Capturing the intricacies of health practice within the fascinating context of Andean social history, cultural tradition, community and folklore, this is a remarkable and intimate chronicle of Andean culture and everyday life.
Medical Pluralism in the Andes is the first major collection of anthropological approaches to health in the Andes for over twenty years. Written in tribute to Libbet Crandon Malamuds pioneering work on Andean medicine, this readable, extensively illustrated and instructive book reflects the diversity of approaches in medical anthropology that have evolved during the past two decades. Capturing the intricacies of health practice within the context of Andean social history, cultural tradition, community and folklore, this is a remarkable and intimate chronicle of Andean culture and everyday life, which will appeal across a wide range of readers, from professional anthropologists to those interested in alternative medicines.
In most places on the African continent, multiple health care options exist and patients draw on a therapeutic continuum that ranges from traditional medicine and religious healing to the latest in biomedical technology. The ethnographically based essays in this volume highlight African ways of perceiving sickness, making sense of and treating suffering, and thinking about health care to reveal the range and practice of everyday medicine in Africa through historical, political, and economic contexts.
In 1997, when Lucia Guerra-Reyes began research in Peru, she observed a profound disconnect between the birth care desires of health personnel and those of indigenous women. Midwives and doctors would plead with her as the anthropologist to "educate women about the dangerous inadequacy of their traditions." They failed to see how their aim of achieving low rates of maternal mortality clashed with the experiences of local women, who often feared public health centers, where they could experience discrimination and verbal or physical abuse. Mainly, the women and their families sought a "good" birth, which was normally a home birth that corresponded with Andean perceptions of health as a balance of bodily humors. Peru's Intercultural Birthing Policy of 2005 was intended to solve these longstanding issues by recognizing indigenous cultural values and making biomedical care more accessible and desirable for indigenous women. Yet many difficulties remain. Guerra-Reyes also gives ethnographic attention to health care workers. She explains the class and educational backgrounds of traditional birth attendants and midwives, interviews doctors and health care administrators, and describes their interactions with local families. Interviews with national policy makers put the program in context.
Nowadays a plethora of treatment technologies is available to the consumer, each employing a variety of concepts of the body, self, sickness and healing. This volume explores the options, strategies and consequences that are both relevant and necessary for patients and practitioners who are manoeuvring this medical plurality. Although wideranging in scope and covering areas as diverse as India, Ecuador, Ghana and Norway, central to all contributions is the observation that technologies of healing are founded on socially learned and to some extent fluid experiences of body and self.
This book uses archaeology and ethnohistory to explore the evidence for the survival of ancestral beliefs and practices related to health and healing in Indigenous Andean communities. The authors argue that through determining the nature of the survival of beliefs around health and healing, important insights are gained into how people develop adaptive strategies for survival in a way that allows a continuity of identity and integrity. The book works through various stages of research to arrive at its conclusions. Firstly, through archaeology and ethnohistory, it establishes a ‘baseline’ of key ancestral (pre-European) Indigenous Andean beliefs related to health, illness and healing. It then proceeds to review the evidence for the survival of these ancestral beliefs and practices related to Indigenous pre-European Andean epistemologies and ontologies. Analysing the results of the first two sections, the final part reflects on the narratives around ancestral beliefs and practices and how they influence lived experience in the contemporary world. In essence, this book deals with the question 'How do people manage change?', a universal question relevant to humanity at any time, and stresses the need to recognise the significance of cultural diversity, intangible heritage and plurality. This interdisciplinary study is for researchers in ethnohistory, anthropology, medical anthropology, archaeology, history, heritage and Indigenous studies.
An Open Secret traces the history of women's experiences with unwanted pregnancy and abortion in La Paz and El Alto, Bolivia between the early 1950s and 2010. It finds that women's personal reproductive experiences contributed to shaping policies and services in reproductive health care.
Recognizing the interplay between biomedicine and indigenous medicine among the Mapuche in Southern Chile, this book explores notions of culture and personhood through the bodily experiences and medical choices of patients. Through case studies of patients in the context of medical pluralism, Kristensen argues that medical practices are powerful social symbol indicative of overarching socio-political processes. As certain types of extreme and violent experiences–known as olvidos–lack a framework that allows them to be expressed openly, they therefore surface as symptoms of an illness, often with no apparent organic pathology. In these contexts, indigenous medicine, thanks to its sensitivity to socio-political contexts, provides a space for articulation and management of collective experiences and suffering among patients in Southern Chile.
The maintenance of human health and the mechanisms by which this is achieved – through medicine, medical intervention and care-giving – are fundamentals of human societies. However, archaeological investigations of medicine and care have tended to examine the obvious and explicit manifestations of medical treatment as discrete practices that take place within specific settings, rather than as broader indicators of medical worldviews and health beliefs. This volume highlights the importance of medical worldviews as a means of understanding healthcare and medical practice in the past. The volume brings together ten chapters, with themes ranging from a bioarchaeology of Neanderthal healthcare, to Roman air quality, decontamination strategies at Australian quarantine centres, to local resistance to colonial medical structures in South America. Within their chapters the contributors argue for greater integration between archaeology and both the medical and environmental humanities, while the Introduction presents suggestions for future engagement with emerging discourse in community and public health, environmental and planetary health, genetic and epigenetic medicine, 'exposome' studies and ecological public health, microbiome studies and historical disability studies. The chapters in this book were originally published as a special issue of World Archaeology.
Health care is constantly undergoing change and refinement resulting from the adoption of new practices and technologies, the changing nature of societies and populations, and also shifts in the very places from which care is delivered. Primary Health Care: People, Practice, Place draws together significant contributions from established experts across a variety of disciplines to focus on such changes in primary health care, not only because it is the most basic and integral form of health service delivery, but also because it is an area to which geographers have made significant contributions and to which other scholars have engaged in 'thinking geographically' about its core concepts and issues. Including perspectives from both consumers and producers, it moves beyond geographical accounts of the context of health service provision through its explicit focus on the practice of primary health care. With arguments well-supported by empirical research, this book will appeal not only to scholars across a range of social and health sciences, but also to professionals involved in health services.