Fierce Medicines, Fragile Socialities: Grounding Global HIV Treatment in Tanzania

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Dominik Mattes, Mattes

Fierce Medicines, Fragile Socialities

Grounding Global HIV Treatment in Tanzania

Dominik Mattes, Mattes

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English

Berghahn Books
13 October 2023

HIV & AIDS: social aspects; Social & cultural anthropology

Series: Epistemologies of Healing

Set in Tanga, a city on the Tanzanian Swahili coast, Dominik Mattes examines the implementation of antiretroviral HIV-treatment (ART) in the area, exploring the manifold infrastructural and social fragilities of treatment provision in public HIV clinics as well as patients’ multi-layered struggles of coming to terms with ART in their everyday lives. Based on extensive ethnographic fieldwork, the book shows that, notwithstanding the massive rollout of ART, providing treatment and living a life with HIV in settings like Tanga continue to entail social, economic, and moral challenges and long-term uncertainties, which contradict the global rhetoric of the “normalization of HIV”.

By: Dominik Mattes Mattes
Imprint: Berghahn Books
Country of Publication: United Kingdom
Dimensions: Height: 229mm, Width: 152mm,
ISBN: 9781805391210
ISBN 10: 1805391216
Series: Epistemologies of Healing
Pages: 436
Publication Date: 13 October 2023
Audience: College/higher education , Professional and scholarly , A / AS level , Further / Higher Education
Format: Paperback
Publisher's Status: Active

List of Illustrations Acknowledgments Note on Transliteration List of Abbreviations Introduction Chapter 1. Exploring ART in Tanga Chapter 2. Antiretroviral Treatment as a Global Mobile Force Chapter 3. Translating Global Technology into Local Health Care Practice Chapter 4. Generating Treatment Adherence: Neoliberal Patient Subjectivities, Biomedical Truth Claims, and Institutional Micropolitics Chapter 5. Diverging Trajectories of Reconstitution: Living with ARVs and the Pursuit of ‘Normalcy’ Chapter 6. Cohesion and Conflict: Living a Social Live on ARVs within Kin-Based Networks of Solidarity Chapter 7. HIV (Self-)Support Groups: Competition, Bureaucracy, and the Limitations of Biosociality Chapter 8. The Blood of Jesus, Witchcraft, and CD4 Counts: HIV/AIDS and ART in the Context of Traditional and Religious Healing Conclusion References Index

Dominik Mattes is a postdoctoral researcher at the Collaborative Research Center “Affective Societies” and the Institute of Social and Cultural Anthropology, Freie Universität Berlin, Germany. His research interests include medical anthropology, critical global health, anthropology of religion, as well as anthropology of affect and emotion.

Reviews for Fierce Medicines, Fragile Socialities: Grounding Global HIV Treatment in Tanzania

“Dominik Mattes’s stunning new book will remain relevant for those interested in why and how vertical global health interventions often fail (and how they might succeed). This book effectively illustrates how to translate the global to the local and the structural to the personal. Mattes also provides a blueprint for ethnographic research that aims to examine a problem from multiple, often contradictory, angles. Fierce Medicines, Fragile Socialities is a must read for those interested in HIV/AIDS, global health interventions, and ethnographic methods.” • Medical Anthropology Quarterly “This is an important contribution to existing research on HIV and its treatment in Africa. The book is unique in combining perspectives on providing, and on living, life with HIV treatment. The observations are acute, and the case studies of patients and families are illuminating.” • Susan Reynolds Whyte, University of Copenhagen