When People Come First

Edited by João Biehl & Adriana Petryna

"Rapid social change is the one constant in this ambitious volume. These pages come to life and are wrenching because they never seek to elide the messiness of experience. With ethnographic evidence from some of the most important theaters of global health, the authors give us a sound understanding of the collision of a crushing burden of disease, emerging audit cultures, and new therapeutic regimes. As case studies rooted in long familiarity but alive to overwhelming transformation, they will stand the test of time."--Paul Farmer, Harvard Medical School and Partners in Health

Critical Global Health, Joao Biehl and Adriana Petryna 1 I EVIDENCE Overview 23 1 A Return to the Magic Bullet? Malaria and Global Health in the Twenty-First Century, Marcos Cueto 30 2 Evidence-Based Global Public Health - Subjects, Profits, Erasures, Vincanne Adams 54 3 The "Right to Know" or "Know Your Rights"? Human Rights and a People-Centered Approach to Health Policy, Joseph J. Amon 91 4 Children as Victims - The Moral Economy of Childhood in the Times of AIDS, Didier Fassin 109 II INTERVENTIONS Overview 133 5 Therapeutic Clientship - Belonging in Uganda's Projectified Landscape of AIDS Care, Susan Reynolds Whyte, Michael A. Whyte, Lotte Meinert, and Jenipher Twebaze 140 6 The Struggle for a Public Sector - PEPFAR in Mozambique, James Pfeiffer 166 7 The Next Epidemic - Pain and the Politics of Relief in Botswana's Cancer Ward, Julie Livingston 182 8 A Salvage Ethnography of the Guinea Worm - Witchcraft, Oracles and Magic in a Disease Eradication Program, Amy Moran-Thomas 207 III MARKETS Overview 243 9 Public-Private Mixes - The Market for Anti-Tuberculosis Drugs in India, Stefan Ecks and Ian Harper 252 10 Labor Instability and Community Mental Health - The Work of Pharmaceuticals in Santiago, Chile, Clara Han 276 11 The Ascetic Subject of Compliance - The Turn to Chronic Diseases in Global Health, Ian Whitmarsh 302 12 Legal Remedies - Therapeutic Markets and the Judicialization of the Right to Health, Joao Biehl and Adriana Petryna 325 Afterword - The Peopling of Technologies, Michael M. J. Fischer 347 Contributors 375 Acknowledgments 381 References 385 Index 425