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008 150319s2015 xx |||||o ||| 0|eng d
020 _a9780822357490
020 _aOAPEN_530530
024 7 _a10.26530/OAPEN_530530
_2doi
040 _aoapen
_coapen
041 0 _aeng
042 _adc
072 7 _a1H
_2bicssc
072 7 _aJH
_2bicssc
072 7 _aM
_2bicssc
072 7 _aMBNH
_2bicssc
100 1 _aWenzel Geissler, Paul
_4auth
245 1 0 _aPara-States and Medical Science: Making African Global Health
260 _bDuke University Press
_c2015
300 _a1 online resource (376 p.)
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
490 1 _aCritical Global Health: Evidence, Efficacy, Ethnography
506 0 _aFree-to-read
_fUnrestricted online access
_2star
520 _aIn 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.
540 _aAll rights reserved
_uhttp://oapen.org/content/about-rights
546 _aEnglish
650 7 _aAfrica
_2bicssc
650 7 _aMedicine
_2bicssc
650 7 _aPersonal & public health
_2bicssc
650 7 _aSociology & anthropology
_2bicssc
653 _aafrica
653 _amedicine
653 _apublic health
793 0 _aOAPEN Library.
856 4 0 _uhttp://library.oapen.org/handle/20.500.12657/33231
_70
_zFree-to-read: OAPEN Library: description of the publication
999 _c36419
_d36419