Overview

During the first decade of this millennium, many thousands of people in Uganda who otherwise would have died from AIDS got second chances at life. A massive global health intervention, the scaling up of antiretroviral therapy (ART), saved them and created a generation of people who learned to live with treatment. As clients they joined programs that offered free antiretroviral medicine and encouraged ""positive living."" Because ART is not a cure but a lifelong treatment regime, its consequences are far-reaching for society, families, and individuals. Drawing on personal accounts and a broad knowledge of Ugandan culture and history, the essays in this collection explore ART from the perspective of those who received second chances. Their concerns about treatment, partners, children, work, food, and bodies reveal the essential sociality of Ugandan life. The collection is based on research undertaken by a team of social scientists including both Western and African scholars. Contributors. Phoebe Kajubi, David Kyaddondo, Lotte Meinert, Hanne O. Mogensen, Godfrey Etyang Siu, Jenipher Twebaze, Michael A. Whyte, Susan Reynolds Whyte

Full Product Details

Author:   Susan Reynolds Whyte
Publisher:   Duke University Press
Imprint:   Duke University Press
Dimensions:   Width: 15.20cm , Height: 1.70cm , Length: 22.90cm
Weight:   0.445kg
ISBN:  

9780822358084

ISBN 10:   0822358085
Pages:   328
Publication Date:   21 November 2014
Audience:   College/higher education ,  Professional and scholarly ,  Postgraduate, Research & Scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   In Print  
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Table of Contents

Polygraphy vii Introduction. The First Generation 1 Case I. Robinah and Joyce: The Connecting Sisters 25 1. Connections 34 Case II. Saddam: Treatment Programs 47 2. Clientship 56 Case III. Suzan: The Necessity of Travel 71 3. Mobility 80 Case IV. MamaGirl & MamaBoy: Family Matters 95 4. Families 104 Case V. Alice: Keeping a Good Man 119 5. Partners 128 Case VI. Jackie: Children without Grandparents 143 6. Children 152 Case VII. John: Working Contingencies 167 7. Work 176 Case VIII. Hassan: Soft Food and Town Life 191 8. Food 200 Case IX. Jolly: Appearances and Numbers 215 9. Bodies 223 Case X. Rachel: Buckets of Medicine 237 10. Medicine 245 Case XI. Dominic: A Multitude of Adversities 259 11. Life 268 Acknowledgments 285 Bibliography 287 Contributors 299 Index 301

Reviews

Second Chances provides insight of impressive range and depth into the impact of global health programs. It moves medical anthropology's theoretical agenda along by offering a subtle but sharp critique of contemporary manifestations of biological/therapeutic citizenship. Yet its greatest innovation may be methodological. As a convincing work of collective ethnography, Second Chances reveals the productive potential of 'team' or 'project' anthropology. --Vinh-Kim Nguyen, author of The Republic of Therapy: Triage and Sovereignty in West Africa's Time of AIDS

"""Second Chances provides insight of impressive range and depth into the impact of global health programs. It moves medical anthropology's theoretical agenda along by offering a subtle but sharp critique of contemporary manifestations of biological/therapeutic citizenship. Yet its greatest innovation may be methodological. As a convincing work of collective ethnography, Second Chances reveals the productive potential of 'team' or 'project' anthropology."""

Second Chances provides insight of impressive range and depth into the impact of global health programs. It moves medical anthropology's theoretical agenda along by offering a subtle but sharp critique of contemporary manifestations of biological/therapeutic citizenship. Yet its greatest innovation may be methodological. As a convincing work of collective ethnography, Second Chances reveals the productive potential of 'team' or 'project' anthropology. -- Vinh-Kim Nguyen, author of The Republic of Therapy: Triage and Sovereignty in West Africa's Time of AIDS Bringing classic social anthropology questions to contemporary biopolitical contexts, Second Chances resituates the center of gravity in HIV/AIDS care around the concerns of its patients. The authors make clear the vital role of kinship, patronage, generation, and the economic and bodily concerns of everyday life in determining life amid shifting regimes of global health. With its superb use of extended cases, lively prose, and compelling analysis, Second Chances sets a new standard for collaborative scholarship. -- Julie Livingston, author of Improvising Medicine: An African Oncology Ward in an Emerging Cancer Epidemic The stories are compelling, and the analytical chapters do a good job connecting contemporary developments with the existing anthropology of HIV/AIDS... Recommended. -- M. M. Heaton Choice Second Chances is recommended reading for anyone interested in the experiences of people with HIV/AIDS in sub-Saharan Africa. This is also a good book for anyone who is thinking about health systems. One of Whyte's points that I found particularly important is that people do not simply access treatment, but achieve it. -- Anita Chary Global Health Hub This is a unique study because it focuses on individuals and how disease and health care affects them. It provides a glimpse at a culture that is rarely covered, as well. Academic libraries supporting social sciences and health sciences programs will want to add this fascinating look at HIV/AIDS from a singular perspective to their collections. -- Barbara Bibel Library Journal Readers familiar with the work of Susan Reynolds Whyte and her colleagues will not be disappointed in this compelling book. In the end, the lesson of Second Chances is that reliance on 'contingent sociality' means that not everyone who needs ARTs can get them. The chance for a second chance, therefore, is inherently fragile and unequal. Reynolds Whyte and colleagues offer no solutions, but the moving stories of survival and striving for both a living and a life remind us of the work that remains -- Janet W. McGrath Medical Anthropology Quarterly

Bringing classic social anthropology questions to contemporary biopolitical contexts, Second Chances resituates the center of gravity in HIV/AIDS care around the concerns of its patients. The authors make clear the vital role of kinship, patronage, generation, and the economic and bodily concerns of everyday life in determining life amid shifting regimes of global health. With its superb use of extended cases, lively prose, and compelling analysis, Second Chances sets a new standard for collaborative scholarship. -- Julie Livingston, author of Improvising Medicine: An African Oncology Ward in an Emerging Cancer Epidemic The stories are compelling, and the analytical chapters do a good job connecting contemporary developments with the existing anthropology of HIV/AIDS... Recommended. -- M. M. Heaton Choice Second Chances provides insight of impressive range and depth into the impact of global health programs. It moves medical anthropology's theoretical agenda along by offering a subtle but sharp critique of contemporary manifestations of biological/therapeutic citizenship. Yet its greatest innovation may be methodological. As a convincing work of collective ethnography, Second Chances reveals the productive potential of 'team' or 'project' anthropology. -- Vinh-Kim Nguyen, author of The Republic of Therapy: Triage and Sovereignty in West Africa's Time of AIDS

Author Information

Susan Reynolds Whyte is Professor of Anthropology at the University of Copenhagen. She is the author of Questioning Misfortune: The Pragmatics of Uncertainty in Eastern Uganda, coauthor of Social Lives of Medicines, and coeditor of Disability in Local and Global Worlds.

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