Limits of neoliberalism
HIV, Covid-19, and the importance of healthcare systems in Malawi
Bibliographic Data
| ID | 15540692 |
|---|---|
| Authors | Amy Zhou (0000-0001-8727-8678, Barnard College, corresponding author) |
| Year | 2021 |
| Volume | 16 |
| Issue | 8-9 |
| Pages | 1346-1363 |
| Publication date | 2021-06-20 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2021.1940237 |
| PMID | 34148531 |
| OpenAlex | W3176239229 |
| Language | EN |
| Citations received | 10 |
| References cited | 83 |
Countries in sub-Saharan Africa have been seriously affected by HIV and now face a new pandemic - COVID-19. How have prior experiences with managing HIV prepared countries for COVID-19? To what extent has the structure of the global health field enabled or constrained countries' ability to respond? Drawing on qualitative methods, this article examines the impact of HIV interventions on the healthcare system in Malawi and its implications for addressing COVID-19. I argue that the historical and continued influence of neoliberalism in global health manifests in the structures and routines of clinical practice. In Malawi's health centres, a parallel NGO system of care has become grafted onto state healthcare, with NGOs managing HIV commodities and providing care to HIV patients. While HIV NGOs do support the work of government providers, it is limited to tasks that align with their programmatic goals. Outside of donor priorities, the conditions of public healthcare are left behind, and government providers struggle with shortages of staff, medical resources, and basic infrastructure. In the context of COVID-19, risks are compounded as public healthcare facilities not only struggle with resources to treat patients, but also become a site of risk itself for COVID-19 infection
Business · Context (archaeology · Coronavirus disease 2019 (COVID-19 · Development economics · Disease · Economic growth · Economics · Geography · Global health · Government (linguistics · Health care · Neoliberalism (international relations · Pandemic · Political science · Psychological intervention · Public health · Public relations · Global Maternal and Child Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Nursing
HIV Health literacy beyond the biomedical model
The sociology of global health
Crisis politics of dehumanisation during Covid-19
South African community health workers' pursuit of occupational security
Bodies-in-waiting as infrastructure
Reimagine Aid, Don’t Destroy It
Politics and pandemics
The Torrents of Spring
Neoliberal disease
Contested Illness and Alternative Expertise Networks in Global Health
A Fraught Embrace
Metrics and Market Logics of Global Health
A Heart for the Work
The Republic of Therapy
The Good Project
A History of Global Health
Allies or Adversaries
Financing of global health
The first and second waves of the Covid-19 pandemic in Africa
Global Health Actors Claim To Support Health System Strengthening—Is This Reality or Rhetoric?
Exceptional epidemics
The stages of international (global) health
In the shadowlands of global health
What is trauma? Qualitatively assessing stakeholder perceptions in Santa Cruz de la Sierra, Bolivia
The Gavi Alliance and the ‘Gates approach’ to health system strengthening
From a global crisis to the ‘end of Aids’
Doomed Interventions
Making meaning in the time of Aids
The social construction of Aids during a time of evolving access to antiretroviral therapy in rural Malawi
What mother wouldn't want to save her baby?’ HIV testing and counselling practices in a rural Ugandan antenatal clinic
NGOs and international development
The effects of global health initiatives on country health systems
The privatization of public interest
Does Global Health Funding Respond to Recipients’ Needs? Comparing Public and Private Donors’ Allocations in 2005–2007
Keeping a Low Profile
Local Demand for a Global Intervention
Stigma, Trust, and procedural integrity
Aids is Money”
Donor funding priorities for communicable disease control in the developing world
The emergence of global attention to health systems strengthening
Global health funding
The ‘Other Diseases’ of the Millennium Development Goals
The Origins of Primary Health Care and Selective Primary Health Care
Back to Alma-Ata, From 1978 to 2018 and Beyond
The World Health Organization and the Transition From “International” to “Global” Public Health
Social networks and HIV/Aids risk perceptions
Narratives of Death in Rural Malawi in the Time of Aids
Government-by-exception
Neoliberalism Redux
Unintended Consequences of Community Health Worker Programs in South Africa
Everything Is Perfect, and We Have No Problems
Aids-talk in everyday life
Austerity and the embodiment of neoliberalism as ill-health
Hearsay ethnography
Priorities in Global Assistance for Health, Aids, and Population
Beyond Bare Life
Anthropological Perspectives on Structural Adjustment and Public Health
The Arc of Neoliberalism
Outsourcing Social Transformation
Playing the Numbers Game
The self as capital in the narrative economy
Tests for life chances
The governmentalization of living
We Are Just Supposed to Be Quiet
Mediating Abundance and Scarcity
Spatializing States
| Unique citing works | 10 |
|---|---|
| Citations per year | 2 |
| Citation span | 2021 - 2025 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 10 |