique physiology of the infant and the distinct nutritional and medical needs of the growing child. Despite this recognition, centuries of poorly applied medical principles prevailed in the general population as adjuncts to societal conditions that included war, pestilence, ignorance of the pathophysiology of disease, and the exploitation of labor. In this milieu, suffering was universal. Pediatrics came into its own when richer, more stable societies had the time, energy, and resources to provide for the most vulnerable of their subjects. Motives included economic self-interest as well as altruistic demand for social reform.

Babies are not simply born-they are made through cultural and social practices. Based on rich empirical work, this book examines the everyday experiences that mark pregnancy in the US today, such as reading pregnancy advice books, showing ultrasound "baby pictures" to friends and co-workers, and decorating the nursery in anticipation of the new arrival. These ordinary practices of pregnancy, the author argues, are significant and revealing creative activities that produce babies. They are the activities through which babies are made important and meaningful in the lives of the women and men awaiting the child's birth. This book brings into focus a topic that has been overlooked in the scholarship on reproduction and will be of interest to professionals and expectant parents alike.

This book takes a reproductive justice approach to argue that surrogacy as practised in the contemporary neoliberal biomarkets crosses the humanitarian thresholds of feminism. Drawing on her ethnographic work with surrogate mothers, intended parents and medical practitioners in India, the author shows the dark connections between poverty, gender, human rights violations and indignity in the surrogacy market. In a developing country like India, bio-technologies therefore create reproductive objects of certain female bodies while promoting an image of reproductive liberation for others. India is a classic example for how far these biomarkets can exploit vulnerabilities for individual requirements in the garb of reproductive liberty. This critical book refers to a range of liberal, radical and postcolonial feminist frameworks on surrogacy, and questions the individual reproductive rights perspective as an approach to examine global surrogacy. It introduces 'humanitarian feminism' as an alternative concept to bridge feminist factions divided on contextual and ideological grounds. It hopes to build a global feminist solidarity drawing on a 'reproductive justice' approach by recognizing the histories of race, class, gender, sexuality, ability, age and immigration oppression in all communities. This work is of interest to researchers and students of medical sociology and anthropology, gender studies, bioethics, and development studies.

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.

Human Origins brings together new thinking by social anthropologists and other scholars on the evolution of human culture and society. No other discipline has more relevant expertise to consider the emergence of humans as the symbolic species. Yet, social anthropologists have been conspicuously absent from debates about the origins of modern humans. These contributions explore why that is, and how social anthropology can shed light on early kinship and economic relations, gender politics, ritual, cosmology, ethnobiology, medicine, and the evolution of language.

This book addresses how skeletons can inform us about behavior by describing skeletal lesions in the Gombe chimpanzees, relating them to known life histories whenever possible, and analyzing demographic patterns in the sample. This is of particular interest to both primatologists and skeletal analysts who have benefited from published data on a smaller, earlier skeletal sample from Gombe. The Gombe skeletal collection is the largest collection of wild chimpanzees with known life histories in existence, and this work significantly expands the skeletal sample from this long-term research site (49 chimpanzees). The book explores topics of general interest to skeletal analysts such as demographic patterns, which injuries leave signs on the skeleton, and rates of healing, and discusses both qualitative and quantitative analysis of the patterning of lesions. The book presents the data in a narrative style similar to that employed in Dr. Goodall's seminal work The Chimpanzees of Gombe. Readers already familiar with the Gombe chimpanzees are likely to appreciate summaries of life events correlated to observable skeletal features. The book is especially relevant at this time to remind primate conservationists of the importance of the isolated chimpanzee population at Gombe National Park as well as the availability of the skeletons for study, both within the park itself as well as at the University of Minnesota.

The social anthropology of sickness and health has always been concerned with religious cosmologies: how societies make sense of such issues as prediction and control of misfortune and fate; the malevolence of others; the benevolence (or otherwise) of the mystical world; local understanding and explanations of the natural and ultra-human worlds. This volume presents differing categorizations and conflicts that occur as people seek to make sense of suffering and their experiences. Cosmologies, whether incorporating the divine or as purely secular, lead us to interpret human action and the human constitution, its ills and its healing and, in particular, ways which determine and limit our very possibilities.

This book tells the story of the HIV epidemic in South Africa, and asks why, after more than three decades, it has not normalised. Despite considerable efforts to prevent infection, and ambitious targets set to end the epidemic by 2030, HIV infections are increasing among young women and treatment uptake and adherence have been uneven. Focusing on the years preceding and following treatment access, this book addresses why an end to AIDS may be misplaced optimism. By examining public discourses and private narratives about infection, illness and death, this work reveals the contradictions between the lived experiences of AIDS suffering on the one hand, and biomedical certainties on the other. Based on long-term ethnographic research in rural villages of the South African lowveld, and within HIV prevention interventions in South Africa more generally, this book offers an intimate perspective on the social and cultural responses to the epidemic.

Umhlonyane, also known as Artemisia afra, is one of the oldest and best-documented indigenous medicines in South Africa. This bush, which grows wild throughout the sub-Saharan region, smells and tastes like "medicine," thus easily making its way into people's lives and becoming the choice of everyday healing for Xhosa healer-diviners and Rastafarian herbalists. This "natural" remedy has recently sparked curiosity as scientists search for new molecules against a tuberculosis pandemic while hoping to recognize indigenous medicine. Laplante follows umhlonyane on its trails and trials of becoming a biopharmaceutical - from the "open air" to controlled environments - learning from the plant and from the people who use it with hopes in healing.

This book examines the future of birthing practices, particularly by focusing on epidural analgesia in childbirth. It describes historical and cultural trajectories that have shaped the way in which birth is understood in Western, developed nations. In setting out the nature of epidural history, knowledge and practice, the book delves into related birth practices within the hospital setting. By critically examining these practices, which are embedded in a scientific discourse that rationalises and relies upon technology use, the authors argue that epidural analgesia has been positioned as a safe technology in contemporary maternity culture, despite it carrying particular risks. In examining alternative research the book proposes that increasing epidural rates are not only due to greater pain relief requirements or access but are influenced by technocratic values and a fragmented maternity system. The authors outline the way in which this epidural discourse influences how information is presented to women and how this affects their choices around the use of pain relief in labour.

This book sets out to define and consolidate the field of bioinformation studies in its transnational and global dimensions, drawing on debates in science and technology studies, anthropology and sociology. It provides situated analyses of bioinformation journeys across domains and spheres of interpretation. As unprecedented amounts of data relating to biological processes and lives are collected, aggregated, traded and exchanged, infrastructural systems and machine learners produce real consequences as they turn indeterminate data into actionable decisions for states, companies, scientific researchers and consumers. Bioinformation accrues multiple values as it transverses multiple registers and domains, and as it is transformed from bodies to becoming a subject of analysis tied to particular social relations, promises, desires and futures. The volume harnesses the anthropological sensibility for situated, fine-grained, ethnographically grounded analysis to develop an interdisciplinary dialogue on the conceptual, political, social and ethical dimensions posed by bioinformation.

Based on several years of ethnographic fieldwork, the book explores life in and around a Luo-speaking village in western Kenya during a time of death. The epidemic of HIV/AIDS affects every aspect of sociality and pervades villagers' debates about the past, the future and the ethics of everyday life. Central to such debates is a discussion of touch in the broad sense of concrete, material contact between persons. In mundane practices and in ritual acts, touch is considered to be key to the creation of bodily life as well as social continuity. Underlying the significance of material contact is its connection with growth - of persons and groups, animals, plants and the land - and the forward movement of life more generally. Under the pressure of illness and death, economic hardship and land scarcity, as well as bitter struggles about the relevance and application of Christianity and 'Luo tradition' in daily life, people find it difficult to agree about the role of touch in engendering growth, or indeed about the aims of growth itself.

This unique book applies concepts from the field of anthropology to clinical settings to result in a powerful and dynamic model/theory of clinical anthropology. These clinical settings could include hospitals, police and probation situations, individual and marriage and family counseling, as well as cross-cultural issues, governmental policy, and other instances of educational delivery of concepts and behaviors that allow individuals/groups to reduce stress and move toward personal/group health. In addition to appealing to anthropology and other social/behavioral science scholars, this book will be useful to clinicians of many specialities within Western biomedicine including physicians, nurses, and health care administrators.

Breastfeeding and child feeding at the center of nurturing practices, yet the work of nurture has escaped the scrutiny of medical and social scientists. Anthropology offers a powerful biocultural approach that examines how custom and culture interact to support nurturing practices. Our framework shows how the unique constitutions of mothers and infants regulate each other. The Dance of Nurture integrates ethnography, biology and the political economy of infant feeding into a holistic framework guided by the metaphor of dance. It includes a critique of efforts to improve infant feeding practices globally by UN agencies and advocacy groups concerned with solving global nutrition and health problems.

Babies are not simply born-they are made through cultural and social practices. Based on rich empirical work, this book examines the everyday experiences that mark pregnancy in the US today, such as reading pregnancy advice books, showing ultrasound "baby pictures" to friends and co-workers, and decorating the nursery in anticipation of the new arrival. These ordinary practices of pregnancy, the author argues, are significant and revealing creative activities that produce babies. They are the activities through which babies are made important and meaningful in the lives of the women and men awaiting the child's birth. This book brings into focus a topic that has been overlooked in the scholarship on reproduction and will be of interest to professionals and expectant parents alike.

"[S]heds light not only on the obstacles to making motherhood safer, but to improving the health of poor populations in general."-Social Anthropology Since 1987, when the global community first recognized the high frequency of women in developing countries dying from pregnancy-related causes, little progress has been made to combat this problem. This study follows the global policies that have been implemented in Solola, Guatemala in order to decrease high rates of maternal mortality among indigenous Mayan women. The author examines the diverse meanings and understandings of motherhood, pregnancy, birth and birth-related death among the biomedical personnel, village women, their families, and midwives. These incongruous perspectives, in conjunction with the implementation of such policies, threaten to disenfranchise clients from their own cultural understandings of self. The author investigates how these policies need to meld with the everyday lives of these women, and how the failure to do so will lead to a failure to decrease maternal deaths globally. From the Introduction: An unspoken effect of reducing maternal mortality to a medical problem is that life and death become the only outcomes by which pregnancy and birth are understood. The specter of death looms large and limits our full exploration of either our attempts to curb maternal mortality, or the phenomenon itself. Certainly women's survival during childbirth is the ultimate measure of success of our efforts. Yet using pregnancy outcomes and biomedical attendance at birth as the primary feedback on global efforts to make pregnancy safer is misguided.

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.

How does the need to obtain and deliver health services engender particular (im)mobility forms? And how is mobility experienced and imagined when it is required for healthcare access or delivery? Guided by these questions, Healthcare in Motion explores the dynamic interrelationship between mobility and healthcare, drawing on case studies from across the world and shedding light on the day-to-day practices of patients and professionals.

The technological capacity to transform biology - repairing, reshaping and replacing body parts, chemicals and functions - is now part of our lives. Humanity is confronted with a variety of affordable and non-invasive 'enhancement technologies': anti-ageing medicine, aesthetic surgery, cognitive and sexual enhancers, lifestyle drugs, prosthetics and hormone supplements. This collection focuses on why people find these practices so seductive and provides ethnographic insights into people's motives and aspirations as they embrace or reject enhancement technologies, which are closely entangled with negotiations over gender, class, age, nationality and ethnicity.

Sylhet, the area of Bangladesh most closely associated with overseas migration, has seen an increase in remittances sent home from abroad, introducing new inequalities. Social change has also been mediated by the global forces of Western biomedicine and orthodox Islam. This book examines the effects of these modernizing trends on mental health and on local, traditional healing as the new inequalities have exacerbated existing social tensions and led to increased vulnerability to mental illness. It is the young women of Sylhet who are most affected. The global economy has increased competition for resources and led to marriage being seen as a route to economic advancement. Parents prefer to give their daughters in marriage to families that will widen their social contacts and enhance their economic and social standing. Accordingly, the young wife's outsider status (and hence vulnerability to mental illness) has increased as it is no longer customary to give daughters in marriage to local kin. Yet, patients and their families do not work out tensions passively. They are active agents in the construction of their own diagnosis. The extent to which patients act or are acted upon is an investigation that runs throughout the book.

Alyson Callan is a psychiatrist and anthropologist. She currently works as a consultant psychiatrist in Brent for the Central and North West London NHS Foundation Trust.

Minority populations are often regarded as being 'hard to reach' and evading state expectations of health protection. This ethnographic and archival study analyses how devout Jews in Britain negotiate healthcare services to preserve the reproduction of culture and continuity. This book demonstrates how the transformative and transgressive possibilities of technology reveal multiple pursuits of protection between this religious minority and the state. Making Bodies Kosher advances theoretical perspectives of immunity, and sits at the intersection of medical anthropology, social history and the study of religions.