Reimagining Social Medicine from the South

by Abigail H Neely

Overview

In Reimagining Social Medicine from the South, Abigail H. Neely explores social medicine's possibilities and limitations at one of its most important origin sites: the Pholela Community Health Centre (PCHC) in South Africa. The PCHC's focus on medical and social factors of health yielded remarkable success. And yet South Africa's systemic racial inequality hindered health center work, and witchcraft illnesses challenged a program rooted in the sciences. To understand Pholela's successes and failures, Neely interrogates the “social” in social medicine. She makes clear that the social sciences the PCHC used failed to account for the roles that Pholela's residents and their environment played in the development and success of its program. At the same time, the PCHC's reliance on biomedicine prevented it from recognizing the impact on health of witchcraft illnesses and the social relationships from which they emerged. By rewriting the story of social medicine from Pholela, Neely challenges global health practitioners to recognize the multiple worlds and actors that shape health and healing in Africa and beyond.

Product Details

ISBN-13:	9781478014270
Publisher:	Duke University Press
Publication date:	08/27/2021
Pages:	192
Product dimensions:	6.00(w) x 9.00(h) x 0.41(d)

About the Author

Abigail H. Neely is Assistant Professor of Geography at Dartmouth College.

Table of Contents

Preface  ix
Acknowledgments  xvii
Introduction. Telling the Story of Social Medicine from Pholela  1
1. Seeing Like a Health Center  17
2. Relationships and Social Medicine  41
3. Nutrition, Science, and Racial Capitalism  58
4. Witchcraft and the Limits of Social Medicine  79
Conclusion. Social Medicine in the Age of Global Health  99
Glossary  105
Notes  107
Bibliography  147
Index  163

Editorial Reviews

"The argument is presented in a highly original way, via rich ethnographic exemplification, elegantly bringing theories of multiplicity and entanglement into dialogue with racial capitalism and political ecology approaches."

Journal of the Royal Anthropological Institute - Branwyn Poleykett

Neely’s book will be especially useful for graduate students and professionals working with the large body of existing literature on health interventions . . . and need a strong model for how to rework this literature in exciting critical and theoretical frames.

Medical Anthropology Quarterly - Casey Golomski

"... Interested readers at all levels will gain important insights into the challenges posed by global initiatives in social medicine. Recommended. Graduate students and faculty. General readers."

Choice - S. W. Moss

It is not easy to develop an analysis that incorporates both racial capitalism and witchcraft, but through her deeply respectful ethnographic examination of the work of a groundbreaking and highly influential health clinic in South Africa, Abigail H. Neely manages to do just that. Her penultimate chapter is a phenomenal rendition of the multiple ontologies of health.

Wilted: Pathogens, Chemicals and the Fragile Future of the Strawberry Industry - Julie Guthman

Neely’s theorizing is smart, sophisticated, and intriguing.

International Journal of African Historical Studies - Daniel Jordan Smith

Compelling and original, Reimagining Social Medicine from the South rethinks core concepts in historical and anthropological discussions of health and healing in Africa through the lenses of political ecology and relational ontologies. Drawing on rich ethnographic and archival examples, Abigail H. Neely illuminates how robust conceptions of the ‘social’ at the heart of a pioneering social medicine project in rural South Africa nonetheless struggled to incorporate more-than-human understandings of life and well-being. The book's insistence that health and illness are entanglements that exceed the confines of the individual body and academic renderings of the ‘social’ alike is a call for place-based models for improving health that challenge global health's narrow frames of measurability and efficacy.

Cooking Data: Culture and Politics in an African Research World - Cal Biruk

"Reimagining Social Medicine from the South is bound to intrigue any family physician. . . . Abigail H. Neely has successfully highlighted the conceptual framework of the practice of social medicine in South Africa, its uniqueness, the strengths of the PCHC model, and its weaknesses. She has emphasized the importance of social elements in the practice of social medicine. Her personal narrative makes the book an easy read, more humane and appealing."

Family Medicine - Rashmi Rode

"Reimagining Social Medicine from the South is bound to intrigue any family physician. . . . Abigail H. Neely has successfully highlighted the conceptual framework of the practice of social medicine in South Africa, its uniqueness, the strengths of the PCHC model, and its weaknesses. She has emphasized the importance of social elements in the practice of social medicine. Her personal narrative makes the book an easy read, more humane and appealing."--Rashmi Rode "Family Medicine" (10/1/2022 12:00:00 AM)

"Neely's book will be especially useful for graduate students and professionals working with the large body of existing literature on health interventions . . . and need a strong model for how to rework this literature in exciting critical and theoretical frames."--Casey Golomski "Medical Anthropology Quarterly" (1/31/2022 12:00:00 AM)

"Neely's theorizing is smart, sophisticated, and intriguing."--Daniel Jordan Smith "International Journal of African Historical Studies" (3/1/2022 12:00:00 AM)

"... Interested readers at all levels will gain important insights into the challenges posed by global initiatives in social medicine. Recommended. Graduate students and faculty. General readers."--S. W. Moss "Choice" (4/1/2022 12:00:00 AM)

"Compelling and original, Reimagining Social Medicine from the South rethinks core concepts in historical and anthropological discussions of health and healing in Africa through the lenses of political ecology and relational ontologies. Drawing on rich ethnographic and archival examples, Abigail H. Neely illuminates how robust conceptions of the 'social' at the heart of a pioneering social medicine project in rural South Africa nonetheless struggled to incorporate more-than-human understandings of life and well-being. The book's insistence that health and illness are entanglements that exceed the confines of the individual body and academic renderings of the 'social' alike is a call for place-based models for improving health that challenge global health's narrow frames of measurability and efficacy."--Cal Biruk, author of "Cooking Data: Culture and Politics in an African Research World"

"It is not easy to develop an analysis that incorporates both racial capitalism and witchcraft, but through her deeply respectful ethnographic examination of the work of a groundbreaking and highly influential health clinic in South Africa, Abigail H. Neely manages to do just that. Her penultimate chapter is a phenomenal rendition of the multiple ontologies of health."--Julie Guthman, author of "Wilted: Pathogens, Chemicals and the Fragile Future of the Strawberry Industry"

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