When People Come First

Joao Biehl is the Susan Dod Brown Professor of Anthropology at Princeton University. He is the author of Vita: Life in a Zone of Social Abandonment and Will to Live: AIDS Therapies and the Politics of Survival (Princeton). Adriana Petryna is the Edmund J. and Louise W. Kahn Term Professor in Anthropology at the University of Pennsylvania. She is the author of Life Exposed: Biological Citizens after Chernobyl and When Experiments Travel: Clinical Trials and the Global Search for Human Subjects (both Princeton).

"When People Come First is a welcome examination of 'the actual impacts of [global health] initiatives on care, health systems, and governance.'... The authors' empirical accounts of the complexities of the global health landscape expose a litany of assumptions that drive global health and demonstrate why we must be suspicious of these."--Nicole S. Berry, Science "When People Come First would be a valuable accessory in any global health practitioner's toolkit, and essential reading for global health students."--Jocalyn Clark, PLoS Speaking of Medicine blog "When People Come First, edited by medical anthropologists Biehl and Petryna, is an informed, critical examination of current, compelling global health issues; it successfully dispels the notion that a single community or country is alone in its health efforts."--Choice "When People Come First sets a new research agenda in global health and social theory and challenges us to rethink the relationships between care, rights, health, and economic futures."--World Book Industry "When People Come First presents an important contribution to debates surrounding the concept of 'evidence' in global health policy and practice... This anthology, and the debates which it will surely ignite, provides a solid foundation for exploring an approach to global health where people come first."--Sarah Jeavons, New Genetics and Society "When People Come First is a strong and ethnographically grounded collection featuring many of the most talented theorists and writers currently studying global health."--Svea Closser, American Ethnologist "Like with any good ethnography, the stories are real, often troubling, and evocative of real lives in real places. They stimulate anger and outrage. It is a hard book to put down."--Craig R. Janes, Medical Anthropology Quarterly "[An] impressive book ... rich in nuance and complexity."--Salmaan Keshavjee, Lancet "This text has significant potential as a teaching resource both for clinical family medicine and for those exploring global health--the problems it addresses are real, the need for ethnographic rather than program-focused understandings of local reality is well articulated, and the challenge presented by the book to look at things differently is valuable to those learning to practice in any setting."--William Cayley Jr, MD, MDiv, Family Medicine

• Critical Global Health, Joao Biehl and Adriana Petryna 1 I EVIDENCE Overview 23 1A Return to the Magic Bullet? Malaria and Global Health in the Twenty-First Century, Marcos Cueto 30 2Evidence-Based Global Public Health - Subjects, Profits, Erasures, Vincanne Adams 54 3The "Right to Know" or "Know Your Rights"? Human Rights and a People-Centered Approach to Health Policy, Joseph J. Amon 91 4Children as Victims - The Moral Economy of Childhood in the Times of AIDS, Didier Fassin 109 II INTERVENTIONS Overview 133 5Therapeutic Clientship - Belonging in Uganda's Projectified Landscape of AIDS Care, Susan Reynolds Whyte, Michael A. Whyte, Lotte Meinert, and Jenipher Twebaze 140 6The Struggle for a Public Sector - PEPFAR in Mozambique, James Pfeiffer 166 7The Next Epidemic - Pain and the Politics of Relief in Botswana's Cancer Ward, Julie Livingston 182 8A Salvage Ethnography of the Guinea Worm - Witchcraft, Oracles and Magic in a Disease Eradication Program, Amy Moran-Thomas 207 III MARKETS Overview 243 9Public-Private Mixes - The Market for Anti-Tuberculosis Drugs in India, Stefan Ecks and Ian Harper 252 10Labor Instability and Community Mental Health - The Work of Pharmaceuticals in Santiago, Chile, Clara Han 276 11The Ascetic Subject of Compliance - The Turn to Chronic Diseases in Global Health, Ian Whitmarsh 302 12Legal Remedies - Therapeutic Markets and the Judicialization of the Right to Health, Joao Biehl and Adriana Petryna 325 Afterword - The Peopling of Technologies, Michael M. J. Fischer 347 Contributors 375 Acknowledgments 381 References 385 Index 425