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More than ten million children suffer from severe acute malnutrition globally each year. In Uganda, longstanding efforts to understand, treat, and then prevent the condition initially served to medicalize it, in the eyes of both biomedical personnel and Ugandans who brought their children to the hospital for treatment and care. Medicalization meant malnutrition came to be seen as a disease—as a medical emergency—not a preventable condition, further compromising nutritional health in Uganda. Rather than rely on a foreign-led model, physicians in Uganda responded to this failure by developing a novel public health program known as Mwanamugimu. The new approach prioritized local expertise and empowering Ugandan women, blending biomedical knowledge with African sensibilities and cultural competencies. In The Riddle of Malnutrition, Jennifer Tappan examines how over the course of half a century Mwanamugimu tackled the most fatal form of childhood malnutrition—kwashiorkor—and promoted nutritional health in the midst of postcolonial violence, political upheaval, and neoliberal resource constraints. She draws on a diverse array of sources to illuminate the interplay between colonialism, the production of scientific knowledge, and the delivery of health services in contemporary Africa.
In the past two decades many developing countries have embraced the challenge of globalization by rushing to dismantle trade barriers and to promote increasingly liberal market-oriented policies. However, a broader response to globalization is both necessary and possible if countries are to develop as quickly and as fully as possible. Exploring this complex interrelationship between globalization, liberalization, and human and social development, this innovative book undertakes a full analysis of development policy, strategy and practice in a variety of countries, with equal weight provided to Asia, Latin America and Africa. An internationally renowned team of contributors examines the complex network of connections and the implications for international development policy, strategy and practice. Advocating the inclusion of sustainable human development as a key element in countries' responses to globalization, key points highlighted include the need to nurture an enabling environment, and to promote education and R&D. These elements, coupled with sound macroeconomic management, are all required in equipping a country to integrate more effectively into the world economy. This innovative new approach to globalization and development set out in this volume will be essential reading for academics and practitioners alike.
Why do millions of African children die before their fifth birthday? In African Children in Peril, Brian Waller takes his enormous experience in working with children and families, both home and overseas, and looks critically and boldly at why enormous numbers of infant children in sub-Saharan Africa die so young.
Shows that a fraught historical process was at work in which Basotho drew on local and global sources of knowledge and how this small nation surrounded by South Africa can serve as a valuable case-study for wider conversations about 'progress' and 'modernization' in the Global South. Both place-based environmental history and global intellectual history, this book explores the politics of environment, agriculture, poverty, development, and science in Lesotho. Drawing on diverse experiences with this landlocked, mountainous nation, and based on bilingual archival and oral history research in Sesotho and English, the book examines how Basotho intellectuals, farmers, migrant workers, chiefs, experts, and politicians formed vernacular ideas of tsoelopele (progress) amid the structural violence of colonialism and capitalism in southern Africa. Rather than a unidirectional flow of 'enlightened' knowledge from Europe to Africa, the study shows that a fraught historical process was at work in which Basotho drew on local and global sources of knowledge, from ancestral agricultural practices to colonial soil science and from African American missionaries to African nationalists in Ghana. Basotho ideas about tsoelopele, it is argued, informed the many political, social, and environmental innovations that enabled survival within a sea of white supremacy and that underpin approaches to development in independent Lesotho. Throughout, the book shows how this small nation surrounded by South Africa can serve as a valuable case-study for wider conversations about 'progress' and 'modernization' in the Global South.
Handbook of Nutritional Disorders is a comprehensive handbook covering topics in nutrition, malnutrition, and the clinical disorders associated with nutrition from deficiency to toxicity. It includes information on disorders related to carbohydrate, lipid, and protein metabolism as well as vitamin and mineral abnormalities. The book details various types of supplements, feeding methods, and therapies for many specific patients. It aims to educate readers on ways to prevent disorders resulting from all types of malnutrition and their potentially severe complications. Features Strong focus on diabetes featuring information on various forms of the disease and treatment information Detailed discussion of lipids and related disorders – cardiovascular disease is the number one cause of death, informs users on prevention and treatment of hypertension, myocardial infarction, and stroke Contains information on selective nutritional disorders including obesity, dehydration, imbalances, malabsorption, alcoholism, neuropsychiatric disorders, eating disorders, cancer, and pollutant poisonings Written for researchers, academia, and students in healthcare and nutrition fields, this book educates individuals on prevention of disorders resulting from all types of malnutrition and their potentially severe complications.
The anthropological demography of health, as a field of interdisciplinary population research, has grown from the 1990s, extending to a remarkable range of key human and policy issues, including: genetic disorders; nutrition; mental health; infant, child, and maternal morbidity; malaria; HIV/AIDS; disability and chronic diseases; new reproductive technologies; and population ageing. By observing group formation and change over time, tracking people's networks, and observing variance between what people say and do, anthropological demography goes beyond the characteristically top-down formal methodologies of most mainstream socio-economic demography and population health. This path-breaking volume charts and integrates the growing body of research that combines ethnography with quantitative models and methods in the field of population health. It offers a clear agenda based on important conceptual and methodological advances, and often working in close collaboration with medical and historical research. Approaches to population that are grounded in sustained ethnographic and historical research provide more than substantive knowledge of how cultural and social formations interact with health. They enable understanding of how local institutions and experience of vital events come to be translated into the demographic and health measures on which survey and clinical programmes rely. This, in turn, makes possible critical evaluation of the empirical adequacy of such translation, reflection on what happens when these models and measures become standardised evaluations of health statuses, and what this implies for governance. The combination of anthropological, demographic, historical, and biological research has gone beyond the initial demographic prioritisation of fertility regulation, to take on an expanded range of key health policy issues, and locate them in the context of the inequalities that so frequently give rise to major health differentials. The Anthropological Demography of Health offers a clear agenda for the application and extension of combined anthropological and demographic thinking in population health, and will provide a point of reference for the field.
A significant contribution to the history of humanitarianism, Christianity and the politics of aid in Africa.
This book offers a genealogical critique of how food scarcity was governed in colonial Kenya. With an approach informed by the ‘analysis of government’, the study accounts for the emergence and persistence of dominant approaches to promoting food security in Kenya and elsewhere in Africa – policies and practices that prioritize increased agricultural production as the principal means of achieving food security. Drawing on a range of archival sources, the book investigates how those tasked with governing colonial Kenya confronted food as a particular kind of problem. It emphasizes the ways in which that problem shifted in conjunction with the emergence and consolidation of the colonial state and economic relations in the territory. The book applies a novel conceptual approach to the historical study of African food systems and famine, and provides the first longitudinal and in-depth analysis of the dynamics of food scarcity and its government in Kenya.
Tizian Zumthurm uses the extraordinary hospital of an extraordinary man to produce novel insights into the ordinary practice of biomedicine in colonial Central Africa. His investigation of therapeutic routines in surgery, maternity care, psychiatry, and the treatment of dysentery and leprosy reveals the incoherent nature of biomedicine and not just in Africa. Reading rich archival sources against and along the grain, the author combines concepts that appeal to those interested in the history of medicine and colonialism. Through the microcosm of the hospital, Zumthurm brings to light the social worlds of Gabonese patients as well as European staff. By refusing to easily categorize colonial medical encounters, the book challenges our understanding of biomedicine as solely domineering or interactive.
An engaging history of how the idea of development has shaped Africa's past and present encounters with the West.