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Dismal spending on government health services is often considered a necessary consequence of a low per-capita GDP, but are poor patients in poor countries really fated to be denied the fruits of modern medicine? In many countries, officials speak of proper health care as a luxury, and convincing politicians to ensure citizens have access to quality health services is a constant struggle. Yet, in many of the poorest nations, health care has long received a tiny share of public spending. Colonial and postcolonial governments alike have used political, rhetorical, and even martial campaigns to rebuff demands by patients and health professionals for improved medical provision, even when more funds were available. No More to Spend challenges the inevitability of inadequate social services in twentieth-century Africa, focusing on the political history of Malawi. Using the stories of doctors, patients, and political leaders, Luke Messac demonstrates how both colonial and postcolonial administrations in this nation used claims of scarcity to justify the poor state of health care. During periods of burgeoning global discourse on welfare and social protection, forestalling improvements in health care required varied forms of rationalization and denial. Calls for better medical care compelled governments, like that of Malawi, to either increase public health spending or offer reasons for their inaction. Because medical care is still sparse in many regions in Africa, the recurring tactics for prolonged neglect have important implications for global health today.
This title features a general history of Malawi, focusing mainly on the colonial period, when it was know as Nyassaland, but placing that period in the context of the pre-colonial past.
First published in 1977 and now in its third edition, this book has been recognised as one of the most successful studies to be made of the impact of a Christian mission in Africa. Starting with a survey of the economy and society of Malawi in the mid ninetieth century, the book goes on to examine the home background to the Livingstonia Mission of the Free Church of Scotland and the influence of David Livingstone upon it. It then describes the failure of 'commerce and Christianity' around the south end of Lake Malawi and the subsequent positive response which the mission evoked among the people of Northern Malawi. African responses and the relationship between Christianity and politics dominate the second half of the book. Comprehensive reassessments are made of the origins of the Watch Tower movement; the growth of Christian independence and the character of interpolitical associations. This revised edition includes a new introduction, and up-dated bibliography, and some revised text.
First published in 1895, this is a guide to the stages and bargains by which the present African frontiers have been created.