Underbelly
An unsettling exploration of the hidden power dynamics of global health, seen through the lens of childhood diarrhea and its treatment within the Guatemalan context.Deaths from childhood diarrhea seem preposterous in high-income countries. Yet, for children under five years old in the rest of the wo...
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| Materialtyp: | Online |
| Språk: | engelska |
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The MIT Press
2024
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| Ämnen: | |
| Länkar: | ONIX_20241025_9780262378284_122 |
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| _version_ | 1869528070531055616 |
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| author | Hall-Clifford, Rachel |
| author_browse | Hall-Clifford, Rachel |
| author_facet | Hall-Clifford, Rachel |
| author_sort | Hall-Clifford, Rachel |
| collection | Directory of Open Access Books |
| description | An unsettling exploration of the hidden power dynamics of global health, seen through the lens of childhood diarrhea and its treatment within the Guatemalan context.Deaths from childhood diarrhea seem preposterous in high-income countries. Yet, for children under five years old in the rest of the world, diarrhea is the third highest cause of mortality. Despite a glut of prevention and treatment programming spanning more than forty years, this least glamorous of global health ills remains a critical problem. In Underbelly, Rachel Hall-Clifford takes a hard look at the pathways of global health funding and development policies and the outcomes they deliver for recipient individuals and communities. Drawing on fifteen years of ethnographic research in highland Guatemala, Hall-Clifford focuses on the provision of primary health care services as a critical exemplar of how global health and development programs fall short.Guatemala has a fragmented health system, the author explains, that guarantees health as a human right but also suffers from systemic racism, inadequate health services and access to those services, community distrust from a legacy of harm and violence, and a demeaning paternalism. Bringing together the discourses of global health and medical anthropology, Underbelly explores the ways in which global health—its actors, structures, and systems—perpetuates the challenges it purports to fix: this is the underbelly. Hall-Clifford argues that global health programs, conceived in offices distant from the places in which they are delivered, often have unintended consequences and contribute to pluralistic and exclusionary health systems that mirror neoliberal economies. She argues that if we are to fix this entrenched crisis of health inequity, we must use the immense resources of global health to center local communities as drivers of change.With a foreword written by Waleska López Canu, an Indigenous Maya medical director, and an afterword by Arthur Kleinman, renowned expert in global health, this book underscores the importance of looking deeper into what seems on its surface incontrovertibly “good” to understand the more complex realities on the ground and in people's lives. |
| format | Online |
| id | doab-20.500.12854ir-146744 |
| institution | Directory of Open Access Books |
| language | eng |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | The MIT Press |
| publisherStr | The MIT Press |
| record_format | ojs |
| spelling | doab-20.500.12854ir-1467442024-10-25T13:19:19Z Underbelly Hall-Clifford, Rachel Biomedical Sciences/Global & Public Health thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBN Public health and preventive medicine::MBNH Personal and public health / health education::MBNH2 Environmental factors thema EDItEUR::P Mathematics and Science::PS Biology, life sciences::PSX Human biology thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology An unsettling exploration of the hidden power dynamics of global health, seen through the lens of childhood diarrhea and its treatment within the Guatemalan context.Deaths from childhood diarrhea seem preposterous in high-income countries. Yet, for children under five years old in the rest of the world, diarrhea is the third highest cause of mortality. Despite a glut of prevention and treatment programming spanning more than forty years, this least glamorous of global health ills remains a critical problem. In Underbelly, Rachel Hall-Clifford takes a hard look at the pathways of global health funding and development policies and the outcomes they deliver for recipient individuals and communities. Drawing on fifteen years of ethnographic research in highland Guatemala, Hall-Clifford focuses on the provision of primary health care services as a critical exemplar of how global health and development programs fall short.Guatemala has a fragmented health system, the author explains, that guarantees health as a human right but also suffers from systemic racism, inadequate health services and access to those services, community distrust from a legacy of harm and violence, and a demeaning paternalism. Bringing together the discourses of global health and medical anthropology, Underbelly explores the ways in which global health—its actors, structures, and systems—perpetuates the challenges it purports to fix: this is the underbelly. Hall-Clifford argues that global health programs, conceived in offices distant from the places in which they are delivered, often have unintended consequences and contribute to pluralistic and exclusionary health systems that mirror neoliberal economies. She argues that if we are to fix this entrenched crisis of health inequity, we must use the immense resources of global health to center local communities as drivers of change.With a foreword written by Waleska López Canu, an Indigenous Maya medical director, and an afterword by Arthur Kleinman, renowned expert in global health, this book underscores the importance of looking deeper into what seems on its surface incontrovertibly “good” to understand the more complex realities on the ground and in people's lives. 2024-10-25T13:19:17Z 2024-10-25T13:19:17Z 2024 book ONIX_20241025_9780262378284_122 9780262378284 9780262547765 https://directory.doabooks.org/handle/20.500.12854/146744 eng The MIT Press image/jpeg n/a https://doi.org/10.7551/mitpress/15135.001.0001 The MIT Press The MIT Press 10.7551/mitpress/15135.001.0001 10.7551/mitpress/15135.001.0001 ae0cf962-f685-4933-93d1-916defa5123d 9780262378284 9780262547765 The MIT Press 282 Cambridge open access |
| spellingShingle | Biomedical Sciences/Global & Public Health thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBN Public health and preventive medicine::MBNH Personal and public health / health education::MBNH2 Environmental factors thema EDItEUR::P Mathematics and Science::PS Biology, life sciences::PSX Human biology thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology Hall-Clifford, Rachel Underbelly |
| title | Underbelly |
| title_full | Underbelly |
| title_fullStr | Underbelly |
| title_full_unstemmed | Underbelly |
| title_short | Underbelly |
| title_sort | underbelly |
| topic | Biomedical Sciences/Global & Public Health thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBN Public health and preventive medicine::MBNH Personal and public health / health education::MBNH2 Environmental factors thema EDItEUR::P Mathematics and Science::PS Biology, life sciences::PSX Human biology thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology |
| topic_facet | Biomedical Sciences/Global & Public Health thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBN Public health and preventive medicine::MBNH Personal and public health / health education::MBNH2 Environmental factors thema EDItEUR::P Mathematics and Science::PS Biology, life sciences::PSX Human biology thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology |
| url | ONIX_20241025_9780262378284_122 |
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