Medical research has been central to biomedicine in Africa for over a century, and Africa, along with other tropical areas, has been crucial to the development of medical science. At present, study populations in Africa participate in an increasing number of medical research projects and clinical trials, run by both public institutions and private companies. Global debates about the politics and ethics of this research are growing and local concerns are prompting calls for social studies of the "trial communities" produced by this scientific work. Drawing on rich, ethnographic and historiographic material, this volume represents the emergent field of anthropological inquiry that links Africanist ethnography to recent concerns with science, the state, and the culture of late capitalism in Africa.

Based on several years of ethnographic fieldwork, the book explores life in and around a Luo-speaking village in western Kenya during a time of death. The epidemic of HIV/AIDS affects every aspect of sociality and pervades villagers' debates about the past, the future and the ethics of everyday life. Central to such debates is a discussion of touch in the broad sense of concrete, material contact between persons. In mundane practices and in ritual acts, touch is considered to be key to the creation of bodily life as well as social continuity. Underlying the significance of material contact is its connection with growth - of persons and groups, animals, plants and the land - and the forward movement of life more generally. Under the pressure of illness and death, economic hardship and land scarcity, as well as bitter struggles about the relevance and application of Christianity and 'Luo tradition' in daily life, people find it difficult to agree about the role of touch in engendering growth, or indeed about the aims of growth itself.

Medical research has been central to biomedicine in Africa for over a century, and Africa, along with other tropical areas, has been crucial to the development of medical science. At present, study populations in Africa participate in an increasing number of medical research projects and clinical trials, run by both public institutions and private companies. Global debates about the politics and ethics of this research are growing and local concerns are prompting calls for social studies of the "trial communities" produced by this scientific work. Drawing on rich, ethnographic and historiographic material, this volume represents the emergent field of anthropological inquiry that links Africanist ethnography to recent concerns with science, the state, and the culture of late capitalism in Africa.

What is the value of medical research? With contributions from anthropologists, sociologists and activists, this approach brings into focus the forms of value - social, epistemic, and economic - that are involved in medical research practices and how these values intersect with everyday living. Though their work covers wide empirical ground -from HIV trials in Kenya and drug donation programs in Tanzania to industry-academic collaborations in the British National Health Service - the authors share a commitment to understanding the practices of medical research as embedded in both local social worlds and global markets. Their collective concern is to rethink the conventional ethical demarcations betwweenpaid and unpaid research services in light of the social and material organisation of medical research practices. . Rather than warn against economic incursions into medical knowledge and health practice, or, alternatively, the reduction of local experience to the standards of bioethics, we hope to illuminate the array of practices, knowledges, and techniques through which the value of medical research is brought into being. This book was originally published as a special issue of Journal of Cultural Economy.

Based on several years of ethnographic fieldwork, the book explores life in and around a Luo-speaking village in western Kenya during a time of death: the epidemic of HIV/AIDS, which by the turn of the century had affected every aspect of sociality and pervaded villagers' debates about the past, the future and the ethics of everyday life. Central to such debates is a concern with touch in the broad sense of concrete, material contact between persons. In mundane practices as much as in ritual acts, touch is considered to be key to the creation of bodily life as well as social continuity. Underlying the significance of material contact is its connection with growth - of persons and groups, animals, plants and the land - and the forward movement of life more generally. Under the pressure of illness and death, economic hardship and land scarcity, as well as bitter struggles about the relevance and application of Christianity and "Luo tradition" in daily life, people found it difficult to agree about the role of touch in engendering growth, or indeed about the aims of growth itself. Yet they drew upon shared experiences and imaginaries in their struggles to restore a forward direction to their lives.

What is the value of medical research? With contributions from anthropologists, sociologists and activists, this approach brings into focus the forms of value - social, epistemic, and economic - that are involved in medical research practices and how these values intersect with everyday living. Though their work covers wide empirical ground -from HIV trials in Kenya and drug donation programs in Tanzania to industry-academic collaborations in the British National Health Service - the authors share a commitment to understanding the practices of medical research as embedded in both local social worlds and global markets. Their collective concern is to rethink the conventional ethical demarcations betwweenpaid and unpaid research services in light of the social and material organisation of medical research practices. . Rather than warn against economic incursions into medical knowledge and health practice, or, alternatively, the reduction of local experience to the standards of bioethics, we hope to illuminate the array of practices, knowledges, and techniques through which the value of medical research is brought into being. This book was originally published as a special issue of Journal of Cultural Economy.

Conducting good, ethical global health research is more important than ever. Increased global mobility and connectivity mean that in today's world there is no such thing as 'local health'. How we experience the effects of disease may be shaped by our social and economic differences, but the sick in one part of the world and the healthy in another are connected through economics, politics, media, and imagination, as well as by the infectiousness of disease. Global health research carried out through transnational collaboration is one crucial way in which people from far-flung geographic regions relate to each other. Good global health research and the relationships it creates, therefore, concerns us all. This book is a collection of fictionalised case studies of everyday ethical dilemmas and challenges, encountered in the process of conducting global health research in places where the effects of global, political and economic inequality are particularly evident. Our aim is to create a training tool which can begin to fill the gap between research ethics guidelines, and their implementation 'on the ground'.The case studies, therefore, focus on 'relational' ethics: ethical actions and ideas that emerge through relations with others, rather than in regulations. The case studies are based on stories and experiences collected by a group of anthropologists who have worked with leading transnational medical research organisations across Africa in the past decade. The stories have been anonymised, combined with each other, and substantially altered in order to provide 'stumbling stones' to start discussion, without naming real places or situations. As a collection, these stories offer a flexible resource for training across a variety of contexts, such as medical research organisations, universities, collaborative sites, and NGOs. We hope they will encourage global health researchers to think - and talk - about their everyday experiences and practices, and about ethics, in a new light.

Medical anthropology is playing an increasingly important role in public health. This book provides an introduction to the basic concepts, approaches and theories used, and shows how these contribute to understanding complex health related behaviour. Public health policies and interventions are more likely to be effective if the beliefs and behaviour of people are understood and taken into account. The book examines: Concepts of culture Medical systems Patient's experience of illness and treatment The use of medicines and healing practices Public health and medical research Examples of particular health problems, such as HIV and malaria, are used to show how an anthropological approach can contribute to both a better understanding of health and illness and to more culturally compatible public health measures.Series Editors: Rosalind Plowman and Nicki Thorogood.

This new book is an edited volume of essays that examine the legacy of architecture in a number of African countries soon after independence. It has its origins in an exhibition and symposium that focused on architecture as an element in Nordic countries' aid packages to newly independent states, but the expanded breadth of the essays includes work on other countries and architects. Drawing on ethnography, archival research and careful observations of buildings, remains and people, the case studies seek to connect the colonial and postcolonial origins of modernist architecture, the historical processes they underwent, and present use and habitation. It results from the 2015 seminar and exhibition Forms of Freedom at the National Museum of Art, Architecture and Design in Oslo, Norway. The exhibition showed how modern Scandinavian architecture became an essential component of foreign aid to East Africa in the period 1960-80, and how the ideals of the Nordic welfare system found expression in a number of construction projects. The seminar, which built upon the exhibition as well as on a previous collaboration on the legacies of modernism in Africa between the Department of Anthropology of the University of Oslo and the Department of Architecture and Urban Planning from Ghent University, broadened the geographic scope of the discussion beyond the Scandinavian context, and set the ground for bringing together the disciplines of architectural history and social anthropology. Primary readership will be among architects and architectural historians, and graduate level architecture and urban studies students, for whom it will be valuable course material, as well as those in fields such as African studies and anthropology. It may also be of interest to those working or researching in public policy and political history.

This book presents a close look at the vestiges of twentieth-century medical work at five key sites in Africa: Senegal, Nigeria, Cameroon, Kenya and Tanzania. The authors aim to understand the afterlife of scientific institutions and practices and the 'aftertime' of scientific modernity and its attendant visions of progress and transformation. Straightforward scholarly work is juxtaposed here with altogether more experimental approaches to fieldwork and analysis, including interview fragments; brief, reflective essays; and a rich photographic archive. The result is an unprecedented view of the lingering traces of medical science from Africa's past.  

In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and - albeit sometimes counterintuitively - trust for their people. "The state" has morphed into the "para-state" - not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the "global health" paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional. Contributors. Uli Beisel, Didier Fassin, P. Wenzel Geissler, Rene Gerrets, Ann Kelly, Guillaume Lachenal, John Manton, Lotte Meinert, Vinh-Kim Nguyen, Branwyn Poleykett, Susan Reynolds Whyte

In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and - albeit sometimes counterintuitively - trust for their people. "The state" has morphed into the "para-state" - not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the "global health" paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional. Contributors. Uli Beisel, Didier Fassin, P. Wenzel Geissler, Rene Gerrets, Ann Kelly, Guillaume Lachenal, John Manton, Lotte Meinert, Vinh-Kim Nguyen, Branwyn Poleykett, Susan Reynolds Whyte