By Johanna Tayloe Crane
Countries in sub-Saharan Africa have been as soon as pushed aside via Western specialists as being too terrible and chaotic to learn from the antiretroviral medicinal drugs that remodeled the AIDS epidemic within the usa and Europe. at the present time, even though, the zone is courted by way of one of the most prestigious study universities on the planet as they look for “resource-poor” hospitals during which to base their overseas HIV learn and international overall healthiness courses. In Scrambling for Africa, Johanna Tayloe Crane finds how, within the area of basically a decade, Africa went from being a continent principally excluded from developments in HIV drugs to a space of relevant problem and data creation in the more and more renowned box of world future health science.
Drawing on examine performed within the U.S. and Uganda throughout the mid-2000s, Crane presents a desirable ethnographic account of the transnational stream of data, politics, and examine money―as good as blood samples, viruses, and medicine. She takes readers to underfunded Ugandan HIV clinics in addition to to laboratories and convention rooms in filthy rich American towns like San Francisco and Seattle the place American and Ugandan specialists fight to forge shared wisdom in regards to the AIDS epidemic. The ensuing uncomfortable mixture of preventable soreness, humanitarian sentiment, and clinical ambition exhibits how worldwide wellbeing and fitness learn partnerships may possibly sarcastically enjoy the very inequalities they aspire to redress. a piece of exceptional interdisciplinary scholarship, Scrambling for Africa may be of curiosity to audiences in anthropology, technological know-how and expertise reports, African experiences, and the clinical humanities.
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Extra resources for Scrambling for Africa : AIDS, Expertise, and the Rise of American Global Health Science
Sample text
Although on the surface this appeared to be a debate about medication adherence and missed pills, I argue that it was ultimately about inequality, citizenship, and Africa’s relationship to globalization and modernity. ” The perception of drug-resistant HIV as easy to transmit but very difficult to treat fed Western anxieties about antiretrovirals in Africa. However, this perception was based in part on an erroneous assumption that HIV treatment would mirror tuberculosis treatment, where poor adherence had led to the development and spread of a lethal, multidrug-resistant bacterium.
It is the in-between space of these international scientific networks, rather than the United States or Uganda specifically, that constitutes the primary “field site” of my research. Methodologically, I approached this scientific arena in two ways: first, through participant-observation within Dr. Beale’s research team; and secondly, through one-on-one interviews with North American and Ugandan HIV researchers and clinicians. My access to Dr. Beale and his collaborators and staffs in both the United States and Uganda was greatly facilitated by my status as his former research employee.
This ethnography is structured around the experiences of Dr. Beale, and the shift of his scientific inquiry from California to Uganda. I use his experiences and those of his colleagues and employees to reflect on the opportunities and challenges raised by the rise of “global health science” more broadly. However, I could just as easily (and sometimes do) use my own experiences to make many of the arguments I advance in this book. -based health researcher who switched my scientific (in this case, anthropological) gaze from the United States to Africa.