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In Health in Ruins César Ernesto Abadía-Barrero chronicles the story of El Materno—Colombia’s oldest maternity and neonatal health center and teaching hospital—over several decades as it faced constant threats of government shutdown. Using team-based and collaborative ethnography to analyze the social life of neoliberal health policy, Abadía-Barrero details the everyday dynamics around teaching, learning, and working in health care before, during, and after privatization. He argues that health care privatization is not only about defunding public hospitals; it also ruins rich traditions of medical care by denying or destroying ways of practicing medicine that challenge Western medicine. Despite radical cuts in funding and a corrupt and malfunctioning privatized system, El Materno’s professors, staff, and students continued to find ways to provide innovative, high-quality, and noncommodified health care. By tracking the violences, conflicts, hopes, and uncertainties that characterized the struggles to keep El Materno open, Abadía-Barrero demonstrates that any study of medical care needs to be embedded in larger political histories.
Of the more than 40 million people around the world currently living with HIV/AIDS, two million live in Latin America and the Caribbean. In an engaging chronicle illuminated by his travels in the region, Shawn Smallman shows how the varying histories and cultures of the nations of Latin America have influenced the course of the pandemic. He demonstrates that a disease spread in an intimate manner is profoundly shaped by impersonal forces. In Latin America, Smallman explains, the AIDS pandemic has fractured into a series of subepidemics, driven by different factors in each country. Examining cultural issues and public policies at the country, regional, and global levels, he discusses why HIV ...
“Salud en ruinas” relata varias décadas de la historia de El Materno, el hospital universitario y centro de atención en salud maternal y neonatal más antiguo de Colombia, mientras enfrentaba amenazas constantes de cierre por parte del gobierno. En esta etnografía colaborativa y basada en equipos, salen a flote las dinámicas cotidianas en torno a la enseñanza, el aprendizaje y el trabajo en salud antes, durante y después de la privatización del hospital. Junto con narraciones detalladas de las y los protagonistas de la historia del Materno, el autor analiza la vida social de las políticas neoliberales en salud y argumenta que la privatización de la atención médica no se trata ...
By portraying the circumstances of people living with chronic conditions in radically different contexts, from Alzheimer’s patients in the UK to homeless people with psychiatric disorders in India, Managing Chronicity in Unequal States offers glimpses of what dealing with medically complex conditions in stratified societies means. While in some places the state regulates and intrudes on the most intimate aspects of chronic living, in others it is utterly and criminally absent. Either way, it is a present/absent actor that deeply conditions people’s opportunities and strategies of care. This book explores how individuals, groups and communities navigate uncertain and unequal healthcare sy...
The fully revised new edition of the defining reference work in the field of medical anthropology A Companion to Medical Anthropology, Second Edition provides the most complete account of the key issues and debates in this dynamic, rapidly growing field. Bringing together contributions by leading international authorities in medical anthropology, this comprehensive reference work presents critical assessments and interpretations of a wide range of topical themes, including global and environmental health, political violence and war, poverty, malnutrition, substance abuse, reproductive health, and infectious diseases. Throughout the text, readers explore the global, historical, and political ...
Over the past decade, effective prevention and treatment policies have resulted in global health organizations claiming that the end of the HIV/AIDS crisis is near and that HIV/AIDS is now a chronic but manageable disease. These proclamations have been accompanied by stagnant or decreasing public interest in and financial support for people living with HIV and the organizations that support them, minimizing significant global disparities in the management and control of the HIV pandemic. The contributors to this edited collection explore how diverse communities of people living with HIV (PLHIV) and organizations that support them are navigating physical, social, political, and economic challenges during these so-called “post-crisis” times.
Esta obra, publicada en dos tomos, abarca desde abril de 1969 hasta junio de 2019, construye un relato que entreteje los sucesos más relevantes de la historia colombiana e internacional, con la historia de las políticas de salud y de la educación médica, para comprender los procesos internos de la Facultad de manera crítica e integral. Para contar esta historia se establecieron dos grandes periodos, además de los antecedentes de 1965 a 1969. El primer periodo (Tomo I), se inició en 1969. El segundo período (Tomo II) inició en 2000, cuando se terminó el contrato entre la Universidad del Rosario y la Sociedad de Cirugía de Bogotá, y la Facultad de Medicina comenzó a depender exclu...
A comienzos de la década de 1970, un grupo de intelectuales colombianos liderados por el innovador sociólogo Orlando Fals Borda creó un colectivo dedicado a la investigación-activista, llamado La Rosca de Investigación y Acción Social. Mediante una combinación de sociología e investigación histórica con un compromiso firme con movimientos sociales de base, Fals Borda y sus colegas colaboraron con organizaciones indígenas y campesinas en diferentes regiones de Colombia. En El cobarde no hace historia, Joanne Rappaport analiza el desarrollo de la investigación-acción participativa en la Costa Caribe y explica que Fals Borda abandonó los marcos investigativos positivistas tradicio...
This book explores the legacy of the Latin American Social Medicine and Collective Health (LASM-CH) movements and other key approaches—including human rights activism and popular opposition to neoliberal governance—that have each distinguished the struggle for collective health in Latin America during the twentieth and now into the twnety-first century. At a time when global health has been pushed to adopt increasingly conservative agendas in the wake of global financial crisis and amidst the rise of radical-right populist politics, attention to the legacies of Latin America’s epistemological innovations and social movement action are especially warranted. This collection addresses thr...
This volume explores how Colombian novelists, artists, performers, activists, musicians, and others seek to enact—to perform, to stage, to represent—human rights situations that are otherwise enacted discursively, that is, made public or official, in juridical and political realms in which justice often remains an illusory or promised future. In order to probe how cultural production embodies the tensions between the abstract universality of human rights and the materiality of violations on individual human bodies and on determined groups, the volume asks the following questions: How does the transmission of historical traumas of Colombia’s past, through human rights narratives in vari...