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Research paper
‘With the kanyaleng and the help of god, you don’t feel ashamed’: women experiencing infertility in Casamance, Senegal
While the precarious situation of women with infertility in Sub-Saharan Africa is well documented, little is known about the ways in which such women show agency despite the challenges that infertility brings to their lives. This study provided a holistic…
Interembodiment, Inheritance, and Intergenerational Health
This article introduces the concept of interembodiment, animated bodily entanglements between people, to illustrate the shared sense of illness that transgresses discrete biological bodies.
Research paper
Responsibility, repair and care in Sierra Leone’s health system.
Central to the workings of a hospital are the technical and bureaucratic systems that ensure the effective coordination of information and biological materials of patients across time and space. In this paper, which is based on ethnographic research in a…
Research paper
Progress in the face of cuts: a qualitative Nigerian case study of maintaining progress towards universal health coverage after losing donor assistance
In the coming years, about a dozen middle-income countries are excepted to transition out of development assistance for health (DAH) based on their economic growth. This anticipated loss of external funds at a time when there is a need for…
Diagnosing Diabetes, Diagnosing Colonialism: An Ethnography of the Classification and Counting of a Senegalese Metabolic Disease
This article explores the top-down production of the statistics frequently circulated in global health. These data must first originate in a place like the public hospital in Saint-Louis, Senegal, in doctor’s offices and laboratories and medical archives.
Caregiving in Crisis: Fatherhood Refashioned by Sierra Leone’s Ebola Epidemic
In much of the literature on Sierra Leone, young men have been recognized for perpetrating violence or resisting authority. This characterization extended into the Ebola crisis, as young men were depicted as “resisting” public health measures. In contrast, little scholarship…
Men’s experiences of pregnancy and childbirth in Sierra Leone: Reexamining definitions of “male partner involvement”.
In recent decades, global health researchers and policy makers have advocated for men’s increased involvement in pregnancy and childbirth with the goal of improving maternal health outcomes. However, such approaches often fail to account for the culturally valid and gendered…
Research paper
“You have to find a caring man, like your father!” Gendering sickle cell and refashioning women’s moral boundaries in Sierra Leone
This qualitative study undertaken in 2018, explores if and how sickle cell disorders become gendered in Sierra Leone through the analytical framework of a feminist ethics of care.
Research paper
What post-abortion care indicators don’t measure: Global abortion politics and obstetric practice in Senegal
This article draws on an ethnography of Senegal’s post-abortion care (PAC) program, conducted between 2010 and 2011, to illustrate how PAC indicators obscure the professional and technological complexities of treating abortion complications in contexts where abortion is illegal. The author…
Community health care workers in pursuit of TB: Discourses and dilemmas
Community-led tuberculosis (TB) active case finding is widely promoted, heavily funded, but many efforts fail to meet expectations. The underlying reasons why TB symptom screening programs underperform are poorly understood. This study examines Nigerian stakeholders’ insights to characterize the mechanisms,…
Metrics of Survival: Post-Abortion Care and Reproductive Rights in Senegal.
Drawing on ethnographic fieldwork conducted in Senegal between 2010 and 2011, the author demonstrates how health professionals have deployed indicators such as number of women and abortion type treated in government hospitals to demonstrate commitment to global mandates on reproductive…
Background report
Your Pocket Is What Cures You: The Politics of Health in Senegal
In the wake of structural adjustment programs in the 1980s and health reforms in the 1990s, the majority of sub-Saharan African governments spend less than ten dollars per capita on health annually, and many Africans have limited access to basic…