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oapen-20.500.12657-299072021-11-12T16:15:37Z Chapter 10 The Territory of Medical Research: Experimentation in Africa's Smallest State Wenzel Geissler, Paul africa medicine public health africa medicine public health Colonial Office Genieri Malaria Peanut Rice The Gambia bic Book Industry Communication::1 Geographical Qualifiers::1H Africa bic Book Industry Communication::J Society & social sciences::JH Sociology & anthropology bic Book Industry Communication::M Medicine bic Book Industry Communication::M Medicine::MB Medicine: general issues::MBN Public health & preventive medicine::MBNH Personal & public health In 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. 2015-03-19 00:00:00 2020-04-01T12:40:04Z 2020-04-01T12:40:04Z 2015 chapter 1000045 OCN: 1051775490 9780822357490 http://library.oapen.org/handle/20.500.12657/29907 eng Critical Global Health: Evidence, Efficacy, Ethnography application/pdf n/a 1000045.pdf https://www.dukeupress.edu/Para-States-and-Medical-Science Duke University Press Para-States and Medical Science: Making African Global Health 10.26530/oapen_530530 10.26530/oapen_530530 f0d6aaef-4159-4e01-b1ea-a7145b2ab14b fdfb9dec-6847-4a9a-93cf-5fb2143e1789 d859fbd3-d884-4090-a0ec-baf821c9abfd 9780822357490 Wellcome 376 10 077430, 081507 Wellcome Trust Wellcome open access
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In 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.
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