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Surveillance medicine 2.0: digital monitoring of community health workers in India. 监测医学 2.0：对印度社区卫生工作者的数字监测。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-09-01 Epub Date: 2024-10-18 DOI: 10.1080/13648470.2024.2378733
Sandra Bärnreuther
{"title":"Surveillance medicine 2.0: digital monitoring of community health workers in India.","authors":"Sandra Bärnreuther","doi":"10.1080/13648470.2024.2378733","DOIUrl":"10.1080/13648470.2024.2378733","url":null,"abstract":"<p><p>This paper examines a digital platform used in the primary health sector in a state in Eastern India. Within a 'regime of tactility,' it is supposed to redefine the state's presence in rural areas, not only by attending to patients but also by screening the population and establishing health databases. While the health workers who operate the digital platform represent the state in 'the peripheries,' the state itself exhibits mistrust towards them and monitors their performance through the platform. Based on long-term ethnographic research, the manuscript analyses the use of digital health technologies as technologies of accountability. The competitive nature of monitoring techniques leads to an ever-higher number of digital consultations, which projects the image of a caring and efficient state. However, the paper also explores the unintended consequences of this politics by display on the provision of healthcare. Even though digital technologies and the managerial form of governance they engender promise to touch people's lives, they lead to intangible forms of care while leaving untouched pressing structural issues that India's health sector has been facing for decades.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"250-264"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Telecare that works: lessons on integrating digital technologies in elder care from Indian transnational families. 行之有效的远程护理：印度跨国家庭在将数字技术融入老年人护理方面的经验教训。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-09-01 Epub Date: 2024-08-30 DOI: 10.1080/13648470.2024.2378726
Tanja Ahlin, Kasturi Sen, Jeannette Pols
{"title":"Telecare that works: lessons on integrating digital technologies in elder care from Indian transnational families.","authors":"Tanja Ahlin, Kasturi Sen, Jeannette Pols","doi":"10.1080/13648470.2024.2378726","DOIUrl":"10.1080/13648470.2024.2378726","url":null,"abstract":"<p><p>In recent decades, policy makers around the world have been working on implementing various technologies into healthcare, and the Covid19 pandemic fueled this process. The specialized technological solutions for telecare - the use of technologies for care at a distance - are often adopted by users in different ways than intended, or are abandoned if the users cannot find applications that are meaningful to them. However, beyond specialized healthcare technologies, people are incorporating mundane digital technologies into their (health)care practices. In this paper, we draw on ethnographic research on the use of everyday digital technologies in Indian families where migrating children who are professional nurses care for their aging parents at a distance. Our findings show that 1) remote elder care is enacted through frequent calling which further fosters trust, necessary to provide healthcare remotely; 2) the motivation for older adults to engage with digital technologies is grounded in the value of family and affect which is consequential also for health; 3) technologies, too, require care-work in the form of everyday maintenance; and 4) in-person visits from children remain important, indicating that hybrid interaction is optimal for good care at a distance. We conclude that taking these findings into account may contribute to a more successful implementation of formal telecare systems.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"265-280"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dreaming big with little therapy devices: automated therapy from India. 用小治疗设备实现大梦想：来自印度的自动疗法。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-09-01 Epub Date: 2024-10-22 DOI: 10.1080/13648470.2024.2378727
Claudia Lang
{"title":"Dreaming big with little therapy devices: automated therapy from India.","authors":"Claudia Lang","doi":"10.1080/13648470.2024.2378727","DOIUrl":"10.1080/13648470.2024.2378727","url":null,"abstract":"<p><p>This paper examines the aspirations, imaginaries and utopias of designers of an AI-based mental health app in India. By looking at automated therapy as both technological fix and sociotechnical object, I ask, What can we learn from engaging with psy technologists' imaginaries and practices of health care futures? What are the assumptions they encode in the app? How does automated therapy reconfigure the geographies and temporalities of care? While automated therapy as instantiated by Wysa provides, I argue, a modest mental health intervention, the scalar aspirations of designers are anything but small. The paper proceeds in three steps. First, it turns to designers' imaginaries of what it means to care for current mental health needs in digitally saturated lifeworlds and how they inscribe them into the app. It identifies nonjudgmental listening, anonymity, acceptance, reframing, and agency as key ideas encoded in Wysa's sociotechnical algorithms, along with a congruence between entrepreneurial and encoded ethics of care. Second, it situates automated therapy within anthropological scholarship on 'little' technical devices in global health to argue that automated therapy devices such as Wysa articulate dreams for minimalist interventions with macro effects. Finally, it explores the new geographies and temporalities of care that automated therapy spurs, tracing the ways the app bridges various spatial and temporal gaps and obstacles of human therapy and upends common global health pathways. This paper contributes to recent scholarship on aspirations, dreams and utopias and on digitization and datafication in global health.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"232-249"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Digital technologies and the future of health: aspirations, care and data. 数字技术与健康的未来：愿望、护理和数据。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-09-01 Epub Date: 2024-11-07 DOI: 10.1080/13648470.2024.2397921
Claudia Lang, Caroline Meier Zu Biesen, Marian Burchardt
{"title":"Digital technologies and the future of health: aspirations, care and data.","authors":"Claudia Lang, Caroline Meier Zu Biesen, Marian Burchardt","doi":"10.1080/13648470.2024.2397921","DOIUrl":"10.1080/13648470.2024.2397921","url":null,"abstract":"<p><p>As projects seeking to provide digitized tools in health care and medicine are gaining ground at an accelerating pace, imaginations and incipient formations of digital health have acquired a new political urgency. These projects promise to revolutionize health care and medicine. However, efforts to institutionalize digital technologies in health are often fraught with difficulties that cause them to stall during implementation. We explore digital health technologies with respect to how they are aspired to, designed, used, and resisted. Our central argument is that the spread of digital health technologies has set in motion complex processes around the production, extraction, circulation, and economic valorization of data. These processes reconfigure multiple sets of relationships between people, between human bodies, and machines, and between actors in health care and the diverse institutional landscapes they inhabit. We explore these processes in three interrelated and geographically dispersed fields: (a) imaginaries of health and well-being; (b) new geographies of care; and (c) the datafication and (dis-)embodiment of health. This special issue brings into creative tension case studies from across geographical locations and thematic areas. Taken together, they draw attention to the question of how digital health technologies are situated in making and shaping the future of health care. By foregrounding anthropological perspectives, this Special Issue pushes the epistemological boundaries of the emerging scholarship on digital health technologies and global health. At the same time, it argues for a closer engagement of medical anthropologists and sociologists with processes of digitization in health.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"201-214"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'We are not done': reclaiming care after mobile health in Burkina Faso. 我们还没有完成"：布基纳法索移动医疗后的医疗服务。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-09-01 Epub Date: 2024-11-10 DOI: 10.1080/13648470.2024.2378735
Vincent Duclos, N Hélène Sawadogo, Hamidou Sanou
{"title":"'We are not done': reclaiming care after mobile health in Burkina Faso.","authors":"Vincent Duclos, N Hélène Sawadogo, Hamidou Sanou","doi":"10.1080/13648470.2024.2378735","DOIUrl":"10.1080/13648470.2024.2378735","url":null,"abstract":"<p><p>This paper discusses the afterlives of MOS@N, a mobile health (mHealth) intervention which, between 2014 and 2018, monitored maternal and child health in the district of Nouna, in rural Burkina Faso. The paper documents the work of \"godmothers,\" who were hired and equipped with mobile phones to keep track of pregnant women, and accompany them for medical consultations. As is the case with the majority of mHealth projects in Sub-Saharan Africa, MOS@N was a pilot. This paper examines some of the enduring effects of practices of testing and demoing which were designed as temporary. Indeed, three years after MOS@N was shut down, godmothers are still doing care work. This work is now carried mostly on a voluntary basis and implies the constant repair of decaying technology, which undermines some of the original purposes of MOS@N, and (re)produces gendered forms of social obligation. Ultimately, the paper explores the remnants of a settled intervention, and how they may help us challenge imaginations of global health futures.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"281-296"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bloodstream: notes towards an anthropology of digital logistics in healthcare. 血流：医疗数字物流人类学笔记。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-09-01 Epub Date: 2024-10-22 DOI: 10.1080/13648470.2024.2378731
Marian Burchardt, Edwin Ameso
{"title":"Bloodstream: notes towards an anthropology of digital logistics in healthcare.","authors":"Marian Burchardt, Edwin Ameso","doi":"10.1080/13648470.2024.2378731","DOIUrl":"10.1080/13648470.2024.2378731","url":null,"abstract":"<p><p>Based on ethnographic research in northern Ghana, this article explores the complex logistics of blood and the ways in which the availability of blood has been transformed through the introduction of drones. We explore how drone services affect this ecosystem of supply and contribute to reshaping the practices of physicians, nurses, facility pharmacists and stock managers, as well as the expectations and experiences of patients and their families. Situated at the interface of medical anthropology, critical studies of infrastructure and anthropological studies of digital innovations in healthcare, our paper attends to the emerging anthropological research on medical logistics as a means of connecting people with medical resources. It demonstrates the fundamentally ambivalent nature of technological innovation: on the one hand, drones have fueled health workers' hopes and transformed access to blood. On the other hand, their introduction has also led to connectivity without stock. In line with STS scholarship, we highlight the important role of the physical properties of objects such as blood in shaping their circulation.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"215-231"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phantom data and the potentials of radical caretaking in reproductive health. 幻影数据和生殖健康激进护理的潜力。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-09-01 Epub Date: 2024-10-24 DOI: 10.1080/13648470.2024.2378730
Mary F E Ebeling
{"title":"Phantom data and the potentials of radical caretaking in reproductive health.","authors":"Mary F E Ebeling","doi":"10.1080/13648470.2024.2378730","DOIUrl":"10.1080/13648470.2024.2378730","url":null,"abstract":"<p><p>The potentials of digital health to improve health outcomes by empowering patients with more control over their health data have transformed into threats of criminalization in the post-<i>Roe</i> era, threats that are creating serious, and at times deadly, harms to patients and the providers that care for them. While patients' health data are increasingly used to criminalize healthcare, data activists, legislators, and lawyers are engaged in radical caretaking strategies to protect health data, patients, and abortion care providers.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"313-327"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What just happened? Ethnography as audit. 刚刚发生了什么？作为审计的人种学
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-09-01 Epub Date: 2024-11-26 DOI: 10.1080/13648470.2024.2425601
Daniel Miller
{"title":"What just happened? Ethnography as audit.","authors":"Daniel Miller","doi":"10.1080/13648470.2024.2425601","DOIUrl":"10.1080/13648470.2024.2425601","url":null,"abstract":"<p><p>By the time the results of an ethnography are published it almost inevitably becomes an audit of What Just Happened. The papers in this special issue reveal three insights that follow from this. An audit of the unenvisaged consequences of digital health interventions, an audit of envisaged consequences and an appreciation of the importance of context as the determinant of those consequences.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"328-334"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gut Anthro: an experiment in thinking with microbes 肠道人类学：用微生物思考的实验
IF 1.8 4区 社会学
Anthropology & Medicine Pub Date : 2024-05-14 DOI: 10.1080/13648470.2024.2343643
Rosie Mathers
{"title":"Gut Anthro: an experiment in thinking with microbes","authors":"Rosie Mathers","doi":"10.1080/13648470.2024.2343643","DOIUrl":"https://doi.org/10.1080/13648470.2024.2343643","url":null,"abstract":"Published in Anthropology & Medicine (Ahead of Print, 2024)","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140939021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Belly Woman: Birth, Blood & Ebola: The Untold Story 肚皮女人分娩、鲜血和埃博拉病毒：不为人知的故事
IF 1.8 4区 社会学
Anthropology & Medicine Pub Date : 2024-05-14 DOI: 10.1080/13648470.2024.2343644
Adrienne E. Strong
{"title":"Belly Woman: Birth, Blood & Ebola: The Untold Story","authors":"Adrienne E. Strong","doi":"10.1080/13648470.2024.2343644","DOIUrl":"https://doi.org/10.1080/13648470.2024.2343644","url":null,"abstract":"Published in Anthropology & Medicine (Ahead of Print, 2024)","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":"44 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140939248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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