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.

Drawing from the diverse fields of postcolonial studies, literary studies, history, anthropology, sociology, political science, environmental studies, and development studies, among others, Gender and Sexuality in Senegalese Societies demonstrates the urgency and necessity of new research in gender and queer studies in and on Senegalese societies. By focusing on subjects that have thus far been largely neglected in national and scholarly debates, the chapters are subversive, complex, and inclusive, centering within Senegalese studies themes and elements of alternative, nonbinary, variant, and nonheteronormative gender identities, sexualities, and voices. Contributors demonstrate that nationalist and anticolonial discourses propelled by deep and lingering socioeconomic inequalities have led, in postcolonial Senegal, to vitriolic scapegoating of individuals and communities with variant sexual and gender identities. The chapters in this volume look inward to the voices and experiences of the Senegalese people to challenge nationalist representations of advocacy for the liberation of gender and sexual minorities in Senegal as a function of a Western neocolonialist agenda.

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.