Jennifer Prah Ruger
- Published in print:
- 2016
- Published Online:
- May 2017
- ISBN:
- 9781469630359
- eISBN:
- 9781469630373
- Item type:
- chapter
- Publisher:
- University of North Carolina Press
- DOI:
- 10.5149/northcarolina/9781469630359.003.0003
- Subject:
- Political Science, Public Policy
This chapter discusses challenges of global health inequalities in the current global health policy system. It then describes provincial globalism and a shared health governance framework as ...
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This chapter discusses challenges of global health inequalities in the current global health policy system. It then describes provincial globalism and a shared health governance framework as approaches to these challenges. Moral philosophers have for some time argued that global poverty and associated human suffering are universal concerns and that there is a moral obligation, beyond matters of charity, for wealthier countries to do more. Being serious about addressing the problem of global health inequalities requires developing a conception of global health justice. Moreover, addressing global health inequalities requires a reexamination of the norms and principles underlying global institutions in order to offer proposals for a better global health policy. This chapter sketches analytical components of provincial globalism, a framework that takes individuals to be the moral unit in both domestic and global contexts and that improves the prospects of alleviating global health inequalities. Provincial globalism promotes the realization of individuals’ health capabilities and supports a shared health governance that enables institutions to reexamine the objectives, policy goals, and decision-making procedures of the global health architecture. Shared health governance, in turn, provides standards for regulating global and domestic institutions and practices to create the conditions for realizing individuals’ health capabilities.Less
This chapter discusses challenges of global health inequalities in the current global health policy system. It then describes provincial globalism and a shared health governance framework as approaches to these challenges. Moral philosophers have for some time argued that global poverty and associated human suffering are universal concerns and that there is a moral obligation, beyond matters of charity, for wealthier countries to do more. Being serious about addressing the problem of global health inequalities requires developing a conception of global health justice. Moreover, addressing global health inequalities requires a reexamination of the norms and principles underlying global institutions in order to offer proposals for a better global health policy. This chapter sketches analytical components of provincial globalism, a framework that takes individuals to be the moral unit in both domestic and global contexts and that improves the prospects of alleviating global health inequalities. Provincial globalism promotes the realization of individuals’ health capabilities and supports a shared health governance that enables institutions to reexamine the objectives, policy goals, and decision-making procedures of the global health architecture. Shared health governance, in turn, provides standards for regulating global and domestic institutions and practices to create the conditions for realizing individuals’ health capabilities.
Nicole Hassoun
- Published in print:
- 2020
- Published Online:
- July 2020
- ISBN:
- 9780197514993
- eISBN:
- 9780197515020
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780197514993.003.0003
- Subject:
- Philosophy, Political Philosophy
The third chapter presents the book’s new proposal for addressing the access to medicines problem. It suggests that by collecting and analyzing data on global health, people can come up with new ways ...
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The third chapter presents the book’s new proposal for addressing the access to medicines problem. It suggests that by collecting and analyzing data on global health, people can come up with new ways to improve poor people’s access to essential drugs and technologies. It suggests utilizing information about medicines’ global health impact (organized by drug, disease, country, and company) to create incentives for positive change. One possibility is to give pharmaceutical companies with the most impactful drugs a Global Health Impact label to use on all their products. Highly rated companies will have an incentive to use the label to get a larger share of the market. Further, socially responsible investment companies could include Global Health Impact companies in their portfolios. Finally, having a Global Health Impact certification system for pharmaceutical companies would open the door to all kinds of fruitful social activism. One possibility is a Global Health Impact licensing campaign. Pharmaceutical companies rely, to a large extent, on university research and development. So, if universities allow only certified companies to benefit from their technology, companies will have an incentive to abide by Global Health Impact standards.Less
The third chapter presents the book’s new proposal for addressing the access to medicines problem. It suggests that by collecting and analyzing data on global health, people can come up with new ways to improve poor people’s access to essential drugs and technologies. It suggests utilizing information about medicines’ global health impact (organized by drug, disease, country, and company) to create incentives for positive change. One possibility is to give pharmaceutical companies with the most impactful drugs a Global Health Impact label to use on all their products. Highly rated companies will have an incentive to use the label to get a larger share of the market. Further, socially responsible investment companies could include Global Health Impact companies in their portfolios. Finally, having a Global Health Impact certification system for pharmaceutical companies would open the door to all kinds of fruitful social activism. One possibility is a Global Health Impact licensing campaign. Pharmaceutical companies rely, to a large extent, on university research and development. So, if universities allow only certified companies to benefit from their technology, companies will have an incentive to abide by Global Health Impact standards.
Georgia Levenson Keohane
- Published in print:
- 2016
- Published Online:
- September 2017
- ISBN:
- 9780231178020
- eISBN:
- 9780231541664
- Item type:
- chapter
- Publisher:
- Columbia University Press
- DOI:
- 10.7312/columbia/9780231178020.003.0003
- Subject:
- Business and Management, Business Ethics and Corporate Social Responsibility
Looks at the range of innovations that have emerged in recent years to improve financing for global health objectives, and examines various approaches, including global levies like UNITAID and ...
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Looks at the range of innovations that have emerged in recent years to improve financing for global health objectives, and examines various approaches, including global levies like UNITAID and UNITLIFE; an array of market shaping initiatives like prizes and challenges and the GAVI Alliance’s advanced market commitments; a variety of innovations related to debt, including loan forgiveness and ‘debt swaps’ administered through the Global Fund, Pledge Guarantee for Health, the International Finance Facility for Immunization (IFFIm)’s vaccine bonds; and equity investments—impact investment vehicles like the Global Health Investment Fund—that blend philanthropic and commercial capital for drug research and development and other health interventions.Less
Looks at the range of innovations that have emerged in recent years to improve financing for global health objectives, and examines various approaches, including global levies like UNITAID and UNITLIFE; an array of market shaping initiatives like prizes and challenges and the GAVI Alliance’s advanced market commitments; a variety of innovations related to debt, including loan forgiveness and ‘debt swaps’ administered through the Global Fund, Pledge Guarantee for Health, the International Finance Facility for Immunization (IFFIm)’s vaccine bonds; and equity investments—impact investment vehicles like the Global Health Investment Fund—that blend philanthropic and commercial capital for drug research and development and other health interventions.
Shari Dworkin
- Published in print:
- 1942
- Published Online:
- May 2016
- ISBN:
- 9781479806454
- eISBN:
- 9781479819683
- Item type:
- book
- Publisher:
- NYU Press
- DOI:
- 10.18574/nyu/9781479806454.001.0001
- Subject:
- Sociology, Health, Illness, and Medicine
Although the first AIDS cases were attributed to men having sex with men, over 70 percent of HIV infections worldwide are now estimated to occur through sex between women and men. In Men at Risk, ...
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Although the first AIDS cases were attributed to men having sex with men, over 70 percent of HIV infections worldwide are now estimated to occur through sex between women and men. In Men at Risk, Shari L. Dworkin uses sociological thinking (masculinity studies, feminist thought, and intersectionality) to critically evaluate public and global health programming in HIV prevention to date. She highlights how heterosexually-active men have been overlooked in behavioral HIV prevention programming both domestically and globally. The book also centrally challenges common notions of gendered vulnerability and HIV risk by meticulously detailing how and why heterosexually-active men are indeed “at risk” of HIV and AIDS. She highlights interview data collected from men who participated in a relatively new type of health programming with men known as “gender transformative.” She examines the promises and limitations of gender-transformative health programming with men by detailing how men who participate in such programs respond to being asked to change in the direction of increased gender equality in the name of health. Paying simultaneous attention to men’s voices and multi-racial feminist thought, she makes promising suggestions for the next generation of HIV prevention programming by calling for masculinities-based structural interventions that are also empowering to women.Less
Although the first AIDS cases were attributed to men having sex with men, over 70 percent of HIV infections worldwide are now estimated to occur through sex between women and men. In Men at Risk, Shari L. Dworkin uses sociological thinking (masculinity studies, feminist thought, and intersectionality) to critically evaluate public and global health programming in HIV prevention to date. She highlights how heterosexually-active men have been overlooked in behavioral HIV prevention programming both domestically and globally. The book also centrally challenges common notions of gendered vulnerability and HIV risk by meticulously detailing how and why heterosexually-active men are indeed “at risk” of HIV and AIDS. She highlights interview data collected from men who participated in a relatively new type of health programming with men known as “gender transformative.” She examines the promises and limitations of gender-transformative health programming with men by detailing how men who participate in such programs respond to being asked to change in the direction of increased gender equality in the name of health. Paying simultaneous attention to men’s voices and multi-racial feminist thought, she makes promising suggestions for the next generation of HIV prevention programming by calling for masculinities-based structural interventions that are also empowering to women.
Nicole Hassoun
- Published in print:
- 2020
- Published Online:
- July 2020
- ISBN:
- 9780197514993
- eISBN:
- 9780197515020
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780197514993.003.0006
- Subject:
- Philosophy, Political Philosophy
The sixth chapter suggests that examining the prospects for a Global Health Impact labeling and certification campaign might expand the domain of traditional philosophical inquiry in an important ...
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The sixth chapter suggests that examining the prospects for a Global Health Impact labeling and certification campaign might expand the domain of traditional philosophical inquiry in an important way. It presents a proposal for testing consumers’ willingness to make decisions based on a Global Health Impact label. The basic idea is to put a Global Health Impact label on a few over-the-counter products and to collect data on changes in consumers’ willingness to purchase these products compared to otherwise similar generic versions of the products from sales. The chapter explains how carrying out this test might provide an example of a new kind of experimental philosophy. Although most experimental philosophy has focused on individuals’ intuitions and is modeled on the psychological literature, there is a lot of empirical work in other disciplines, and many useful methods are available for answering important questions experimental philosophers might want to address.Less
The sixth chapter suggests that examining the prospects for a Global Health Impact labeling and certification campaign might expand the domain of traditional philosophical inquiry in an important way. It presents a proposal for testing consumers’ willingness to make decisions based on a Global Health Impact label. The basic idea is to put a Global Health Impact label on a few over-the-counter products and to collect data on changes in consumers’ willingness to purchase these products compared to otherwise similar generic versions of the products from sales. The chapter explains how carrying out this test might provide an example of a new kind of experimental philosophy. Although most experimental philosophy has focused on individuals’ intuitions and is modeled on the psychological literature, there is a lot of empirical work in other disciplines, and many useful methods are available for answering important questions experimental philosophers might want to address.
Igor Fedotov
- Published in print:
- 2011
- Published Online:
- May 2011
- ISBN:
- 9780195380002
- eISBN:
- 9780199893881
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195380002.003.0026
- Subject:
- Public Health and Epidemiology, Public Health
The right to a safe and healthy work environment is a fundamental human right. Two organizations within the United Nations system are directly concerned with occupational health: the International ...
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The right to a safe and healthy work environment is a fundamental human right. Two organizations within the United Nations system are directly concerned with occupational health: the International Labor Organization (ILO and the World Health Organization (WHO). In order to achieve this, the ILO formulates international standards in the form of Conventions and Recommendations, dealing with occupational health and safety and other work-related issues and administers the legal framework for occupational health protection in international law. Each covenant and convention is designed to be universally applicable, flexible, viable (feasible) and adaptable as needed. The ILO also develops Codes of Practice in the form of detailed technical specifications that apply to various problems and industries that governments, employers and workers’ organizations can use to determine what should be done. Occupational health and safety standards may be written as guidance for policies, to protect workers from unnecessary risks, to protect workers in certain industries. The WHO investigates the scientific basis for controlling occupational health problems and supports educational programs. Its primary means of doing is the Global Strategy in Occupational Health for All, which is intended to strengthen national infrastructure and services in occupational health and the development of occupational health standards based on scientific risk assessment.Less
The right to a safe and healthy work environment is a fundamental human right. Two organizations within the United Nations system are directly concerned with occupational health: the International Labor Organization (ILO and the World Health Organization (WHO). In order to achieve this, the ILO formulates international standards in the form of Conventions and Recommendations, dealing with occupational health and safety and other work-related issues and administers the legal framework for occupational health protection in international law. Each covenant and convention is designed to be universally applicable, flexible, viable (feasible) and adaptable as needed. The ILO also develops Codes of Practice in the form of detailed technical specifications that apply to various problems and industries that governments, employers and workers’ organizations can use to determine what should be done. Occupational health and safety standards may be written as guidance for policies, to protect workers from unnecessary risks, to protect workers in certain industries. The WHO investigates the scientific basis for controlling occupational health problems and supports educational programs. Its primary means of doing is the Global Strategy in Occupational Health for All, which is intended to strengthen national infrastructure and services in occupational health and the development of occupational health standards based on scientific risk assessment.
Kent Buse, Lawrence Gostin, and Eric Friedman
- Published in print:
- 2014
- Published Online:
- August 2014
- ISBN:
- 9780199688999
- eISBN:
- 9780191768118
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199688999.003.0004
- Subject:
- Law, Medical Law
This chapter focuses on the global initiative—the Joint Action and Learning Initiative on National and Global Responsibilities for Health (JALI)— which seeks to establish a Framework Convention on ...
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This chapter focuses on the global initiative—the Joint Action and Learning Initiative on National and Global Responsibilities for Health (JALI)— which seeks to establish a Framework Convention on Global Health (FCGH). It outlines the JALI’s manifesto on global health justice and a FCGH; discusses how powerful vested interests are vigorously resisting the FCGH; and considers the role of transnational advocacy coalitions. Drawing on a conceptual framework in policy sciences literature—one which explains that policy change results from interactions between ‘interests’, ‘ideas’, and ‘institutions’—the chapter discusses how developments in each of these three streams may influence the strategies JALI and how the movements it fosters, supports, and allies itself can influence future inter-governmental negotiations on a Convention.Less
This chapter focuses on the global initiative—the Joint Action and Learning Initiative on National and Global Responsibilities for Health (JALI)— which seeks to establish a Framework Convention on Global Health (FCGH). It outlines the JALI’s manifesto on global health justice and a FCGH; discusses how powerful vested interests are vigorously resisting the FCGH; and considers the role of transnational advocacy coalitions. Drawing on a conceptual framework in policy sciences literature—one which explains that policy change results from interactions between ‘interests’, ‘ideas’, and ‘institutions’—the chapter discusses how developments in each of these three streams may influence the strategies JALI and how the movements it fosters, supports, and allies itself can influence future inter-governmental negotiations on a Convention.
Nicole Hassoun
- Published in print:
- 2020
- Published Online:
- July 2020
- ISBN:
- 9780197514993
- eISBN:
- 9780197515020
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780197514993.001.0001
- Subject:
- Philosophy, Political Philosophy
Every year 9 million people are diagnosed with tuberculosis, every day more than 13,400 people are infected with AIDs, every 30 seconds malaria kills a child. Many people suffer and die young because ...
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Every year 9 million people are diagnosed with tuberculosis, every day more than 13,400 people are infected with AIDs, every 30 seconds malaria kills a child. Many people suffer and die young because they cannot access essential medicines. This book argues that people have a right to access these medicines and proposes some new Global Health Impact labeling, investment, and licensing strategies that encourage pharmaceutical companies to improve global health (global-health-impact.org/new). The idea is to rate these companies based on their medicines’ impacts. Highly rated companies will get a Global Health Impact label to use on their products. Socially responsible investment companies and universities might also take the ratings into account in making investment or licensing decisions. After arguing that people do have a right to access essential medicines, this book explores this proposal, its philosophical justification, and its prospects for success.Less
Every year 9 million people are diagnosed with tuberculosis, every day more than 13,400 people are infected with AIDs, every 30 seconds malaria kills a child. Many people suffer and die young because they cannot access essential medicines. This book argues that people have a right to access these medicines and proposes some new Global Health Impact labeling, investment, and licensing strategies that encourage pharmaceutical companies to improve global health (global-health-impact.org/new). The idea is to rate these companies based on their medicines’ impacts. Highly rated companies will get a Global Health Impact label to use on their products. Socially responsible investment companies and universities might also take the ratings into account in making investment or licensing decisions. After arguing that people do have a right to access essential medicines, this book explores this proposal, its philosophical justification, and its prospects for success.
Nicole Hassoun
- Published in print:
- 2012
- Published Online:
- January 2013
- ISBN:
- 9780748646920
- eISBN:
- 9780748676682
- Item type:
- chapter
- Publisher:
- Edinburgh University Press
- DOI:
- 10.3366/edinburgh/9780748646920.003.0011
- Subject:
- Political Science, International Relations and Politics
Global inequality impacts global health. The rich can, but the poor cannot, access many of the existing medicines they need. This paper considers the prospects for rating pharmaceutical companies' ...
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Global inequality impacts global health. The rich can, but the poor cannot, access many of the existing medicines they need. This paper considers the prospects for rating pharmaceutical companies' efforts to extend access on essential medicines to the poor. It argues that it is possible to design a good rating system – one that rewards highly rated companies for doing things that actually promote global health. It also suggests that practical work on promoting global health can yield interesting philosophical questions and conclusions by highlighting some of the normative choices that are important to address in developing a good rating system.Less
Global inequality impacts global health. The rich can, but the poor cannot, access many of the existing medicines they need. This paper considers the prospects for rating pharmaceutical companies' efforts to extend access on essential medicines to the poor. It argues that it is possible to design a good rating system – one that rewards highly rated companies for doing things that actually promote global health. It also suggests that practical work on promoting global health can yield interesting philosophical questions and conclusions by highlighting some of the normative choices that are important to address in developing a good rating system.
Colin Palfrey
- Published in print:
- 2018
- Published Online:
- January 2019
- ISBN:
- 9781447341239
- eISBN:
- 9781447341277
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447341239.003.0007
- Subject:
- Public Health and Epidemiology, Public Health
This chapter considers international perspectives in the area of health promotion. It begins with an overview of health promotion as a global enterprise, citing major developments such as the ...
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This chapter considers international perspectives in the area of health promotion. It begins with an overview of health promotion as a global enterprise, citing major developments such as the founding of the World Health Organization (WHO), the Alma Ata Declaration, and the introduction of the notion of the social determinants of health by Thomas McKeown. It then examines the Ottawa Charter for Health Promotion (1986) and the five health promotion areas that it identified for achieving better health: building healthy public policy, creating supportive environments, strengthening community action, developing personal skills, and reorienting health services. The chapter goes on to discuss other international health promotion initiatives, including the Bangkok Charter for Health Promotion in a Globalized World (2005) and the Helsinki Global Conference on Health Promotion (2013). Finally, it analyses the role of the WHO in health promotion, along with the issues of health inequalities and health inequities.Less
This chapter considers international perspectives in the area of health promotion. It begins with an overview of health promotion as a global enterprise, citing major developments such as the founding of the World Health Organization (WHO), the Alma Ata Declaration, and the introduction of the notion of the social determinants of health by Thomas McKeown. It then examines the Ottawa Charter for Health Promotion (1986) and the five health promotion areas that it identified for achieving better health: building healthy public policy, creating supportive environments, strengthening community action, developing personal skills, and reorienting health services. The chapter goes on to discuss other international health promotion initiatives, including the Bangkok Charter for Health Promotion in a Globalized World (2005) and the Helsinki Global Conference on Health Promotion (2013). Finally, it analyses the role of the WHO in health promotion, along with the issues of health inequalities and health inequities.
Nir Eyal
- Published in print:
- 2012
- Published Online:
- May 2015
- ISBN:
- 9780195379907
- eISBN:
- 9780190267711
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:osobl/9780195379907.003.0010
- Subject:
- Philosophy, Moral Philosophy
This chapter introduces the Global-Health Impact Labels (GHILs), which are a form of accreditation awarded to corporations that have made significant impact on global health. Though the idea is not ...
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This chapter introduces the Global-Health Impact Labels (GHILs), which are a form of accreditation awarded to corporations that have made significant impact on global health. Though the idea is not without its criticisms, it can at least be implemented in the medical tourism industry in order to alleviate brain drain concerns in developing countries.Less
This chapter introduces the Global-Health Impact Labels (GHILs), which are a form of accreditation awarded to corporations that have made significant impact on global health. Though the idea is not without its criticisms, it can at least be implemented in the medical tourism industry in order to alleviate brain drain concerns in developing countries.
Garrett Wallace Brown
- Published in print:
- 2012
- Published Online:
- January 2013
- ISBN:
- 9780748646920
- eISBN:
- 9780748676682
- Item type:
- chapter
- Publisher:
- Edinburgh University Press
- DOI:
- 10.3366/edinburgh/9780748646920.003.0006
- Subject:
- Political Science, International Relations and Politics
This chapter argues that current theorizing about global health rests on opposing ontological worldviews about what global health should prioritize and that these presuppositions result in ...
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This chapter argues that current theorizing about global health rests on opposing ontological worldviews about what global health should prioritize and that these presuppositions result in distinctively antagonistic normative demands about how we should calculate the distribution of global health. In order to understand these existing antagonisms, this chapter will explore three diverse normative arguments (the proximity/statist thesis, lifeboat ethics and the cosmopolitan approach) regarding why we might have global health responsibilities and to further examine their relationship to distributive principles for the alleviation of global health inequalities. It is through this process of comparative investigation that the philosophical attractiveness of a cosmopolitan approach to global health will be stressed.Less
This chapter argues that current theorizing about global health rests on opposing ontological worldviews about what global health should prioritize and that these presuppositions result in distinctively antagonistic normative demands about how we should calculate the distribution of global health. In order to understand these existing antagonisms, this chapter will explore three diverse normative arguments (the proximity/statist thesis, lifeboat ethics and the cosmopolitan approach) regarding why we might have global health responsibilities and to further examine their relationship to distributive principles for the alleviation of global health inequalities. It is through this process of comparative investigation that the philosophical attractiveness of a cosmopolitan approach to global health will be stressed.
Britt Halvorson
- Published in print:
- 2018
- Published Online:
- January 2019
- ISBN:
- 9780226557120
- eISBN:
- 9780226557434
- Item type:
- chapter
- Publisher:
- University of Chicago Press
- DOI:
- 10.7208/chicago/9780226557434.003.0005
- Subject:
- Anthropology, African Cultural Anthropology
This chapter focuses on the emergence and experiences of Merina and Betsileo Malagasy Lutheran doctors and administrators who act as cultural translators or “middle figures” to the two American NGOs ...
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This chapter focuses on the emergence and experiences of Merina and Betsileo Malagasy Lutheran doctors and administrators who act as cultural translators or “middle figures” to the two American NGOs (cf. Hunt 1999). Rooting this subject position in Malagasy cultural practices of ethnic and regional differentiation, the chapter compares the role of Merina and Betsileo Malagasy physicians in the American aid relationship to the deeper cultural history of Merina-Anglo Protestant alliances well-documented in Malagasy ethnography and history. It examines three cultural activities – narratives that depict Malagasy Christian doctors as keepers of the Christian quality of medical care, medical case studies, and Malagasy doctors’ visits to U.S. Christian global health conferences – through which Merina and Betsileo physicians rework and perform the category expectations of this aid subjectivity, which combines qualities of the medical doctor, humanitarian and foreign missionary. The sum of these parts is a view of aid subjectivities as dynamic cultural formations that emerge from a confluence of factors, compelled into action through the conditions of aid while being rooted in Malagasy cultural histories and worked upon and transformed by both Malagasy and Americans.Less
This chapter focuses on the emergence and experiences of Merina and Betsileo Malagasy Lutheran doctors and administrators who act as cultural translators or “middle figures” to the two American NGOs (cf. Hunt 1999). Rooting this subject position in Malagasy cultural practices of ethnic and regional differentiation, the chapter compares the role of Merina and Betsileo Malagasy physicians in the American aid relationship to the deeper cultural history of Merina-Anglo Protestant alliances well-documented in Malagasy ethnography and history. It examines three cultural activities – narratives that depict Malagasy Christian doctors as keepers of the Christian quality of medical care, medical case studies, and Malagasy doctors’ visits to U.S. Christian global health conferences – through which Merina and Betsileo physicians rework and perform the category expectations of this aid subjectivity, which combines qualities of the medical doctor, humanitarian and foreign missionary. The sum of these parts is a view of aid subjectivities as dynamic cultural formations that emerge from a confluence of factors, compelled into action through the conditions of aid while being rooted in Malagasy cultural histories and worked upon and transformed by both Malagasy and Americans.
Dan J. Stein and James Giordano
- Published in print:
- 2017
- Published Online:
- September 2017
- ISBN:
- 9780198786832
- eISBN:
- 9780191839894
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780198786832.003.0030
- Subject:
- Neuroscience, Techniques
At first glance, neuroethics and global mental health would seem to have relatively little in common; the former is often focused on the use or misuse of novel and specialized neurotechnologies in ...
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At first glance, neuroethics and global mental health would seem to have relatively little in common; the former is often focused on the use or misuse of novel and specialized neurotechnologies in specialized or high-income settings, while the latter is often focused on the scaling up of existing treatments in primary care settings in low- and middle-income countries. On closer examination, however, they have significant overlapping concerns and approaches that may be mutually empowering. They both (1) take a naturalist and empirical approach to their questions of interest, (2) are concerned with both disease and with well-being, (3) embrace human rights and patient empowerment, and (4) hold a deep appreciation for human diversity. This chapter considers each of these areas and argues for the importance of conversation and collaboration between neuroethics and global mental health toward a truly international neuroethics.Less
At first glance, neuroethics and global mental health would seem to have relatively little in common; the former is often focused on the use or misuse of novel and specialized neurotechnologies in specialized or high-income settings, while the latter is often focused on the scaling up of existing treatments in primary care settings in low- and middle-income countries. On closer examination, however, they have significant overlapping concerns and approaches that may be mutually empowering. They both (1) take a naturalist and empirical approach to their questions of interest, (2) are concerned with both disease and with well-being, (3) embrace human rights and patient empowerment, and (4) hold a deep appreciation for human diversity. This chapter considers each of these areas and argues for the importance of conversation and collaboration between neuroethics and global mental health toward a truly international neuroethics.
Adia Benton
- Published in print:
- 2015
- Published Online:
- January 2016
- ISBN:
- 9780816692422
- eISBN:
- 9781452950693
- Item type:
- book
- Publisher:
- University of Minnesota Press
- DOI:
- 10.5749/minnesota/9780816692422.001.0001
- Subject:
- Anthropology, African Cultural Anthropology
In 2002, Sierra Leone emerged from a decade long civil war. Seeking international attention and development aid, its government faced a dilemma. Though devastated by conflict, Sierra Leone had a low ...
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In 2002, Sierra Leone emerged from a decade long civil war. Seeking international attention and development aid, its government faced a dilemma. Though devastated by conflict, Sierra Leone had a low prevalence of HIV. However, like most African countries, it stood to benefit from a large influx of foreign funds specifically targeted at HIV/AIDS prevention and care. What Adia Benton chronicles in this ethnographically rich and often moving book is how one war-ravaged nation reoriented itself as a country suffering from HIV at the expense of other, more pressing health concerns. During her fieldwork in the capital, Freetown, thirty NGOs administered internationally funded programs that included HIV/AIDS prevention and care. Benton probes why HIV exceptionalism—the idea that HIV is an exceptional disease requiring an exceptional response—continues to guide approaches to the epidemic worldwide and especially in Africa, even in low-prevalence settings. In the fourth decade since the emergence of HIV/AIDS, many today question whether the effort and money spent on this health crisis has helped or exacerbated the problem. HIV Exceptionalism reveals the unanticipated consequences of HIV/AIDS development programs.Less
In 2002, Sierra Leone emerged from a decade long civil war. Seeking international attention and development aid, its government faced a dilemma. Though devastated by conflict, Sierra Leone had a low prevalence of HIV. However, like most African countries, it stood to benefit from a large influx of foreign funds specifically targeted at HIV/AIDS prevention and care. What Adia Benton chronicles in this ethnographically rich and often moving book is how one war-ravaged nation reoriented itself as a country suffering from HIV at the expense of other, more pressing health concerns. During her fieldwork in the capital, Freetown, thirty NGOs administered internationally funded programs that included HIV/AIDS prevention and care. Benton probes why HIV exceptionalism—the idea that HIV is an exceptional disease requiring an exceptional response—continues to guide approaches to the epidemic worldwide and especially in Africa, even in low-prevalence settings. In the fourth decade since the emergence of HIV/AIDS, many today question whether the effort and money spent on this health crisis has helped or exacerbated the problem. HIV Exceptionalism reveals the unanticipated consequences of HIV/AIDS development programs.
Adia Benton
- Published in print:
- 2015
- Published Online:
- January 2016
- ISBN:
- 9780816692422
- eISBN:
- 9781452950693
- Item type:
- chapter
- Publisher:
- University of Minnesota Press
- DOI:
- 10.5749/minnesota/9780816692422.003.0001
- Subject:
- Anthropology, African Cultural Anthropology
The book opens with a case study of a woman who died specifically from “not AIDS.” The argument of the book is primarily that the collection of HIV interventions that aim to mitigate the effects of ...
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The book opens with a case study of a woman who died specifically from “not AIDS.” The argument of the book is primarily that the collection of HIV interventions that aim to mitigate the effects of the disease among HIV-positive people (particularly those interventions focused on modifying disclosure practices, changing sexual behavior, and encouraging visibility) entrench and reinforce HIV’s exceptional status. In addition to providing treatment options for people who meet certain clinical criteria, HIV care and support programs define and shape the process of “becoming HIV-positive.” Learning how to become HIV-positive entails rehearsing disclosure narratives and keeping up “appearances” (in the many senses of the word), which in turn enable and facilitate subjective experiences of exceptionality and hierarchy among the HIV-positive.Less
The book opens with a case study of a woman who died specifically from “not AIDS.” The argument of the book is primarily that the collection of HIV interventions that aim to mitigate the effects of the disease among HIV-positive people (particularly those interventions focused on modifying disclosure practices, changing sexual behavior, and encouraging visibility) entrench and reinforce HIV’s exceptional status. In addition to providing treatment options for people who meet certain clinical criteria, HIV care and support programs define and shape the process of “becoming HIV-positive.” Learning how to become HIV-positive entails rehearsing disclosure narratives and keeping up “appearances” (in the many senses of the word), which in turn enable and facilitate subjective experiences of exceptionality and hierarchy among the HIV-positive.
Adia Benton
- Published in print:
- 2015
- Published Online:
- January 2016
- ISBN:
- 9780816692422
- eISBN:
- 9781452950693
- Item type:
- chapter
- Publisher:
- University of Minnesota Press
- DOI:
- 10.5749/minnesota/9780816692422.003.0002
- Subject:
- Anthropology, African Cultural Anthropology
Chapter 1 describes the “topography” of HIV programming in Freetown and the range of theoretical and conceptual tools for developing a map of the program terrain and its key actors.
Chapter 1 describes the “topography” of HIV programming in Freetown and the range of theoretical and conceptual tools for developing a map of the program terrain and its key actors.
Adia Benton
- Published in print:
- 2015
- Published Online:
- January 2016
- ISBN:
- 9780816692422
- eISBN:
- 9781452950693
- Item type:
- chapter
- Publisher:
- University of Minnesota Press
- DOI:
- 10.5749/minnesota/9780816692422.003.0003
- Subject:
- Anthropology, African Cultural Anthropology
Chapter 2 explains how ideas about Sierra Leone’s civil war and various accounting practice (techniques of enumeration and stories of suffering) are produced and circulated about the epidemic in ...
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Chapter 2 explains how ideas about Sierra Leone’s civil war and various accounting practice (techniques of enumeration and stories of suffering) are produced and circulated about the epidemic in Sierra Leone, and how these practices shape HIV-positive people’s claims about their exceptionality.Less
Chapter 2 explains how ideas about Sierra Leone’s civil war and various accounting practice (techniques of enumeration and stories of suffering) are produced and circulated about the epidemic in Sierra Leone, and how these practices shape HIV-positive people’s claims about their exceptionality.
Adia Benton
- Published in print:
- 2015
- Published Online:
- January 2016
- ISBN:
- 9780816692422
- eISBN:
- 9781452950693
- Item type:
- chapter
- Publisher:
- University of Minnesota Press
- DOI:
- 10.5749/minnesota/9780816692422.003.0006
- Subject:
- Anthropology, African Cultural Anthropology
In Chapter 5, I address some of the ways that global HIV/AIDS programming norms shape both the official performances of “good governance” and local expressions of political subjectivity among ...
More
In Chapter 5, I address some of the ways that global HIV/AIDS programming norms shape both the official performances of “good governance” and local expressions of political subjectivity among HIV-positive people.Less
In Chapter 5, I address some of the ways that global HIV/AIDS programming norms shape both the official performances of “good governance” and local expressions of political subjectivity among HIV-positive people.
Adia Benton
- Published in print:
- 2015
- Published Online:
- January 2016
- ISBN:
- 9780816692422
- eISBN:
- 9781452950693
- Item type:
- chapter
- Publisher:
- University of Minnesota Press
- DOI:
- 10.5749/minnesota/9780816692422.003.0007
- Subject:
- Anthropology, African Cultural Anthropology
The findings in this book suggest the role that HIV care, treatment, and support are to play in future global health endeavors needs to be carefully considered—and its exceptional status ...
More
The findings in this book suggest the role that HIV care, treatment, and support are to play in future global health endeavors needs to be carefully considered—and its exceptional status reconsidered—without losing sight of the immense benefits and successes that have accompanied an intensive focus on HIV. To do so would require an honest assessment of how these programs operate in places where HIV is not the most urgent primary concern, with the express purpose of improving the overall quality of comprehensive health care for those who seek it.Less
The findings in this book suggest the role that HIV care, treatment, and support are to play in future global health endeavors needs to be carefully considered—and its exceptional status reconsidered—without losing sight of the immense benefits and successes that have accompanied an intensive focus on HIV. To do so would require an honest assessment of how these programs operate in places where HIV is not the most urgent primary concern, with the express purpose of improving the overall quality of comprehensive health care for those who seek it.