A timely inquiry into how domestic politics and global health
governance interact in Africa. Global health campaigns, development
aid programs, and disaster relief groups have been criticized for
falling into colonialist patterns, running roughshod over the local
structure and authority of the countries in which they work. Far
from powerless, however, African states play complex roles in
health policy design and implementation. In Africa and Global
Health Governance, Amy S. Patterson focuses on AIDS, the 2014-2015
Ebola outbreak, and noncommunicable diseases to demonstrate why and
how African states accept, challenge, or remain ambivalent toward
global health policies, structures, and norms. Employing in-depth
analysis of media reports and global health data, Patterson also
relies on interviews and focus-group discussions to give voice to
the various agents operating within African health care systems,
including donor representatives, state officials, NGOs,
community-based groups, health activists, and patients. Showing the
variety within broader patterns, this clearly written book
demonstrates that Africa's role in global health governance is
dynamic and not without agency. Patterson shows how, for example,
African leaders engage with international groups, attempting to
maintain their own leadership while securing the aid their people
need. Her findings will benefit health and development
practitioners, scholars, and students of global health governance
and African politics.
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