Participatory Anthropology for Teaching Behavioral Sciences at a Medical School in Zambia

Chileshe, Mutale

doi:10.1007/978-3-030-62277-0_7

Cited by 4 publications

(3 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While we do not have the space to present it here, such quantitative work has long been a feature of ethnographic research in sub-Saharan Africa.) While we examine this single case in depth, our writing is heavily informed by findings from multiple other households participating in our studies reaching back to the early 2000s (for publications on our methods, see [ 14 , 15 , 37 , 38 ]).…”

Section: Toward a Rural Hhph Approach To Hospital Carementioning

confidence: 99%

“…Given this positionality, we engage often (in our studies and university work) with rural patients seeking care in our university hospital systems. Mutale Chileshe, the first author, was a Zambian anthropologist, trained in South Africa, who carried out research in rural Zambian households and also in the hospital in Ndola where Makunka was admitted [ 12 , 13 , 14 , 15 , 16 ]. Jean Hunleth and Emma Bunkley, both Americans, have also carried out multiple household- and hospital-based studies in Zambia and elsewhere in sub-Saharan Africa (see, for example, [ 17 , 18 , 19 , 20 , 21 , 22 ]).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Rural Household Production of Health Approach: Applying Lessons from Zambia to Rural Cancer Disparities in the U.S.

Chileshe

Bunkley

Hunleth

2022

IJERPH

Self Cite

View full text Add to dashboard Cite

The recent focus on rural–urban cancer disparities in the United States (U.S.) requires a comprehensive understanding of the processes and relations that influence cancer care seeking and decision making. This is of particular importance for Black, Latino, and Native populations living in rural areas in the U.S., who remain marginalized in health care spaces. In this article, we describe the household production of health approach (HHPH) as a contextually-sensitive approach to examining health care seeking and treatment decisions and actions. The HHPH approach is based on several decades of research and grounded in anthropological theory on the household, gender, and therapy management. This approach directs analytical attention to how time, money, and social resources are secured and allocated within the household, sometimes in highly unequal ways that reflect and refract broader social structures. To demonstrate the benefits of such an approach to the study of cancer in rural populations in the U.S., we take lessons from our extensive HHPH research in Zambia. Using a case study of a rural household, in which household members had to seek care in a distant urban hospital, we map out what we call a rural HHPH approach to bring into focus the relations, negotiations, and interactions that are central to individual and familial health care seeking behaviors and clinical treatment particular to rural regions. Our aim is to show how such an approach might offer alternative interpretations of existing rural cancer research in the U.S. and also present new avenues for questions and for developing interventions that are more sensitive to people’s realities.

show abstract

Section: Toward a Rural Hhph Approach To Hospital Carementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Rural Household Production of Health Approach: Applying Lessons from Zambia to Rural Cancer Disparities in the U.S.

Chileshe

Bunkley

Hunleth

2022

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…She also had someone with whom to swap, something that not all bedsiders had during or before COVID-19. In our prior studies, we have witnessed how stressors in the hospital and at home could draw bedsiders outside the gate, especially bedsiders who did not receive visitors or who did not have kin to make up for their absences in the household and in their income (Chileshe 2021). They did so even as doctors and nurses tried to convince them to stay, though such convincing could not be compelling, as Mutale recently wrote, without resources and without an understanding of the social.…”

Section: Care At the Gatementioning

confidence: 99%