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359 Pages·2012·3.942 MB·English
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Medicine, Mobility, and Power in Global Africa This page intentionally left blank Medicine, Mobility, and Power In Global Africa Transnational Health and Healing Edited by Hansjörg Dilger, Abdoulaye Kane, and Stacey A. Langwick Indiana University Press Bloomington and Indianapolis This book is a publication of Indiana University Press 601 North Morton Street Bloomington, Indiana 47404-3797 USA iupress.indiana.edu Telephone orders 800-842-6796 Fax orders 812-855-7931 © 2012 by Indiana University Press All rights reserved No part of this book may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. The Association of American University Presses’ Resolution on Permissions constitutes the only exception to this prohibition. The paper used in this publication meets the minimum requirements of the American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48–1992. Manufactured in the United States of America Library of Congress Cataloging-in-Publication Data Medicine, mobility, and power in global Africa : transnational health and healing / edited by Hansjörg Dilger, Abdoulaye Kane, and Stacey A. Langwick. p. cm. Includes index. ISBN 978-0-253-35709-0 (cloth : alk. paper) ISBN 978-0-253-22368-5 (pbk. : alk. paper) ISBN 978-0-253-00532-8 (eb) 1. Medical care—Africa. 2. Health services accessibility—Africa. 3. Traditional medi- cine—Africa. I. Dilger, Hansjörg. II. Kane, Abdoulaye. III. Langwick, Stacey Ann. RA545.M47 2012 362.1096—dc23 2012005731 1 2 3 4 5 17 16 15 14 13 12 Contents Acknowledgments vii Introduction: Transnational Medicine, Mobile Experts / Stacey A. Langwick, Hansjörg Dilger, and Abdoulaye Kane 1 Part 1. Scale as an Effect of Power 1 The Choreography of Global Subjection: The Traditional Birth Attendant in Contemporary Configurations of World Health / Stacey A. Langwick 31 2 Targeting the Empowered Individual: Transnational Policy Making, the Global Economy of Aid, and the Limitations of Biopower in Tanzania / Hansjörg Dilger 60 3 Health Security on the Move: Biobureaucracy, Solidarity, and the Transfer of Health Insurance to Senegal / Angelika Wolf 92 4 Afri-global Medicine: New Perspectives on Epidemics, Drugs, Wars, Migrations, and Healing Rituals / John M. Janzen 115 5 AIDS Policies for Markets and Warriors: Dispossession, Capital, and Pharmaceuticals in Nigeria / Kristin Peterson 138 Part 2. Alternative Forms of Globality 6 Assisted Reproductive Technologies in Mali and Togo: Circulating Knowledge, Mobile Technology, Transnational Efforts / Viola Hörbst 163 7 Flows of Medicine, Healers, Health Professionals, and Patients between Home and Host Countries / Abdoulaye Kane 190 vi CoNTENTS 8 Public Health or Public Threat? Polio Eradication Campaigns, Islamic Revival, and the Materialization of State Power in Niger / Adeline Masquelier 213 9 School of Deliverance: Healing, Exorcism, and Male Spirit Possession in the Ghanaian Presbyterian Diaspora / Adam Mohr 241 Part 3. Moving through the Gaps 10 It’s Just Like the Internet: Transnational Healing Practices between Somaliland and the Somali Diaspora / Marja Tiilikainen 271 11 Mobility and Connectedness: Chinese Medical Doctors in Kenya / Elisabeth Hsu 295 12 Guinean Migrant Traditional Healers in the Global Market / Clara Carvalho 316 Contributors 337 Index 339 Acknowledgments This book is a product of the intellectual excitement the three of us shared together as faculty in a vibrant and dynamic Center for African Studies at the University of Florida in the early 2000s. In 2006, with the support of the University of Florida we organized a small working conference on transna- tionalism and medicine in Africa. The complexity of the issues and our desire to continue the conversation there gave rise to this volume. A few of the presentations given at that conference provided the seeds for chapters in this book. others have joined us since then. While we editors are now each in different universities and on two different continents, we have treasured the excuse working on this volume provided to continue our conversations on a regular basis. We would like to extend a very special thank-you to Leonardo Villalón, director of the Center for African Studies at the University of Florida 2003– 2011. He supported both us and this generative international conversation. We thank the students in Professor Dilger’s graduate seminar “Mobility and Health in Africa,” which led up to the conference in the fall of 2006. We also appreciate the range of support that we received for the original conference from Kenneth Sassaman, Allan Burns, Corinna Greene, and Ikeade Akinyemi. We benefited from the generous funding of the International office at the University of Florida. Susan Reynolds Whyte was a gifted and generative discussant at the conference. We owe a special thank-you to her for her invaluable input. We thank Julie Livingston, Brenda Chalfin, and Luise White for their intellectual interventions. The Department of Political and Social Sciences at Freie Universität (Berlin) and the Department of Anthropology in Cornell University granted funding for the preparation of the book. Carla Dietzel provided invaluable administrative support in managing deadlines and submissions as well as excellent skills in layout. Edited volumes are always a process and we thank the authors for their patience. Dee Mortensen understood the value of the conversation that this volume catalyzes and was a skillful editor. We thank Marisa Maza for the cover work, and Jeff Bercuvitz for hosting the three of us in Ithaca for a critical meeting of the editors. We hope that in the coming years this volume will generate more conversations and scholarly exchange on the transnationalization of health, medicine, and healing in and beyond Africa. 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