The encounter between Africans and the West in early South Africa
is as much about Africans as victims as it is about their agency.
While the crude power of the West to subjugate Africans for
colonial service was real, it is generally over-estimated. The idea
that western traditions of education, health and family life just
transformed subjugated Africans needs nuancing. Using the
experiences of Africans on the south-eastern coast, modern-day
KwaZulu-Natal, this work suggests that the evolution of western
medicine was conditioned as much by colonial Christian interests as
by African agency. Whether as patients of medical missionaries in
the countryside or as workers in medical establishments, Africans
were no mere victims of the system, but they worked to appropriate
and adapt new health regimes as they contended with general
sickness and newly introduced diseases. Often, they annoyed the
purveyors of western health civilisation by seeking to appropriate
rather than merely submit to their 'superior' medical care. This
work provides some insights for use in understanding ways of
working with the poor Africans in their struggles against poverty
and disease today.
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