Anthropology & Medicine最新文献_第3页

HIV prevention and public morality in Pakistan: the secular normativity of development. 巴基斯坦的艾滋病毒预防和公共道德：发展的世俗规范性。

IF 1.5 4区社会学

Anthropology & Medicine Pub Date : 2024-03-01 Epub Date: 2023-11-02 DOI: 10.1080/13648470.2023.2254274

Ayaz Qureshi

引用次数: 0

Politics, law and a lack of sperm: single women and fertility treatment in the Swedish health system. 政治、法律和精子缺乏：瑞典医疗系统中的单身女性和生育治疗。

IF 1.5 4区社会学

Anthropology & Medicine Pub Date : 2024-03-01 Epub Date: 2024-02-27 DOI: 10.1080/13648470.2023.2274684

Rachel Irwin

{"title":"Politics, law and a lack of sperm: single women and fertility treatment in the Swedish health system.","authors":"Rachel Irwin","doi":"10.1080/13648470.2023.2274684","DOIUrl":"10.1080/13648470.2023.2274684","url":null,"abstract":"In 2016 Swedish law was amended to allow single women to access fertility treatment with donor sperm. In this paper, based on interviews, document analysis and autoethnographic insights, I examine the implementation of this law using human rights approaches, specifically the availability, accessibility, acceptability, and quality framework (AAAQ Framework). While the law extended the scope of reproductive rights, the health system was unprepared. Five years on, women seek care in the private sector or continue to travel abroad due in large part to waiting times which can be up to four years in some regions. The paper also provides a meeting point between anthropology and policy analysis. The law change provides a pathway for analyzing the Swedish health system and political context, particularly the relationships between the private and public sectors and between different regions, and the balance of responsibility between national and regional levels. While many of the challenges are unique to the Swedish context, they also offer lessons for countries which have or are considering expanding access to fertility treatment for single women and other patient groups, thus demonstrating the importance of ethnographic approaches in health policy analysis.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"89-103"},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139970838","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

Illuminating the craft of policy: an anthropological approach to policy ethnography. 阐明政策的技巧：政策民族志的人类学方法。

IF 1.5 4区社会学

Anthropology & Medicine Pub Date : 2024-03-01 Epub Date: 2023-10-02 DOI: 10.1080/13648470.2023.2242307

Joanna Mason

{"title":"Illuminating the craft of policy: an anthropological approach to policy ethnography.","authors":"Joanna Mason","doi":"10.1080/13648470.2023.2242307","DOIUrl":"10.1080/13648470.2023.2242307","url":null,"abstract":"The 'task to come' in anthropological fieldwork is rarely discussed explicitly as a set of underpinning methodological, analytical, conceptual, and theoretical precepts and practices. Drawing on learnings from a study of policymakers in the Australian Public Service - a non-conventional fieldwork location - this paper presents an account of how the anthropologist instituted direction and purpose or 'fruitful ways of looking' as an orientation to policy ethnography and the sense-making journey that follows. This paper progresses three interrelated aims: (1) to argue that, through ethnographic fieldwork, anthropology adds value to understanding the policy setting and its actors as engaged in purposeful and meaningful work underpinned by policy knowledge and expertise; (2) provocate that anthropology should contribute to research agendas outside of critical normative disciplinary interests in power and control; (3) illustrate that preparation is useful to tailor the production of anthropological knowledge to its context. An 'interpretive framework' is described as the culmination of this approach to collecting and interpreting ethnographic field data, demonstrating how this attends to the policy setting as socio-cultural domain with actors engaged in shared practices, routines and rituals, steeped in policy-practitioner skills, knowledge and expertise - or policy 'craft'. Together, this conditioned the anthropological gaze to take in everyday activities involved in policy work and enabled the study of meetings and documents to discern what happens during these structured conversations to better understand how policy staff engage with academic research in meeting their policy responsibilities under the expectations of the evidence-based policy agenda.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"18-34"},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41098759","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

Countering the logics of war in global health policy: fake drugs, antimicrobial resistance, and fugitive science. 对抗全球卫生政策中的战争逻辑：假药、抗菌药耐药性和逃逸科学。

IF 1.5 4区社会学

Anthropology & Medicine Pub Date : 2024-03-01 Epub Date: 2024-07-03 DOI: 10.1080/13648470.2023.2274685

Laura A Meek

{"title":"Countering the logics of war in global health policy: fake drugs, antimicrobial resistance, and fugitive science.","authors":"Laura A Meek","doi":"10.1080/13648470.2023.2274685","DOIUrl":"10.1080/13648470.2023.2274685","url":null,"abstract":"Powerful pharmaceuticals are readily available for purchase throughout Tanzania and global health policy makers decry this situation as dangerous and disordered, as if no rules govern the use of drugs in Africa. In the prevailing global health understanding, 'truth' lies in the laboratory science that goes into the making and proper prescription of drugs, and such deviations as 'overuse' and 'misuse' result from the fact that locals supposedly misunderstand what these drugs are and how they should be used. However, my ethnographic research in Tanzania reveals that embodied epistemologies frequently enable medical practitioners and patients to evaluate the quality of various drugs and to identify chakachua (substandard or adulterated) pharmaceuticals through their material and sensory qualities-a practice I conceptualize as a form of 'fugitive science' (Rusert 2017). In light of this, I analyze the WHO's National Action Plan for Antimicrobial Resistance in Tanzania, demonstrating how such global health policies disregard this knowledge, employing neocolonial rhetoric that presents 'ignorance' and 'lack of hygiene' as the sources of growing antimicrobial resistance while simultaneously obscuring structural inequalities. I argue that such forms of global health surveillance operate through the logics and epistemologies of war (Chow 2006; Terry 2017) in ways that render populations in the Global South into threats and targets. I conclude by suggesting that fugitive science can work as counter-evidence to health security frameworks and, as such, represents a furtive form of resistance to these militarized logics.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"139-155"},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141490660","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

Counter-stories in the way of caste: towards an anti-casteist public health praxis in contemporary India. 种姓方式中的反故事：在当代印度实现反种姓主义公共卫生实践。

IF 1.5 4区社会学

Anthropology & Medicine Pub Date : 2024-03-01 Epub Date: 2024-02-01 DOI: 10.1080/13648470.2023.2274683

Nikhil Pandhi

{"title":"Counter-stories in the way of caste: towards an anti-casteist public health praxis in contemporary India.","authors":"Nikhil Pandhi","doi":"10.1080/13648470.2023.2274683","DOIUrl":"10.1080/13648470.2023.2274683","url":null,"abstract":"How can ethnographic methods track implicit & explicit forms of structural casteism in Indian public health policy and praxis? How can a critical attention to ordinary stories and subjectivities of casted lives reveal the underlying Brahmanical moralities, assumptions and imaginations of public health but equally also unravel anti-caste counter-framings/counter-theorizations of symptoms, afflictions, injuries and chronic wounds wrought by caste? How, in other words, can the horizons of anti-colonial theory-making be expanded to capaciously conceptualize casteism as a core determinant of community health outcomes and life-chances in India? By mobilizing 'counter-storytelling' as a concept and method for critical medical anthropology from the Global South, and case studies from longitudinal ethnography in northern India, this paper provides a dual critique of: 1. Public health praxis in relation to questions of caste, addiction, respiratory debilitation, air pollution and TB. And, 2. Epistemologies of health policy making pertaining to wellness for 'the poor' and the gendered and casted labour of community care workers like ASHAs and non-institutionalized health actors.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"120-138"},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139650140","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

Anthropologies of health policy. 卫生政策人类学。

IF 1.5 4区社会学

Anthropology & Medicine Pub Date : 2024-03-01 Epub Date: 2024-09-02 DOI: 10.1080/13648470.2024.2373012

Kaveri Qureshi, Marlee Tichenor

{"title":"Anthropologies of health policy.","authors":"Kaveri Qureshi, Marlee Tichenor","doi":"10.1080/13648470.2024.2373012","DOIUrl":"10.1080/13648470.2024.2373012","url":null,"abstract":"In this introduction to our special issue, we take a wide view of the history and epistemic stakes of anthropological and ethnographic approaches to health policy. Drawing on the history of critical medical anthropology, the anthropology of policy, and critical policy studies, we show how anthropologies of health policy are particularly essential in this current moment, as policy production becomes increasingly abstracted and even more entwined with specific forms of evidence making. Taken together, the contributors of this special issue argue that anthropology's interventions into health policy are essential in three ways. First, they shed light on the practices of policy 'communities', the pragmatic parameters under which they work, and the central logics under which health policy actors are operating. Second, they examine the effects of policy implementation upon those intended to be the subjects of health policy, highlighting the effects of policy for those marginalised by gender, race, and caste. Here, anthropology provides a view into the 'lived experience' of those targeted by health policy, but it also demands that anthropologists provide 'counter-stories' and 'counter-evidences' that dismantle narrow systems of policy knowledge production. Finally, anthropological attention provides an essential lens into the things that carry over in the act of policy reform-the past reverberations and imperial inheritances. Together with our contributors, we call for anthropologies of health policy that work to highlight and dismantle such inheritances.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103825","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

Interfacing legitimacy - health and social care integration in Scotland. 合法性的交融--苏格兰的医疗和社会护理一体化。

IF 1.5 4区社会学

Anthropology & Medicine Pub Date : 2024-03-01 Epub Date: 2024-08-30 DOI: 10.1080/13648470.2024.2372164

Tamara Mulherin

{"title":"Interfacing legitimacy - health and social care integration in Scotland.","authors":"Tamara Mulherin","doi":"10.1080/13648470.2024.2372164","DOIUrl":"10.1080/13648470.2024.2372164","url":null,"abstract":"As people, particularly those ageing and living with disabilities, struggle with how care is enacted, integrated care has gained policy purchase in the United Kingdom. Despite integration's apparent popularity, its contribution to improved care for people has been questioned, exposing uncertainties about its associated benefits. Nonetheless, over decades a remarkably consistent approach to integrated care has advanced partnerships between the NHS and local government. Accordingly, in 2014 the Scottish Government mandated Health and Social Care Integration (HSCI) via the Scottish Public Bodies (Joint Working) (Scotland) Act. Emerging from an interorganisational ethnography of the implementation of a Health and Social Care Partnership in 2016, in a place I call 'Kintra', I interrogated what happened when NHS Kintra and Kintra Council endeavoured to implement HSCI according to the precepts of 'the Act'. Immersed in the everyday arrangements in the spaces of governance, I attended to how these policy actors worked to both (re)configure and held things together behind care frontiers, and away from the bodywork of direct care. I charted their efforts to comply with regulations, plan, and build governance apparatuses through documents. In following documents, I show the ways in which HSCI was materialised through documentation. I reveal how, in the mundane mattering of document manufacturing, possibilities for (re)forming the carescape emerged. I deploy a posthuman practice stance to show not only the way in which 'papery' partnerships between the NHS and local government 'enact' care, but also how they make worlds through a sociomaterial politics of anticipation.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"69-88"},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103826","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

Globalizing transit worker stress. 过境工人压力全球化。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-12-01 Epub Date: 2024-02-08 DOI: 10.1080/13648470.2023.2246265

Mark D Fleming

引用次数: 0

Multi-sensorial perceptions of risk: the aesthetics behind (muco)cutaneous leishmaniasis-related stigma in Ecuador. 风险的多感官感知：厄瓜多尔皮肤利什曼病相关污名背后的美学。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-12-01 Epub Date: 2024-02-08 DOI: 10.1080/13648470.2023.2259184

Veronica C Vargas Roman, Jacob Bezemer, Manuel Calvopiña, Fernando Ortega, Noel B Salazar, Henk D F H Schallig, Henry J C de Vries

{"title":"Multi-sensorial perceptions of risk: the aesthetics behind (muco)cutaneous leishmaniasis-related stigma in Ecuador.","authors":"Veronica C Vargas Roman, Jacob Bezemer, Manuel Calvopiña, Fernando Ortega, Noel B Salazar, Henk D F H Schallig, Henry J C de Vries","doi":"10.1080/13648470.2023.2259184","DOIUrl":"10.1080/13648470.2023.2259184","url":null,"abstract":"Previous research on the stigma associated with cutaneous leishmaniasis, a vector-transmitted parasitic disease, focuses on aesthetic appearance affectation as the leading cause of stigmatisation. However, Indigenous populations in the hinterland of Amazonian Ecuador trigger stigma expressions by recognising (muco)cutaneous leishmaniasis, primarily through atypical smell, followed by the odd voice sound, appearance and taste. This empirical way of recognising symptoms relies on embodied forms of identifying a disease, contrasting the Western supremacy of visuality and demanding to be understood via multi-sensorial anthropology. Through ethnographic research and data retrieved from eighty-three semistructured interviews and fifteen focus groups in seven Ecuadorian ethnic groups - including six Indigenous groups in the Amazon region - this paper analyses how the sensorium is a health thermometer. Findings reveal that differentiated cultural responses to a sense of peril, contagion and social (self)rejection, understood as stigma expressions, are linked to the holistic approach to health (or well-being) shared by Indigenous populations. In forest societies, well-being is explained through successful (non-)human relationships, and disease permeates through bodies that lack balanced relations.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"362-379"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41107988","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

'A factory of therapy': accountability and the monitoring of psychological therapy in IAPT. 治疗工厂"：IAPT 中心理治疗的责任与监督。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-12-01 Epub Date: 2023-07-19 DOI: 10.1080/13648470.2023.2217773

Mikkel Kenni Bruun

引用次数: 0