DELIVERING THE STATE: State-Making through Maternal Health “Care” in Bangladeshi Public Maternal Health Spaces

Abstract

Within anthropology, care operates as contested theoretical territory, with much debate residing in the space between what we think care ought to look like in health service delivery settings juxtaposed with what care looks like in the ethnographic encounter. In Bangladesh, public health service providers are often represented as not caring in health encounters. Based on ethnographic data generated in maternal health settings in Kushtia District, this article nuances conceptualizations of care in government health settings, centering the concepts of sheba (service), which is rooted in clinical care, and jotno (care), intimate, hands-on care that constitutes kinship. Through the enactment of embodied performances, government health service providers and staff enact boundary work around sheba and jotno, which serves to constitute the state during and beyond health service encounters, crystallizing within a broader constellation of imaginaries of the state and one's relationship to it.