The Riddle of Malnutrition
eBook - ePub

The Riddle of Malnutrition

The Long Arc of Biomedical and Public Health Interventions in Uganda

Jennifer Tappan

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eBook - ePub

The Riddle of Malnutrition

The Long Arc of Biomedical and Public Health Interventions in Uganda

Jennifer Tappan

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About This Book

More than ten million children suffer from severe acute malnutrition globally each year. In Uganda, longstanding efforts to understand, treat, and then prevent the condition initially served to medicalize it, in the eyes of both biomedical personnel and Ugandans who brought their children to the hospital for treatment and care. Medicalization meant malnutrition came to be seen as a disease—as a medical emergency—not a preventable condition, further compromising nutritional health in Uganda.

Rather than rely on a foreign-led model, physicians in Uganda responded to this failure by developing a novel public health program known as Mwanamugimu. The new approach prioritized local expertise and empowering Ugandan women, blending biomedical knowledge with African sensibilities and cultural competencies.

In The Riddle of Malnutrition, Jennifer Tappan examines how over the course of half a century Mwanamugimu tackled the most fatal form of childhood malnutrition—kwashiorkor—and promoted nutritional health in the midst of postcolonial violence, political upheaval, and neoliberal resource constraints. She draws on a diverse array of sources to illuminate the interplay between colonialism, the production of scientific knowledge, and the delivery of health services in contemporary Africa.

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Information

Year
2017
ISBN
9780821445914
INDEX
60 Minutes, 139
accumulated reflections, 6, 35
acquired immunodeficiency syndrome (AIDS), xi, 130–32; Global Fund, 131; policy, 133–34; project, 127; research, 130–33; The AIDS Support Organization (TASO), 131; treatment. See United States President’s Emergency Plan for AIDS Relief (PEPFAR)
activism, 23, 66, 141
Adichie, Chimamanda Ngozi, 5
aflatoxin, 24, 50, 51
Africanization, 80, 114
agriculture, 8, 63, 93, 102, 116. See also cash crops; consumption crops, 122
AIDS. See acquired immunodeficincy syndrome (AIDS)
Ainsworth, Mary, 54–61
akaboxi, 85, 91
Algeria, 50
Amin, Idi, 63, 102, 111, 113, 118–28, 130, 135
anemia, 16, 18, 40; testing, 17
anorexia, 2, 41, 45
antibiotics, 69, 141
apartheid, 71
appetite, 32, 33
Archives of Disease in Childhood, 15
Arlac, 50
Association of Physicians of East Africa, 115
autocracy, 24, 126
autopsy, 16, 21, 22, 23
The Baby Food Tragedy, 65
The Baby Killer, 65
balance bed, 28–30
Bamunanika palace, 99, 117
banana. See matooke (banana or plantain); leaf. See luwombo (banana leaf)
basawo (healers), 30, 128
Belgian Congo, 67
Biafra War, 5
bibanja (garden), 85, 102, 106
biochemist, 18, 19, 28, 113
biomedicine, 5–6, 25, 34–35, 42, 57, 60, 64, 68, 74, 80, 80–82, 87, 92, 142; training, 7, 36
biopsy, 16, 18–19, 23, 26
bismuth, 31
bloodletting, 28, 29–30, 35
blood te...

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