Therapeutic citizens and clients
Diverging healthcare practices in Malawi's prenatal clinics
Bibliographic Data
| ID | 2249493 |
|---|---|
| Authors | Amy Zhou (0000-0001-8727-8678, Institute for Practical Ethics University of California San Diego USA, corresponding author) |
| Year | 2019 |
| Volume | 41 |
| Issue | 4 |
| Pages | 625-642 |
| Publication date | 2019-05-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.12841 |
| PMID | 30671979 |
| OpenAlex | W2914069341 |
| Language | EN |
| Citations received | 5 |
| References cited | 61 |
This article examines how HIV policies and the funding priorities of global institutions affect practices in prenatal clinics and the quality of healthcare women receive. Data consist of observations at health centres in Lilongwe, Malawi and interviews with providers (N = 37). I argue that neoliberal ideology, which structures the global health field, produces a fragmented healthcare system on the ground. Findings show two kinds of healthcare practices within the same clinic: donor-funded NGOs took on HIV services while government providers focused on prenatal care. NGO practices were defined by surveillance, where providers targeted pregnant HIV-positive women and intensively monitored their adherence to drug treatment. In contrast, state-led practices were defined by rationing. Government providers worked with all pregnant women, but with staff and resource shortages, they limited time and services for each patient in order to serve everyone. This paper builds on concepts of therapeutic citizenship and clientship by exploring how global health priorities produce different conditions, practices and outcomes of NGO and state-led care
Business · Economic growth · Economics · Environmental health · Government (linguistics · Health care · Political science · Population · Prenatal care · Public relations · Rationing · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Nursing · Poverty, Education, and Child Welfare
A Fraught Embrace
When People Come First
Inclusion
The Republic of Therapy
Improvising Medicine
Adherence as therapeutic citizenship
Financing of global health
Global Health Actors Claim To Support Health System Strengthening—Is This Reality or Rhetoric?
Subjects of counselling
The 'diagonal' approach to Global Fund financing
Engaging therapeutic citizenship and clientship
In the shadowlands of global health
What mother wouldn't want to save her baby?’ HIV testing and counselling practices in a rural Ugandan antenatal clinic
Inoculating against Barbarism? State Medicine and Immigrant Policy in Turn-of-the-Century Argentina
Does Global Health Funding Respond to Recipients’ Needs? Comparing Public and Private Donors’ Allocations in 2005–2007
Keeping a Low Profile
Aids is Money”
An offer you can't refuse? Provider-initiated HIV testing in antenatal clinics in rural Malawi
Donor funding priorities for communicable disease control in the developing world
The emergence of global attention to health systems strengthening
Has donor prioritization of HIV/Aids displaced aid for other health issues
Biopolitical Citizenship in the Immigration Adjudication Process
Government-by-exception
The uncertainty of treatment
Austerity and the embodiment of neoliberalism as ill-health
Science and Citizenship under Postsocialism
Priorities in Global Assistance for Health, Aids, and Population
Introduction
Counselling Citizens and Producing Patronage
Pharmaceuticalization
Critical Evidence
Where ethics and politics meet
The Truth from the Body
Another Politics of Life is Possible
Anthropological Perspectives on Structural Adjustment and Public Health
Moral Maps and Medical Imaginaries
All I Eat Is ARVs
New forms of citizenship and socio-political inclusion
The self as capital in the narrative economy
The world has changed
Tests for life chances
Pharmaceutical Citizenship
The governmentalization of living
Genetic risk and the birth of the somatic individual
A Disease Unlike Any Other? Why HIV Remains Exceptional in the Age of Treatment
We Are Just Supposed to Be Quiet
Mediating Abundance and Scarcity
| Unique citing works | 5 |
|---|---|
| Citations per year | 0,71 |
| Citation span | 2019 - 2024 (6) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 4 |