Critical health communication scholars point out that the acceptance of HIV risk prevention methods are bound inside inequitable structures of power and knowledge. Nicola Bulled’s in-depth ethnographic account of how these messages are selected, transmitted and reacted to by young adults in the AIDS-torn population of Lesotho in southern Africa provides a crucial example of the importance of a culture-centered approach to health communication. She shows the clash between traditional western perceptions of how increased knowledge will increase compliance with western ideas of prevention, and mixed messages offered by local religious, educational, and media institutions. Bulled also demonstrates how structural and geographical forces prevent the delivery and acceptance of health messages, and how local communities shape their own knowledge of health, disease and illness. This volume will be of interest to medical anthropologists and sociologists, to those in health communication, and to researchers working on issues related to HIV.
Critical health communication scholars point out that the acceptance of HIV risk prevention methods are bound inside inequitable structures of power and knowledge. Nicola Bulled’s in-depth ethnographic account of how these messages are selected, transmitted and reacted to by young adults in the AIDS-torn population of Lesotho in southern Africa provides a crucial example of the importance of a culture-centered approach to health communication. She shows the clash between traditional western perceptions of how increased knowledge will increase compliance with western ideas of prevention, and mixed messages offered by local religious, educational, and media institutions. Bulled also demonstrates how structural and geographical forces prevent the delivery and acceptance of health messages, and how local communities shape their own knowledge of health, disease and illness. This volume will be of interest to medical anthropologists and sociologists, to those in health communication, and to researchers working on issues related to HIV.
Acts of public defiance towards biomedical public health policies have occurred throughout modern history, from resistance to early smallpox vaccines in 19th-century Britain and America to more recent intransigence to efforts to contain the Ebola outbreak in Central and West Africa. Thinking through Resistance examines a diverse range of case studies of opposition to biomedical public health policies -- from resistance to HPV vaccinations in Texas to disputes over HIV prevention research in Malawi -- to assess the root causes of opposition. It is argued that far from being based on ignorance, resistance instead serves as a form of advocacy, calling for improvements in basic health-care delivery alongside expanded access to infrastructure and basic social services. Building on this argument, the authors set out an alternative to the current technocratic approach to global public health, extending beyond greater distribution of medical technologies to build on the perspectives of a political economy of health. With contributions from medical anthropologists, sociologists, and public health experts, Thinking through Resistance makes important reading for researchers, students, and practitioners in the fields of public health, medical anthropology, and public policy.
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