TY  - CHAP
AU  - Wenzel Geissler, Paul
AB  - In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and – albeit sometimes counterintuitively - trust for their people. “The state” has morphed into the “para-state” — not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the “global health” paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional.
DO  - 10.26530/oapen_530530
ID  - OAPEN ID: 1000044
ID  - OAPEN ID: OCN: 1051778338
ID  - OAPEN ID: http://library.oapen.org/handle/20.500.12657/29908
KW  - africa
KW  - medicine
KW  - public health
KW  - africa
KW  - medicine
KW  - public health
KW  - Biopolitics
KW  - Clinical trial
KW  - HIV
KW  - Nation state
KW  - State-owned enterprise
L1  - https://library.oapen.org/bitstream/20.500.12657/29908/1/1000044.pdf
L1  - https://library.oapen.org/bitstream/20.500.12657/29908/1/1000044.pdf
L1  - https://library.oapen.org/bitstream/20.500.12657/29908/1/1000044.pdf
LA  - English
LK  - https://directory.doabooks.org/handle/20.500.12854/32475
PB  - Duke University Press
PY  - 2015
SN  - 9780822357490
TI  - Chapter Introduction: A Life Science in Its African Para-Statenull
ER  - 
