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John Iliffe's 1998 book is a history of the African medical profession in Uganda, Kenya and Tanzania from the earliest training of modern medical staff in the 1870s to the present day. Based on extensive research, and dealing exclusively with African doctors, it offers an understanding of professionalisation in the Third World. It describes the recruitment and education of doctors, their understanding and practice of modern medicine, the struggle for international recognition of their qualifications and efforts to develop East African medical systems after independence, and their experiences during a period of political and economic difficulty. The book ends with an account of the significant work of East African doctors in the study and control of AIDS. This is a major contribution to the social history of Africa and to the social history of medicine more broadly.
This electronic version has been made available under a Creative Commons (BY-NC-ND) open access license. The Colonial Medical Service was the personnel section of the Colonial Service, employing the doctors who tended to the health of both the colonial staff and the local populations of the British Empire. Although the Service represented the pinnacle of an elite government agency, its reach in practice stretched far beyond the state, with the members of the African service collaborating, formally and informally, with a range of other non-governmental groups. This collection of essays on the Colonial Medical Service of Africa illustrates the diversity and active collaborations to be found in the untidy reality of government medical provision. The authors present important case studies covering former British colonial dependencies in Africa, including Kenya, Malawi, Nigeria, Tanzania, Uganda and Zanzibar. They reveal many new insights into the enactments of colonial policy and the ways in which colonial doctors negotiated the day-to-day reality during the height of imperial rule in Africa. The book provides essential reading for scholars and students of colonial history, medical history and colonial administration.
The Experiment Must Continue is a beautifully articulated ethnographic history of medical experimentation in East Africa from 1940 through 2014. In it, Melissa Graboyes combines her training in public health and in history to treat her subject with the dual sensitivities of a medical ethicist and a fine historian. She breathes life into the fascinating histories of research on human subjects, elucidating the hopes of the interventionists and the experiences of the putative beneficiaries. Historical case studies highlight failed attempts to eliminate tropical diseases, while modern examples delve into ongoing malaria and HIV/AIDS research. Collectively, these show how East Africans have perceived research differently than researchers do and that the active participation of subjects led to the creation of a hybrid ethical form. By writing an ethnography of the past and a history of the present, Graboyes casts medical experimentation in a new light, and makes the resounding case that we must readjust our dominant ideas of consent, participation, and exploitation. With global implications, this lively book is as relevant for scholars as it is for anyone invested in the place of medicine in society.
Based on fieldwork conducted between 2001-2008 in urban East Africa, this book explores who the patients, practitioners and paraprofessionals doing Chinese medicine were in this early period of renewed China-Africa relations. Rather than taking recourse to the ‘placebo effect’, the author explains through the spatialities and materialities of the medical procedures provided why - apart from purchasing the Chinese antimalarial called Artemisinin - locals would try out their ‘alternatively modern’ formulas for treating a wide range of post-colonial disorders and seek their sexual enhancement medicines.
This ground-breaking book offers unique insights into the careers of Indian doctors in colonial Kenya during the height of British colonialism, between 1895 and 1940. The story of these important Indian professionals presents a rare social history of an important political minority.
Medical research has been central to biomedicine in Africa for over a century, and Africa, along with other tropical areas, has been crucial to the development of medical science. At present, study populations in Africa participate in an increasing number of medical research projects and clinical trials, run by both public institutions and private companies. Global debates about the politics and ethics of this research are growing and local concerns are prompting calls for social studies of the “trial communities” produced by this scientific work. Drawing on rich, ethnographic and historiographic material, this volume represents the emergent field of anthropological inquiry that links Africanist ethnography to recent concerns with science, the state, and the culture of late capitalism in Africa.
This ground-breaking book offers unique insights into the careers of Indian doctors in colonial Kenya during the height of British colonialism, between 1895 and 1940. The story of these important Indian professionals presents a rare social history of an important political minority.
Introduction -- Moving through the Practico-Sensory Realm of Space -- Spatial Textures of the Clinical Encounter -- Misunderstandings, and the Spaces They Create -- Emplacement, Emplotment, 'Empotment' -- Patients, Practitioners and Their Pots -- The Patients -- The Practitioners -- The Pots: Orientations -- Pots, 'Pots' and Pots -- What Is in a 'Pot'? Industrially-Produced Chinese Formula Medicines -- What Makes a Pot Efficacious? Social Distance, Exotic Techniques and -- Potencies beyond Them -- 'The Chinese Antimalarial' as 'Pot' and Pot -- Conclusion. Kaleidoscopic Refractions.
The main objective of this book is to establish the salient reasons why higher education was developed in East Africa and specifically why the Federal University of East Africa was constituted. The book will identify the factors responsible for the collapse of this regional institution in June 1970. Another objective of this book is to demonstrate how the history of the University of East Africa sheds light on colonial and post-colonial policies on education, especially higher education, as a contribution to educational planning in contemporary Africa.