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

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Dominik Mattes

Fierce Medicines, Fragile Socialities

Grounding Global HIV Treatment in Tanzania

Dominik Mattes

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English

Berghahn Books
01 August 2019

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
Imprint: Berghahn Books
Country of Publication: United Kingdom
Volume: 18
Dimensions: Height: 229mm, Width: 152mm,
ISBN: 9781789203219
ISBN 10: 178920321X
Series: Epistemologies of Healing
Pages: 436
Publication Date: 01 August 2019
Audience: College/higher education , Professional and scholarly , A / AS level , Further / Higher Education
Format: Hardback
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

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