Navigating the Divide: Healing Practices and Collective Wellbeing in a Nairobi Clinic

abstract:This paper analyzes ethnographic and historical data to emphasize the importance of framing health as collective wellbeing. Exploring missionary medical campaigns during the colonial period in East Africa, I connect the institutional legacy of Euro-American Protestant missions on the contemporary frameworks of US global public health provisions at my research site, Mwana Mwema Program. At this network of faith-based, USAID clinics in Kenya that provide treatment for children living with HIV, practitioners care for the wider community within a global health system that bases donor funding on epidemiological criteria. This narrow framing conflicts with practitioners' notions of healing as collective wellbeing and can exacerbate communal divisions. I argue that Mwana Mwema's notion of collective wellbeing offers a healthcare framework that faith-based providers can embrace. It yields more holistic care for entire communities and offers an opportunity for those of us in the United States to rethink our notions of health.