HIV, Gender and the Politics of Medicine: Embodied Democracy in the Global South

Front Cover
HIV, Gender and the Politics of Medicine: Embodied Democracy in the Global South
Copyright information
Dedication
Table of Contents
List of Abbreviations
Acknowledgements
1 Introduction
	Background
		From the inside out: a personal history
		From the outside in: a political history
	Shifting landscapes
		A shifting biomedical landscape
		A shifting political landscape
	Book outline
	Conclusion
2 Concepts, Contexts and Methods
	Concepts
		Medicine and the politics of life
		The state of the body: embodiment
		The body of the state: governance and citizenship
		Global assemblages and actor networks
		Biopolitical precarity in the permeable body
	Contexts
		South Africa
		Brazil
		India
	Methods
		Research design
		Multi-sited ethnographic research
		Research methods
			Ethnographic research with women in Khayelitsha
			Narrative life-history interviews and body maps with the BWG
			Narrative life-history interviews
			Participant observation with TAC
			Key informant interviews with policy actors in Brazil and South Africa
			Reflexive analysis
		Ethics
	Conclusion
3 Gender, Health and Embodiment
	“So my baby gets HIV too”: vertical pathways of precarity
		Lineages of loss
		Generations of life
	“It’s hard to be a girl in this country”: horizontal pathways of precarity
		It’s hard to be a girl in this country
		Eschewing shweshwe: navigating risk and pleasure
	“I am the household”: diagonal pathways of precarity
		Negotiating affect and harm
	Conclusion
4 New Generation Struggles
	“Amandla! Awethu!”: the struggle for ARVs and embodied vitality
	New generation struggles and embodied precarity
		The context of the body: side effects, adherence and viral resistance
			“You feel tired!”: treatment fatigue and viral resistance
		The body in context: unemployment and economic insecurity
	Conclusion
5 Health Citizenship
	Sustaining life on ARVs: between rights and responsibility
		“I voted for my treatment”: health, rights and citizenship
		“[The government] is … managing our health”: rights and responsibilities in the era of ARVs
	Sustaining life beyond ARVs: seeing and speaking to the state
		“It was … amazing, the president passing by my house”: seeing the state
		“Every generation has its struggle”: speaking to the state
			“My vote must speak for me”: having voice
			“You need to show a fist”: between having voice and being heard
	Conclusion
6 Therapeutic Governance
	Brazil’s rising power and the tide of neoliberal reform
	Looking into Brazil: beyond the ‘activist state’
		The judicialization of the right to health
	Looking across Brazil and South Africa: evolving challenges
	Conclusion
7 Global Health Governance
	IPRs and the global governance of health
		The WTO, patents and the governance of medicine
		Global health and the problem with patents
		Trips flexibilities: mechanisms for ensuring access to essential medicines
		The maximalist agenda and mechanisms for restricting access to essential medicines
	IPRs and resistance: BRICS and the case of Brazil, India and South Africa
	Towards the sustainable governance of medicines: civil society organizations and global health agencies
	Conclusion
8 Conclusion
	The right to a nonprojected future
	Between hope and dystopia: findings and contributions
	Conclusion
Notes
	Chapter 1
	Chapter 3
	Chapter 4
	Chapter 5
	Chapter 7
References
Index