Why didn't you write this in your diary? Or how nurses (mis)used clinic diaries to (re)claim shared reflexive spaces in Senegal

Datos Bibliográficos

ID2361083
AutoresD Duclos (0000-0003-3652-1919, London School of Hygiene and Tropical Medicine, UK, autor de correspondencia), Tidiane Ndoye (0000-0001-5133-6725, Cheikh Anta Diop University), Sylvain L Faye (0000-0001-6362-5620, Cheikh Anta Diop University), Mareme Diallo (0000-0002-6642-2447, University Cheikh Anta Diop, Senegal), Loveday Penn-Kenkana (0000-0002-9758-4529, London School of Hygiene and Tropical Medicine, UK), Loveday Penn-Kekana
Año2019
Volumen39
Número2
Páginas205-221
Fecha de publicación2019-06-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCritique of Anthropology (JOURNAL)
Identificadores de la revistaISSN: 0308-275X • E-ISSN: 1460-3721
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/0308275x19842913
OpenAlexW2943789039
IdiomaEN
Citas recibidas2
Referencias citadas34

Between 2015 and 2017, we implemented the clinic diaries project as part of the qualitative component of an evaluation of a supply chain intervention for family planning in Senegal. This project combined different tools including the diaries and participatory workshops with nurses. At the intersection between writings and silences, this paper explores the role played by the clinic diaries to mediate ethnographic encounters, and the iterative nature of 'doing fieldwork' to produce knowledge in hierarchical health systems. This paper also reflects on the processes through which the diaries created a space where accounts of lived experiences routinely unfolding in health facilities could be shared, in the context of a health system increasingly dominated by metrics, performances and vertical reporting mechanisms. The clinic diaries research process therefore sheds light on the limits of approaching bureaucratic norms and practices as coming from the top, an approach reinforced by data reporting and coordination mechanisms in the Senegalese pyramidal health system. In contrast, the diaries suggest a role for participative ethnography to identify collegial spaces to reflect on shared experiences in and of bureaucratic spaces

Bureaucracy · Citizen journalism · Context (archaeology · Ethnography · Medical education · Political science · Public relations · Qualitative research · Reflexivity · Social science · Sociology · Anthropology · Computer Science · Healthcare Systems and Practices · History · Medicine · Migration, Health and Trauma · Migration, Identity, and Health · Nursing