Health on Delivery : The Rollout of Antiretroviral Therapy in Malawi

"In 2004 Malawi began to offer antiretroviral therapy to anyone who needed it. This undifertaking would have been ambitious for any nation, but it was unprecedented coming from one of the poorest countries in the world. Health on Delivery examines this introduction of state-provided antiretroviral therapy from an ethnographic perspective. Moving from World Health Organization boardrooms in Geneva to clinics held undifer trees in rural Malawi, it studies the patients, healthcare providifers, and policy-makers involved, considifering how the rollout has impacted their lives and professions. In doing so, it examines both the challenges and successes of an ambitious attempt to provide universal HIV treatment with limited money, infrastructure, and human resources. As well as an important case study, the book also offers an analytic framework to address the processes by which global policy is made and implemented. Engagingly written, Health on Delivery will be interesting reading for students and scholars of both anthropology and public health, as well as related disciplines such as geography, international politics and world development. It will also appeal to the general readifer interested in global health policies and world development."--Provided by publisher Health on Delivery examines the introduction of state-provided antiretroviral therapy from an ethnographic perspective. Focusing on Malawi, it reflects on the challenges and successes of an ambitious attempt to provide universal HIV treatment with limited money, infrastructure, and human resources. Moving from World Health Organization boardrooms to rural clinics held under trees, the book considers the impact of the rollout on patients, healthcare providers, and policymakers. It offers an important case study but also an analytic framework to address the processes by which global policy is made and implemented. Engagingly written, Health on Delivery will be of interest to students and scholars of both anthropology and public health, as well as related disciplines such as geography, international politics and development. Book jacket Cover Half Title Title Page Copyright Page Dedication Contents Acknowledgments List of Abbreviations 1 Introduction 2 Hierarchies of Emergency: Global Policy and the ART Rollout in Malawi 3 Stretched Too Thin: Malawi's National Shortage of Healthcare Workers 4 Relationship Matters: Patient and Healthcare Provider Experiences in an Antiretroviral Clinic 5 Reaching Out for Health: Strategies to Improve HIV Care in Village Settings 6 Conclusion: A Lesson in Healthcare Delivery: How Global Policy Translates into HIV Care, and What We Can Learn From It Index.