Western pharmaceuticals are flooding the Third World. Injections, capsules and tablets are available in city markets and village shops, from 'traditional' practitioners and street vendors, as well as from more orthodox sources like hospitals. Although many are aware of this 'pharmaceutical invasion', little has been written about how local people perceive and use these products. This book is a first attempt to remedy that situation. It presents studies of the ways Western medicines are circulated and understood in the cities and rural areas of Africa, Asia and Latin America. We feel that such a collection is long overdue for two reasons. The first is a practical one: people dealing with health problems in developing countries need information about local situations and they need examples of methods they can use to examine the particular contexts in which they are working. We hope that this book will be useful for pharmacists, doctors, nurses, health planners, policy makers and concerned citizens, who are interested in the realities of drug use. Why do people want various kinds of medicine? How do they evaluate and choose them and how do they obtain them? The second reason for these studies of medicines is to fill a need in medical anthropology as a field of study. Here we address our colleagues in anthropol ogy, medical sociology and related disciplines."

Although violent conflict has declined in northern Uganda, tensions and mistrust concerning land have increased. Residents try to deal with acquisitions by investors and exclusions from forests and wildlife reserves. Land wrangles among neighbours and relatives are widespread. The growing commodification of land challenges ideals of entrustment for future generations. Using extended case studies, collaborating researchers analyze the principles and practices that shape access to land. Contributors examine the multiplicity of land claims, the nature of transactions and the management of conflicts. They show how access to land is governed through intimate relations of gender, generation and belonging.

During the first decade of this millennium, many thousands of people in Uganda who otherwise would have died from AIDS got second chances at life. A massive global health intervention, the scaling up of antiretroviral therapy (ART), saved them and created a generation of people who learned to live with treatment. As clients they joined programs that offered free antiretroviral medicine and encouraged "positive living." Because ART is not a cure but a lifelong treatment regime, its consequences are far-reaching for society, families, and individuals. Drawing on personal accounts and a broad knowledge of Ugandan culture and history, the essays in this collection explore ART from the perspective of those who received second chances. Their concerns about treatment, partners, children, work, food, and bodies reveal the essential sociality of Ugandan life. The collection is based on research undertaken by a team of social scientists including both Western and African scholars.
"Contributors." Phoebe Kajubi, David Kyaddondo, Lotte Meinert, Hanne O. Mogensen, Godfrey Etyang Siu, Jenipher Twebaze, Michael A. Whyte, Susan Reynolds Whyte

Grassroots researchers examine the barriers and ways of implementing the UN Convention on the Rights of Persons with Disabilities (CRPD) in Africa. Many have praised the United Nations Convention on the Rights of Persons with Disabilities (CRPD), first adopted by the UN in 2006, as a revolutionary step towards disability rights in Africa. But how real is the progress towards equality for persons with physical disabilities, mental health difficulties, blindness, deafness or albinism? What are the barriers to the CRPD's successful implementation on the continent, and how might we enforce inclusiveness and equality among those disadvantaged? This book brings together the findings of researchers in Ghana, Cameroon, Nigeria, Ethiopia, Uganda, Kenya, Zimbabwe and South Africa to offer grassroots' perspectives on the challenges and possibilities of achieving disability rights under the CRPD. Challenging the generally optimistic view presented to date, the contributors provide evidence-based trenchant critiques of the Convention, highlight the ways in which disability rights are interpreted in varying contexts and with different disabilities, and examine particular issues in relation to children and women. Finally, the contributors suggest ways of moving forward and achieving disability rights in Africa.

Western pharmaceuticals are flooding the Third World. Injections, capsules and tablets are available in city markets and village shops, from 'traditional' practitioners and street vendors, as well as from more orthodox sources like hospitals. Although many are aware of this 'pharmaceutical invasion', little has been written about how local people perceive and use these products. This book is a first attempt to remedy that situation. It presents studies of the ways Western medicines are circulated and understood in the cities and rural areas of Africa, Asia and Latin America. We feel that such a collection is long overdue for two reasons. The first is a practical one: people dealing with health problems in developing countries need information about local situations and they need examples of methods they can use to examine the particular contexts in which they are working. We hope that this book will be useful for pharmacists, doctors, nurses, health planners, policy makers and concerned citizens, who are interested in the realities of drug use. Why do people want various kinds of medicine? How do they evaluate and choose them and how do they obtain them? The second reason for these studies of medicines is to fill a need in medical anthropology as a field of study. Here we address our colleagues in anthropol ogy, medical sociology and related disciplines."

Some of the most interesting ethnographies of experience are concerned to highlight the indeterminate nature of life. Questioning Misfortune is very much within this tradition. Based on a long-term study of adversity and its social causes in Bunyole, eastern Uganda, it considers the way in which people deal with uncertainties of life, such as sickness, suffering, marital problems, failure, and death. Divination may identify causes of misfortune, ranging from ancestors and spirits to sorcerers. Sufferers and their families will then try out a variety of remedial measures, including pharmaceuticals, sorcery antidotes, and sacrifices. But remedies often fail, and doubt and uncertainty persist. Even the commercialisation of biomedicine, and the peril of AIDS can be understood in terms of a pragmatics of uncertainty.

The focus of this book is medicines (swallowed, injected, rubbed on), as understood by anthropologists concerned solely with their social uses. The text begins with examples of a mother medicating a child in various cultural contexts and ends with a broad review of the complex elements that determine the production and use of medicines. Since 1993, Cambridge Studies in Medical Anthropology has offered researchers and instructors monographs and edited collections of leading scholarship in one of the most lively and popular subfields of cultural and social anthropology. Beginning in 2002, the CSMA series presents theme booksworks that synthesize emerging scholarship from relatively new subfields or that reinterpret the literature of older ones. Designed as course material for advanced undergraduates, graduate students, and for professionals in related areas (physicians, nurses, public health workers, and medical sociologists), these theme books will demonstrate how work in medical anthropology is carried out and convey the importance of a given topic for a wide variety of readers. About 160 pages in length, the theme books are not simply staid reviews of the literature. They are, instead, new ways of conceptualizing topics in medical anthropology that take advantage of current research and the growing edges of the field.

This study of adversity and its social causes in rural Uganda considers how people deal with life's uncertainties--sickness, suffering, marital problems, failure, and death. Divination may identify causes of misfortune, ranging from ancestors and spirits to sorcerers. Sufferers and their families will then try out a variety of remedial measures, including pharmaceuticals, sorcery substances, and sacrifices. But remedies often fail, and doubt and uncertainty persist. The peril of AIDS can also be understood in terms of the existing pattern of uncertainty.

During the first decade of this millennium, many thousands of people in Uganda who otherwise would have died from AIDS got second chances at life. A massive global health intervention, the scaling up of antiretroviral therapy (ART), saved them and created a generation of people who learned to live with treatment. As clients they joined programs that offered free antiretroviral medicine and encouraged "positive living." Because ART is not a cure but a lifelong treatment regime, its consequences are far-reaching for society, families, and individuals. Drawing on personal accounts and a broad knowledge of Ugandan culture and history, the essays in this collection explore ART from the perspective of those who received second chances. Their concerns about treatment, partners, children, work, food, and bodies reveal the essential sociality of Ugandan life. The collection is based on research undertaken by a team of social scientists including both Western and African scholars.
"Contributors." Phoebe Kajubi, David Kyaddondo, Lotte Meinert, Hanne O. Mogensen, Godfrey Etyang Siu, Jenipher Twebaze, Michael A. Whyte, Susan Reynolds Whyte

The articles in 'Dealing with Uncertainty in Contemporary African Lives' are based largely on work in Tanzania which has been spared much of the turmoil that elsewhere has uprooted populations and destroyed communities. Nevertheless they illuminate phenomena common throughout sub-Saharan Africa as modernity in its many guises undercuts old certainties, outmodes established knowledge of how to order life and deal with crises, introduces new hazards, and frustrates ambition and expectations. But as the editors, Haram and Yamba, point out, uncertainty and insecurity have a positive side, providing the basis for 'curiosity and exploration'. The case studies demonstrate both the increasing uncertainty and insecurity of life in contemporary Africa and the ways that people respond, including warding off and reaching out. Scapegoats are sought. Witch beliefs become elaborated as explanations of failures and malaise while witchfinding becomes a lucrative profession. Pentecostal or other fundamentalist churches burgeon as they assure people that life has meaning and better times are before them if only they believe. Suicide and insanity are other possible responses. All in all, a thought-provoking volume. Elizabeth Colson, Professor Emeritus, University of California, Berkeley

The lives of many disabled people in Europe and North America have improved over the past two decades through innovative technologies and the efforts of the disability rights movement. These changes have been spreading to other societies around the globe--albeit unevenly. In this collection of essays, leading scholars explore global changes in disability awareness, technology, and policy from the viewpoint of disabled people and their families in a wide range of local contexts. The authors report on ethnographic research in Brazil, Uganda, Botswana, Somalia, Britain, Israel, China, Egypt, India, and Japan. They address the definition of disability, the new eugenics, human rights in local contexts, domestic and state citizenship of disabled people, and issues of identity and belonging.

Spurred by the United Nation's International Decade for Disabled Persons and medical anthropology's coming of age, anthropologists have recently begun to explore the effects of culture on the lives of the mentally and physically impaired. This major collection of essays both reframes disability in terms of social processes and offers for the first time a global, multicultural perspective on the subject. Using research undertaken in a wide variety of settings--from a longhouse in central Borneo to a community of Turkish immigrants in Stockholm--contributors explore the significance of mental, sensory, and motor impairments in light of fundamental, culturally determined assumptions about humanity and personhood.