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Africa and Global Health Governance
A timely inquiry into how domestic politics and global health governance interact in Africa. Global health campaigns, development aid programs, and disaster relief groups have been criticized for falling into colonialist patterns, running roughshod over the local structure and authority of the countries in which they work. Far from powerless, however, African states play complex roles in health policy design and implementation. In Africa and Global Health Governance, Amy S. Patterson focuses on AIDS, the 2014–2015 Ebola outbreak, and noncommunicable diseases to demonstrate why and how African states accept, challenge, or remain ambivalent toward global health policies, structures, and norm...
The Politics of AIDS in Africa
The author claims the disease has generally been considered too private, biological, behavioral, and cultural to attract much attention from political scientists, and she sets out to change that. She systematically analyzes how the state, democratic transitions, civil society, and donors influence AIDS policy making. Her conclusion is that uncertainty and unevenness in these four aspects has caused the AIDS fight to be insufficiently institutionalized into African politics.
Africa's Urban Youth
Making up 65 percent of Africa's population, young people between the ages of 18 and 35 play a key role in politics, yet they live in an environment of rapid urbanization, high unemployment rates and poor state services. Drawing from extensive fieldwork in Ghana, Uganda and Tanzania, this book investigates how Africa's urban youth cultivate a sense of citizenship in this challenging environment, and what it means to them to be a 'good citizen'. In interviews and focus group discussions, African youth, activists, and community leaders vividly explain how income, religion, and gender intertwine with their sense of citizenship and belonging. Though Africa's urban youth face economic and political marginalization as well as generational tensions, they craft a creative citizenship identity that is rooted in their relationships and obligations both to each other and the state. Privileging above all the voice and agency of Africa's young people, this is a vital, systematic examination of youth and youth citizenship in urban environments across Africa.
The Church and AIDS in Africa
This book explores the role of the Christian church, broadly and diversely defined as both institutions and communities of believers (although the focus of the analysis is on institutional behaviors), in the politics of HIV/AIDS in Africa. The author creates a typology of church AIDS actions--no response; early, narrow response; early, broad response; late, narrow response; and late, broad response--and seeks explanations for where churches fall within this typology in terms of institutional resources, organizational structures, relations with the state, and global networks.
Dependent Agency in the Global Health Regime
This volume examines how local actors respond to Africa’s high dependence on donor health funds. It focuses on the large infusion of donor money to address HIV and AIDS into Malawi and Zambia and the subsequent slow-down in that funding after 2009. How do local people respond to this dynamic aid architecture and the myriad of opportunities and constraints that accompany it? This book conceptualizes dependent agency, and the condition in which local actors can simultaneously act and be dependent, and investigates conditions under which dependent agency occurs. Drawing upon empirical data from Malawi and Zambia collected between 2005 and 2014, the work interrogates the nuanced strategies of dependent agency: performances of compliance, extraversion, and resistance below the line. The findings elucidate the dynamic interactions between actors which often occur “off stage” but which undergird macro-level development processes.
Medicine in the Meantime
In Mozambique, where more than half of the national health care budget comes from foreign donors, NGOs and global health research projects have facilitated a dramatic expansion of medical services. At once temporary and unfolding over decades, these projects also enact deeply divergent understandings of what care means and who does it. In Medicine in the Meantime, Ramah McKay follows two medical projects in Mozambique through the day-to-day lives of patients and health care providers, showing how transnational medical resources and infrastructures give rise to diverse possibilities for work and care amid constraint. Paying careful attention to the specific postcolonial and postsocialist context of Mozambique, McKay considers how the presence of NGOs and the governing logics of the global health economy have transformed the relations—between and within bodies, medical technologies, friends, kin, and organizations—that care requires and how such transformations pose new challenges for ethnographic analysis and critique.
Africa and the New Globalization
Globalization is not a new phenomenon in the international system. However, the various phases of globalization have had divergent scopes, actors, dimensions and dynamics - that is, each of the phases of globalization can be differentiated according to these terms. Against this background, this book focuses on the 'new globalization', a phase that emerged when the Cold War ended and which is, significantly, the most expansive and technologically advanced of all the phases of globalization. The contributors identify and discuss many of the frontier issues in Africa that are being impacted by the dynamics of this new globalization - debt, human rights, development, state sovereignty, the environment, and the HIV/AIDS pandemic. The volume will hold particular interest for students, scholars and researchers of African and development politics.
Whose Agency
Nongovernmental organizations (NGOs) are ubiquitous in the Global South. Often international in origin, many attempt to assist local efforts to improve the lives of people often living in or near poverty. Yet their external origins often cloud their ability to impact health or quality of life, regardless of whether volunteers are local or foreign. By focusing on one particular type of NGO—those organized to help prevent the spread and transmission of HIV in Kenya—Megan Hershey interrogates the ways these organizations achieve (or fail to achieve) their planned outcomes. Along the way, she examines the slippery slope that is often used to define “success” based on meeting donor-set goals versus locally identified needs. She also explores the complex network of bureaucratic requirements at both the national and local levels that affect the delicate relationships NGOs have with the state. Drawing on extensive, original quantitative and qualitative research, Whose Agency serves as a much-needed case study for understanding the strengths and shortcomings of participatory development and community engagement.
Just Pretending
A debut short story collection from one of Canada's most exciting new Aboriginal voices. "In our family, it was Trish who was Going To Be Trouble; I was Such a Good Girl." At times haunting, at times hilarious, Just Pretending explores the moments in life that send us down pathways predetermined and not-yet-forged. These are the liminal, defining moments that mark irreversible transitions n girl to mother, confinement to freedom, wife to murderer. They are the melodramatic car-crash moments n the outcomes both horrific and too fascinating to tear our eyes from. And they are the unnoticed, infinitely tiny moments, seemingly insignificant (even ridiculous) yet holding the power to alter, to transform, to make strange. What links these stories is a sense of characters working n both with success and without, through action or reaction n to separate reality from perception and to make these moments into their lives' new truths.
Wars of Plunder
From Angola and Iraq to Liberia and the Democratic Republic of Congo, resource-rich countries with high incidences of poverty are prone to devastating outbreaks of war. The character of these conflicts is highly idiosyncratic, and the response of the international community is fascinatingly complex. Philippe Le Billon traces the specific burden of owning the world's most precious resources and the effect of resource politics on the development of war. He also takes a frank look at the international context surrounding such conflicts and its possible underlying motives. Le Billon focuses on three key resources----oil, diamonds, and timber----and the circumstances that link their abundance to war. He discusses the role of resource revenue in financing belligerent forces, a trend that has grown more conspicuous with the withdrawal of Cold War foreign sponsorship. While the War on Terror has altered the terms of military assistance and the nature of war's internationalization, many belligerent actors continue to rely on the profits of conflict resources to survive. Le Billon also examines the exploitation of resources and its creation of unrest.
