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Screening Charity Recipients

Health Philanthropy, Medical Diagnosis, and Kidney Disease Prevention in Sri Lanka

Bibliographic Data

ID3653243
AuthorsUpul Kumara Wickramasinghe, Upul Wickramasinghe (0000-0001-5446-4298, Durham University, corresponding author)
Year2023
Volume10
Issue3
Pages1-29
Publication date2023-09-27
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedicine Anthropology Theory (JOURNAL)
Journal identifiersISSN: 2405-691X • E-ISSN: 2405-691X
PublisherEdinburgh University Library (PUBLISHER)
DOI10.17157/mat.10.3.7764
OpenAlexW4387377876
LanguageEN
Citations received2
References cited32

Over the last several decades, epidemics of chronic kidney disease of unknown aetiology (CKDu) have appeared in Mesoamerica, North Africa, and South Asia. Drawing on 14 months of ethnographic fieldwork in a CKDu-affected village in Sri Lanka, I explore how one CKDu 'hotspot' came into being following population screening interventions by a community development organisation, a philanthropic foundation, and a university research group. While the production of test results proved vital to the mobilisation of further research and public health resources for the community, this ethnography reveals philanthropy could be seen to have shaped by screening as much as screening was seen to have influenced by philanthropy. The example of medical screening and philanthropic interventions in Ginnoruwa illustrates how bioindicators of failing kidney function became a key metric for demarcating the community into populations of the deserving (or not so deserving) poorly, which in turn helped to create the pattern of disease prevalence and concentration that led to the community being designated a 'hotspot'. In Ginnoruwa, philanthropy and screening did not operate independently but constituted a novel hybrid, which I refer to as 'philanthropic science

Disease · Economic growth · Environmental health · Ethnography · Ethnology · Kidney disease · Pathology · Political science · Population · Psychological intervention · Public health · Sociology · South asia · Sri lanka · Anthropology · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Medicine · Nursing

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Unique citing works2
Citations per year2
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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