Fierce Medicines, Fragile Socialities

Grounding Global HIV Treatment in Tanzania

Inbunden, Engelska, 2019

AvDominik Mattes

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Set in Tanga, a city on the Tanzanian Swahili coast, Dominik Mattes examines the implementation of antiretroviral HIV-treatment (ART) in the area, exploring the manifold infrastructural and social fragilities of treatment provision in public HIV clinics as well as patients’ multi-layered struggles of coming to terms with ART in their everyday lives. Based on extensive ethnographic fieldwork, the book shows that, notwithstanding the massive rollout of ART, providing treatment and living a life with HIV in settings like Tanga continue to entail social, economic, and moral challenges and long-term uncertainties, which contradict the global rhetoric of the “normalization of HIV”.

Produktinformation

Utgivningsdatum2019-08-01
Mått152 x 229 x 28 mm
Vikt781 g
FormatInbunden
SpråkEngelska
SerieEpistemologies of Healing
Antal sidor436
FörlagBerghahn Books
ISBN9781789203219

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List of IllustrationsAcknowledgmentsNote on TransliterationList of AbbreviationsIntroductionChapter 1. Exploring ART in TangaChapter 2. Antiretroviral Treatment as a Global Mobile ForceChapter 3. Translating Global Technology into Local Health Care PracticeChapter 4. Generating Treatment Adherence: Neoliberal Patient Subjectivities, Biomedical Truth Claims, and Institutional MicropoliticsChapter 5. Diverging Trajectories of Reconstitution: Living with ARVs and the Pursuit of ‘Normalcy’Chapter 6. Cohesion and Conflict: Living a Social Live on ARVs within Kin-Based Networks of SolidarityChapter 7. HIV (Self-)Support Groups: Competition, Bureaucracy, and the Limitations of BiosocialityChapter 8. The Blood of Jesus, Witchcraft, and CD4 Counts: HIV/AIDS and ART in the Context of Traditional and Religious HealingConclusionReferencesIndex

“Dominik Mattes’s stunning new book will remain relevant for those interested in why and how vertical global health interventions often fail (and how they might succeed). This book effectively illustrates how to translate the global to the local and the structural to the personal. Mattes also provides a blueprint for ethnographic research that aims to examine a problem from multiple, often contradictory, angles. Fierce Medicines, Fragile Socialities is a must read for those interested in HIV/AIDS, global health interventions, and ethnographic methods.” • Medical Anthropology Quarterly“This is an important contribution to existing research on HIV and its treatment in Africa. The book is unique in combining perspectives on providing, and on living, life with HIV treatment. The observations are acute, and the case studies of patients and families are illuminating.” • Susan Reynolds Whyte, University of Copenhagen