The anti-politics of health reform

This article employs ethnographic evidence from rural Senegal to explore two dimensions of health sector reform. First, it makes the case that health reforms intersect with and exacerbate existing social, political, and economic inequalities. Current equity analysis draws attention to the ways that liberal and utilitarian frameworks for health reform fail to achieve distributive justice. The author's data suggest that horizontal power relations within households and small communities are equally important for understanding health disparities and the effects of health reform. Second, the article explores how liberal discourses of health reform, particularly calls for 'state-citizen partnerships' and 'responsiblization', promote depoliticised understandings of health. Discourses associated with health reform paradoxically highlight individual responsibility for health while masking the ways that individual health practice is constrained by structural inequalities

Equity (law · Health care · Health equity · Inequality · Political science · Politics · Power (physics · Social determinants of health · Sociology · Child Nutrition and Water Access · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Law · Health Policy

• The work of reform

  Open Access•Na''Amah Razon, Alissa Bernstein Sideman•Anthropology and Medicine•2022

  Incluir item

• The Social Life of Health Insurance in Low- to Middle-income Countries

  Open Access•Amy Dao, M Nichter•Medical Anthropology Quarterly•2016

  Incluir item

• Anti-Politics and Free Maternal Health Services in Kilifi County, Kenya

  Stephen Okumu Ombere, Erick Otieno Nyambedha et al.•African Studies•2023

  Incluir item

• Pathologies of Power

  Paul Farmer•Pathologies of Power•2019

  Incluir item

• Pathologies of Power

  Open Access•Paul Farmer•North American Dialogue•2003

  Incluir item

• Health sector reform and equity - learning from evidence

  Open Access•Erik Blas•Health Policy and Planning•2002

  Incluir item

• Poor medicine for poor people? Assessing the impact of neoliberal reform on health care equity in a post-socialist context

  Open Access•Craig R Janes, O Chuluundorj et al.•Global Public Health•2006

  Incluir item

• Anthropology, Inequality, and Disease

  Vinh-Kim Nguyen, Karine Peschard•Annual Review of Anthropology•2003

  Incluir item

• The misconstruction of critical medical anthropology

  Open Access•H A Baer•Social Science & Medicine•1997

  Incluir item

• Successful Contracting of Prevention Services

  Open Access•Tadeusz Marek, Issakha Diallo et al.•Health Policy and Planning•1999

  Incluir item

• Charging for drugs in Africa

  Open Access•Najmi Kanji•Health Policy and Planning•1989

  Incluir item

• Dying for Growth

  Jennifer J Yanco, Jim Yong Kim et al.•The International Journal of…•2002

  Incluir item

• Privatizing Health Services in Africa

  Warren, Quot et al.•African Studies Review•2001

  Incluir item

• Clientelism and Patronage in Senegal

  Robert Fatton•African Studies Review•1986

  Incluir item

• Free Markets and Dead Mothers

  Open Access•Craig R Janes•Medical Anthropology Quarterly•2004

  Incluir item

• Privatizing Health Services in Africa

  Open Access•Ruth P Wilson•Medical Anthropology Quarterly•2000

  Incluir item

• Cross-Cultural Comparative Approaches in Archaeology

  Peter N Peregrine•Annual Review of Anthropology•2001

  Incluir item

• An Anthropology of Structural Violence

  Paul Farmer•Current Anthropology•2004

  Incluir item

• Bringing political ecology into critical medical anthropology

  H A Baer•Medical Anthropology•1996

  Incluir item