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When People Come First critically assesses the expanding field of global health. It brings together an international and interdisciplinary group of scholars to address the medical, social, political, and economic dimensions of the global health enterprise through vivid case studies and bold conceptual work. The book demonstrates the crucial role of ethnography as an empirical lantern in global health, arguing for a more comprehensive, people-centered approach. Topics include the limits of technological quick fixes in disease control, the moral economy of global health science, the unexpected effects of massive treatment rollouts in resource-poor contexts, and how right-to-health activism coalesces with the increased influence of the pharmaceutical industry on health care. The contributors explore the altered landscapes left behind after programs scale up, break down, or move on. We learn that disease is really never just one thing, technology delivery does not equate with care, and biology and technology interact in ways we cannot always predict. The most effective solutions may well be found in people themselves, who consistently exceed the projections of experts and the medical-scientific, political, and humanitarian frameworks in which they are cast. 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.
"Rapid social change is the one constant in this ambitious volume. These pages come to life and are wrenching because they never seek to elide the messiness of experience. With ethnographic evidence from some of the most important theaters of global health, the authors give us a sound understanding of the collision of a crushing burden of disease, emerging audit cultures, and new therapeutic regimes. As case studies rooted in long familiarity but alive to overwhelming transformation, they will stand the test of time."--Paul Farmer, Harvard Medical School and Partners in Health "Award-winning medical anthropologists Joao Biehl and Adriana Petryna have produced a stunning and original collection. In an era of market-driven global health interventions, this volume demonstrates anthropology's unique contribution as a critically evaluative and humanizing discipline."--Marcia C. Inhorn, Yale University "Global health as a field is being redefined, from one based on narrow interventions to a more holistic focus on delivering value to patients. This requires a deep understanding of how to connect care delivery to patients, their families, and the local country context. "When People Come First" is an indispensable resource in creating the global health delivery systems of the future. Its rich case studies are essential for practitioners and scholars in designing and implementing care processes that really work."--Michael E. Porter, Harvard Business School "Global health is a big business: the World Bank, the World Health Organization, the United Nations, the Gates Foundation, academia, pharmaceutical companies, and thousands of NGOs are working to improve health around the world. Lost among these powerful groups, the supposed beneficiaries have little to say. "When People Come First" tells us why and how to make global health better. It is an eye-opener, especially for those of us locked into our comfortable disciplinary silos."--Angus Deaton, Princeton University ""When People Come First" is a truly pioneering volume that will change the kind of work that is done in the anthropology of global health in the future."--Richard G. Parker, Columbia University ""When People Come First" sets an ambitious agenda that emphasizes ethnography as an important methodological tool for better understanding health services at all levels of analysis, including at the stages of service provision, medicine marketing, and policymaking. There is no doubt that this book will be read and widely cited by scholars of global health."--Nitsan Chorev, Brown University
Die meisten aller frühzeitigen Todesfälle lassen sich verhindern - und zwar, so überraschend es klingen mag, durch einfache Änderungen der eigenen Lebens- und Ernährungsweise. Dr. Michael Greger, international renommierter Arzt, Ernährungswissenschaftler und Gründer des Online-Informationsportals Nutritionfacts.org, lüftet in seinem weltweit aussergewöhnlich erfolgreichen Beststeller das am besten gehütete Geheimnis der Medizin: Wenn die Grundbedingungen stimmen, kann sich der menschliche Körper selbst heilen. In How Not To Die analysiert Greger die häufigsten 15 Todesursachen der westlichen Welt, zu denen z. B. Herzerkrankungen, Krebs, Diabetes, Bluthochdruck und Parkinson zählen, und erläutert auf Basis der neuesten wissenschaftlichen Forschungsergebnisse, wie diese verhindert, in ihrer Entstehung aufgehalten oder sogar rückgängig gemacht werden können. Darüber hinaus erklärt er auf verständliche und enorm fesselnde, aber stets wissenschaftlich fundierte Weise, welche Lebensmittel besonders wertvoll und gesund für die verschiedenen Organe und Funktionen des menschlichen Körpers sind, und wie diese am besten kombiniert und verzehrt werden können. Sein "Tägliches Dutzend" fasst in einer so übersichtlichen wie praktischen Checkliste alle die Lebensmittel zusammen, die eine optimale Gesundheit unterstützen. Dieses Buch ist ein Muss für alle, die ihre gesundheitliche Zukunft selbstbestimmt und gut informiert in die eigenen Hände nehmen möchten. "Mit Abstand das beste Buch, dass ich je über Ernährung und Diäten gelesen habe." Dan Buettner, Bestseller-Autor der "The Blue Zones"
To date, geography has not yet carved out a disciplinary niche within the diffuse domain that constitutes global health. However, the compulsion to do and understand global health emerges largely from contexts that geography has long engaged with: urbanisation, globalisation, political economy, risk, vulnerability, lifestyles, geopolitics, culture, governance, development and the environment. Moreover, global health brings with it an innate, powerful and politicising spatial logic that is only now starting to emerge as an object of enquiry. This book aims to draw attention to and showcase the wealth of existing and emergent geographical contributions to what has recently been termed ‘critical global health studies’. Geographical perspectives, this collection argues, are essential to bringing new and critical perspectives to bear on the inherent complexities and interconnectedness of global health problems and purported solutions. Thus, rather than rehearsing the frequent critique that global health is more a ‘set of problems’ than a coherent disciplinary approach to ameliorating the health of all and redressing global bio-inequalities; this collection seeks to explore what these problems might represent and the geographical imaginaries inherent in their constitution. This unique volume of geographical writings on global health not only deepens social scientific engagements with health itself, but in so doing, brings forth a series of new conceptual, methodological and empirical contributions to social scientific, multidisciplinary scholarship.
THE CRITICAL WORK IN GLOBAL HEALTH, NOW COMPLETELY REVISED AND UPDATED "This book compels us to better understand the contexts in which health problems emerge and the forces that underlie and propel them." -Archbishop Emeritus Desmond Mpilo Tutu H1N1. Diabetes. Ebola. Zika. Each of these health problems is rooted in a confluence of social, political, economic, and biomedical factors that together inform our understanding of global health. The imperative for those who study global health is to understand these factors individually and, especially, synergistically. Fully revised and updated, this fourth edition of Oxford's Textbook of Global Health offers a critical examination of the array of societal factors that shape health within and across countries, including how health inequities create consequences that must be addressed by public health, international aid, and social and economic policymaking. The text equips students, activists, and health professionals with the building blocks for a contextualized understanding of global health, including essential threads that are combined in no other work: ? historical dynamics of the field ? the political economy of health and development ? analysis of the current global health structure, including its actors, agencies, and activities ? societal determinants of health, from global trade and investment treaties to social policies to living and working conditions ? the role of health data and measuring health inequities ? major causes of global illness and death, including under crises, from a political economy of health vantage point that goes beyond communicable vs. non-communicable diseases to incorporate contexts of social and economic deprivation, work, and globalization ? the role of trade/investment and financial liberalization, precarious work, and environmental degradation and contamination ? principles of health systems and the politics of health financing ? community, national, and transnational social justice approaches to building healthy societies and practicing global health ethically and equitably Through this approach the Textbook of Global Health encourages the reader -- be it student, professional, or advocate -- to embrace a wider view of the global health paradigm, one that draws from political economy considerations at community, national, and transnational levels. It is essential and current reading for anyone working in or around global health.

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