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 '70s, when many newly independent
African governments pursued the vision of public health "for all,"
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.
Contributors: P. Wenzel Geissler; Murray Last; Rebecca Marsland;
Lotte Meinert; Benson A. Mulemi; Ruth J. Prince; and Noemi
Tousignant.
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