Connecting global health interventions and lived experiences: suspending ‘normality’ at funerals in rural Tanzania

In this paper, we use the funeral space and its liminal nature as a milieu for exploring how a ‘modern’ health intervention, the mosquito bednet, is negotiated by its recipients in relation to its (non)-usage in such spaces. With a focus on sleeping arrangements at funerals and drawing on empirical data from participants living in rural southern Tanzania, we discuss how the bednet is linked to the notion of being unsympathetic to the death. Viewed as a symbol of modernity and a reflection of wealth and individual pride, the bednet becomes physically and symbolically inappropriate in the more sacred, ‘in-between’ site of the funeral. We also uncover how risk perceptions regarding malaria transmission are re-cast in funeral spaces, with socio-cultural practices and health-related behaviours being simultaneously ‘risky’ for individual mourners and reinforcing in terms of group social cohesion. As individual mourners' concerns about malaria risks are suspended, notions of pain and discomfort come to the fore as part of the mourning process and respect for the deceased.     

History, Time, and Knowledge in Ancient India

The lack of interest in history in ancient India has often been noted and contrasted with the situation in China and the West. Notwithstanding the vast body of Indian literature in other fields, there is a remarkable dearth of historical writing in the period before the Muslim conquest and an associated indifference to historiography. Various explanations have been offered for this curious phenomenon, some of which appeal to the supposed currency of certain Indian philosophical theories. This essay critically examines such "philosophical explanations."
I argue that it is not true that there was no history in ancient India, and it is not surprising that there was no developed historiography or scientific history. It is both true and surprising that there was no real importance attached to history in ancient India. An adequate philosophical exxplanation for this historica phenomenon, however, is not to be found in appeals to the influence of indigenous metaphysical theories about time and the self. A much more plausible philosophical explanation appeals instead to certain features of classical Indian epistemology.     

Ryan White CARE Act Title I Funding Priorities and Unmet Service Needs in Baltimore, Maryland

The analysis presented in this paper explores the similarities and differences between the services selected as priorities for funding by the Baltimore Ryan White CARE Act Title I Planning Council during the first 2 years of the program in this metropolitan area, and services perceived by HIV/AIDS service providers and people living with HIV/AIDS to be unmet needs. The data used for these analyses were collected as part of a study to assess the implementation and impact of the CARE Act legislation in the Baltimore eligible metropolitan area( EMS ). This project includes three interrelated components: (a) a case study of the legislatively mandated Planning Council, (b) a survey of providers representing HIV/AIDS service organizations, and (c) a qualitative field study of the perceptions of people living with HIV/AIDS about the service delivery system. Taken together, the data from these three sources describe the similarities and differences among these three groups involved in HIV/AIDS care in Baltimore, in terms of their perceptions of services needed by people living with HIV / AIDS. The conclusions drawn from this study can be used to strengthen needs assessments in Title I-EMAs throughout the United States.     

Genetic characterization of an archaeological sheep assemblage from South Africa’s Western Cape

The Neolithic Revolution, constituting a shift from food acquisition to food production, came to Africa as it did to most of the rest of the world: through processes of transmission rather than through de novo innovation. In contrast with other regions the pastoral management of cattle, sheep and goats was widespread in Africa thousands of years before settled agricultural communities or the use of domesticated plants were in evidence ( 46, 35 and 10). We report here the discovery of haplogroup B in the first genetic analysis of an African archaeological sheep assemblage.     

Head Start's Comparative Advantage: Myth or Reality?

In recent years, Head Start's prominent role in preparing low‐income 4‐year‐olds for school has been affected by rapid growth in state‐funded pre‐K programs, some of which are based in public schools. This has led to questions about the comparative advantages of these two approaches to early education. An analysis of data from Tulsa, Oklahoma, indicates that the school‐based pre‐K program is more effective in improving early literacy outcomes, while Head Start is more effective in improving health outcomes. The two programs are comparable with regard to early math learning. Social–emotional effects are more subtle, but the school‐based pre‐K program has demonstrable positive effects, while the Head Start program does not.     

Counselling Citizens and Producing Patronage: AIDS Treatment in South African and Ugandan Clinics

Global health interventions to provide antiretroviral (ARV) drug treatment for people living with HIV/AIDS in developing countries have linked global and local actors in unprecedented ways. These uneven relationships have been described as creating new forms of citizenship that challenge the liberal understanding of rights and responsibilities bestowed by the state. A comparative case study based on fieldwork from South Africa and Uganda suggests different theoretical understandings of the link between technologies of AIDS treatment and relationships of belonging. Yet, ethnographic data from local clinics in both countries point to similarities that exist across AIDS interventions, and to the importance of counsellors in negotiating the rules of ARVs. Neither patients living with HIV nor the local providers of their AIDS treatment are ‘bare life’ subjects to be acted upon by a global development intervention. As ARV technologies are increasingly prescribed in developing country clinics, diverse social relationships are taught and negotiated as part of the pedagogy of biopolitics. The following discussion demonstrates how local counsellors and clients negotiate the rules of AIDS treatment together for mutual benefit. The article concludes that AIDS treatment creates relationships of therapeutic citizenship and clientship in ways that constrain the possibilities of citizenship and development.