Carina Heckert - Böcker

The HIV epidemic in Bolivia has received little attention on a global scale in light of the country’s low HIV prevalence rate. However, by profiling the largest city in this land-locked Latin American country, Carina Heckert shows how global health-funded HIV care programs at times clash with local realities, which can have catastrophic effects for people living with HIV who must rely on global health resources to survive. These ethnographic insights, as a result, can be applied to AIDS programs across the globe.  In Fault Lines of Care, Heckert provides a detailed examination of the effects of global health and governmental policy decisions on the everyday lives of people living with HIV in Santa Cruz. She focuses on the gendered dynamics that play a role in the development and implementation of HIV care programs and shows how decisions made from above impact what happens on the ground.

The HIV epidemic in Bolivia has received little attention on a global scale in light of the country’s low HIV prevalence rate. However, by profiling the largest city in this land-locked Latin American country, Carina Heckert shows how global health-funded HIV care programs at times clash with local realities, which can have catastrophic effects for people living with HIV who must rely on global health resources to survive. These ethnographic insights, as a result, can be applied to AIDS programs across the globe.  In Fault Lines of Care, Heckert provides a detailed examination of the effects of global health and governmental policy decisions on the everyday lives of people living with HIV in Santa Cruz. She focuses on the gendered dynamics that play a role in the development and implementation of HIV care programs and shows how decisions made from above impact what happens on the ground.

Explores forms of maternal harm stemming from US policies on the US-Mexico borderIn El Paso, Texas, the racist undertones of anti-immigrant sentiment have contributed to various forms of violence in the region, including the 2019 mass shooting that was the deadliest attack on Latinos in US history. As the community continued to mourn this tragedy, the COVID-19 pandemic unleashed yet another set of economic, social, and public health catastrophes that were disproportionately felt within the border region.In Birth in Times of Despair, Carina Heckert traces women's emotional experiences of pregnancy, birth, and the postpartum period in the midst of a series of longstanding and ongoing crises in the US-Mexico border region. Drawing from interviews, surveys, and medical records of women who gave birth during an intense period of sociopolitical crisis, she examines how limited access to health care, inhumane immigration policies, and exposure to an array of harmful social environmental circumstances serve as sources of intense harm for pregnant and recently pregnant women. In so doing, Heckert reveals how these experiences serve as a profound critique of policies that continue to fail to protect women and their families. She concludes with suggestions for practical, humane, and urgent policy changes to alleviate the needless suffering of this vulnerable group.With its comprehensive portrait of the abysmal physical and mental health outcomes pregnant women face within the border region, Birth in Times of Despair expands our understanding of how obstetric violence is enhanced by the structural violence of the state, and unveils the urgency to ameliorate the harm caused by current immigration policies.