In the wake: Interpreting care and global health through Black geographies

Hirsch, Lioba

doi:10.1111/area.12573

Cited by 25 publications

(15 citation statements)

References 26 publications

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“…This framework is being presented at a time when the assumptions underpinning global health initiatives are being questioned and the direction of knowledge generation and implementation is being critiqued, 70 where scholars are increasingly drawing on postcolonial theory to reconfigure how we think about global health. 71 72 …”

Section: Discussionmentioning

confidence: 99%

Engaging culture and context in mhGAP implementation: fostering reflexive deliberation in practice

et al. 2020

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In 2002, WHO launched the Mental Health Gap Action Programme (mhGAP) as a strategy to help member states scale up services to address the growing burden of mental, neurological and substance use disorders globally, especially in countries with limited resources. Since then, the mhGAP program has been widely implemented but also criticised for insufficient attention to cultural and social context and ethical issues. To address this issue and help overcome related barriers to scale-up, we outline a framework of questions exploring key cultural and ethical dimensions of mhGAP planning, adaptation, training, and implementation. This framework is meant to guide mhGAP activity taking place around the world. Our approach is informed by recent research on cultural formulation and adaptation, and aligned with key components of the WHO implementation research guide (Peters, D. H., Tran, N. T., & Adam, T. (2013). Implementation research in health: a practical guide. Implementation research in health: a practical guide.). The framework covers three broad domains: (1) Concepts of wellness and illness—how to examine cultural norms, knowledge, values and attitudes in relation to the “culture of the mhGAP”; (2) Systems of care—identifying formal and informal systems of care in the cultural context of practice.; and (3) Ethical space: examining issues related to power dynamics, communication, and decision-making. Systematic consideration of these issues can guide integration of cultural knowledge, structural competence, and ethics in implementation efforts.

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Section: Discussionmentioning

confidence: 99%

Engaging culture and context in mhGAP implementation: fostering reflexive deliberation in practice

et al. 2020

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“…The population was taken by surprise by the radical spatial and temporal disciplinary measures introduced during the early phase of the epidemic, as they had no prior experience of such severe measures in relation to epidemic outbreaks. This problem was compounded by the relative invisibility of the epidemic during its early phases and the increasing fragility of the country in terms of security, which spurred further mistrust in the government (Bourdieu 1996;Fribault 2015;Hirsch 2020).…”

Section: Ruptured Livesmentioning

confidence: 99%

Covid-19 Temporalities: Ruptures of Everyday Life in Urban Burkina Faso

Samuelsen

Toé

2021

MAT

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Globalisation intensifies global interconnectedness; reorders time and space; and stretches social, political, and economic practices across boundaries. However, globalisation is not a linear process; it takes place in discrete phases of short and concentrated bursts. The COVID-19 pandemic is one such time-space burst, or ‘eruption’. In this paper, we focus on COVID-19 as an ‘emerging epidemic’ from the perspective of citizens in Bobo-Dioulasso, the second-largest city in Burkina Faso. We explore how these citizens experience ruptures of their everyday life due to COVID-19 and how their understandings and responses to the pandemic were shaped in a context of instability and political turbulence. We are inspired by Giddens’s notion of ‘time-space distanciation’, which refers to ‘the condition under which time and space are organized so as to connect presence and absence’. We focus on the temporality of the pandemic by looking at a specific period during the pandemic, during which the government of Burkina Faso introduced a number of restrictions as preventive measures at a time when COVID-19 as a disease was still an absent phenomenon for most people. The pandemic had not (yet) infected large numbers of people in the country and most people did not yet have any experiences of the disease. We argue that the local responses to the pandemic and the various control measures during this period must be understood in the wider context of Burkina Faso’s specific socio-economic, political, and security situations, which are distinctly fragile.

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“…For the avoidance of doubt, my own fervent support of the fact that women were able to acquire desired forms of birth control coexists with my wariness of the logic of the intervention. (As Lioba Hirsch (2020) argues, global health interventions under the shadow of empire often conflate care and violence.) I am troubled by the unequal incitements of insertion and removal, when the global system of life‐valuation prized the aversion of microcephaly above all other considerations.…”

Section: Conclusion: the (Social) Reproductive Bodymentioning

confidence: 99%

For the sake of the child: The economisation of reproduction in the Zika public health emergency

Patchin

2020

Trans Inst British Geog

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Feminist work on population governance has tracked its racial dynamics, its varied attempts to expunge the poor from the future, and its violent wresting of control over reproduction away from women. Attention has recently turned to “economised” understandings of possible and proto‐life that take the aggregate reproductivity of certain groups of women and girls as a means of shaping economic futures, which emerged as the dominant form of population governance during the Cold War. Underexplored in this incisive body of work, however, is the relationship between the reproductive body and social reproduction. This paper advances feminist work on adjudications of life worth in government policy and scientific expertise, and critical political economic work on global health governance, by exploring experiments in family planning. I do this through a discussion of the Zika virus, the recent re‐emergence of which was framed as an economic problem: experts “priced” a single case of microcephaly at US$10 million or more across a lifetime. Specifically, I examine a programme of contraceptive provision to women in Puerto Rico as part of the public health emergency, which I show to have possible eugenic effects. I argue that in the global politics of public and reproductive health, relatively new neoliberal health metrics have joined up with eugenicist impulses to value life according to future economic contributions. Such valuations of life focalise the reproductive body while abandoning the social reproductive body. The relationship between reproductive labour and social reproduction warrants further scrutiny, for as we careen through uncertain ecological futures, and as discourses about limited Earth for humans amid environmental crisis and limited funding for future children thicken, the reproductivity of certain women and girls is being tinkered with by experts, governments, and private institutions in new ways.

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In the wake: Interpreting care and global health through Black geographies

Cited by 25 publications

References 26 publications

Engaging culture and context in mhGAP implementation: fostering reflexive deliberation in practice

Engaging culture and context in mhGAP implementation: fostering reflexive deliberation in practice

Covid-19 Temporalities: Ruptures of Everyday Life in Urban Burkina Faso

For the sake of the child: The economisation of reproduction in the Zika public health emergency

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