ABSTRACT

Engaging with a range of public health issues, this book charts important social and political transitions in Nepal through the lens of medicine and health development. It focuses on mission health care institutions, tuberculosis control programmes as a site of medical intervention, the "pharmaceuticalization" of mental health and public health, and in relation to development ideologies the attempted creation of modern subjects and citizens to advance the health of the nation.

Based on two decades of experience, both as a physician and public health professional and an anthropologist, the author presents these issues through four case studies of health programme intervention in a district in central Nepal to show the inter-related aspects of the processes. The book explains how local realities align with, resist, and are complicated by globalized narratives and practices of health and development. It pays careful attention to traditional healers, infectious disease, micronutrient initiatives, mental health and the historical, ideological, and political-economic context of mission-based development work.

Offering an ethnographic picture of the challenges and possibilities for action that exist in Nepal , this book is of interest to academics in the field of medical and development anthropology and those working directly in the fields of health and development.

chapter 1|17 pages

Introduction

chapter 2|16 pages

Palpa and its healing traditions

chapter 3|19 pages

‘The view from the clinic'

Healing as viewed from the perspective of the modern

chapter 4|17 pages

‘Caught in the middle'

Power, efficacy and healing

chapter 5|13 pages

‘Bird trips and medicines'

A particular history of the mission hospital

chapter 6|20 pages

Dealing with ‘multiple physical complaints'

Introducing psychiatric services

chapter 7|20 pages

‘Medicines and syrups! Such is the manner of living'

Capsular promise as public health and the vitamin A programme

chapter 8|13 pages

Creating order from treatment chaos

Implementing protocols and the control of tuberculosis

chapter |10 pages

Conclusion