A people-centered approach to global healthWhen People Come First critically assesses the expanding field of global health. It brings together an international and interdisciplinary group of scholars to address the medical, social, political, and economic dimensions of the global health enterprise through vivid case studies and bold conceptual work. The book demonstrates the crucial role of ethnography as an empirical lantern in global health, arguing for a more comprehensive, people-centered approach.Topics include the limits of technological quick fixes in disease control, the moral economy of global health science, the unexpected effects of massive treatment rollouts in resource-poor contexts, and how right-to-health activism coalesces with the increased influence of the pharmaceutical industry on health care. The contributors explore the altered landscapes left behind after programs scale up, break down, or move on. We learn that disease is really never just one thing, technology delivery does not equate with care, and biology and technology interact in ways we cannot always predict. The most effective solutions may well be found in people themselves, who consistently exceed the projections of experts and the medical-scientific, political, and humanitarian frameworks in which they are cast.When People Come First sets a new research agenda in global health and social theory and challenges us to rethink the relationships between care, rights, health, and economic futures.

Critical Global Health, João Biehl and Adriana Petryna 1I EVIDENCEOverview 231A Return to the Magic Bullet? Malaria and Global Health in the Twenty-First Century, Marcos Cueto 302Evidence-Based Global Public Health - Subjects, Profits, Erasures, Vincanne Adams 543The "Right to Know" or "Know Your Rights"? Human Rights and a People-Centered Approach to Health Policy, Joseph J. Amon 914Children as Victims - The Moral Economy of Childhood in the Times of AIDS, Didier Fassin 109II INTERVENTIONSOverview 1335Therapeutic Clientship - Belonging in Uganda's Projectified Landscape of AIDS Care, Susan Reynolds Whyte, Michael A. Whyte, Lotte Meinert, and Jenipher Twebaze 1406The Struggle for a Public Sector - PEPFAR in Mozambique, James Pfeiffer 1667The Next Epidemic - Pain and the Politics of Relief in Botswana's Cancer Ward, Julie Livingston 1828A Salvage Ethnography of the Guinea Worm - Witchcraft, Oracles and Magic in a Disease Eradication Program, Amy Moran-Thomas 207III MARKETSOverview 2439Public-Private Mixes - The Market for Anti-Tuberculosis Drugs in India, Stefan Ecks and Ian Harper 25210Labor Instability and Community Mental Health - The Work of Pharmaceuticals in Santiago, Chile, Clara Han 27611The Ascetic Subject of Compliance - The Turn to Chronic Diseases in Global Health, Ian Whitmarsh 30212Legal Remedies - Therapeutic Markets and the Judicialization of the Right to Health, João Biehl and Adriana Petryna 325Afterword - The Peopling of Technologies, Michael M. J. Fischer 347Contributors 375Acknowledgments 381References 385Index 425