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Bringing together the experience, perspective and expertise of Paul Farmer, Jim Yong Kim, and Arthur Kleinman, Reimagining Global Health provides an original, compelling introduction to the field of global health. Drawn from a Harvard course developed by their student Matthew Basilico, this work provides an accessible and engaging framework for the study of global health. Insisting on an approach that is historically deep and geographically broad, the authors underline the importance of a transdisciplinary approach, and offer a highly readable distillation of several historical and ethnographic perspectives of contemporary global health problems.
The case studies presented throughout Reimagining Global Health bring together ethnographic, theoretical, and historical perspectives into a wholly new and exciting investigation of global health. The interdisciplinary approach outlined in this text should prove useful not only in schools of public health, nursing, and medicine, but also in undergraduate and graduate classes in anthropology, sociology, political economy, and history, among others.
- Sales Rank: #39234 in Books
- Brand: Farmer, Paul (EDT)/ Kim, Jim Yong (EDT)/ Kleinman, Arthur (EDT)/ Basilico, Matthew (EDT)
- Published on: 2013-09-07
- Original language: English
- Number of items: 1
- Dimensions: 9.00" h x 1.40" w x 6.00" l, 1.80 pounds
- Binding: Paperback
- 504 pages
Review
"Valuable."--Raymond Downing"Society of Teachers of Family Medicine" (01/01/2015)
"An excellent, well-structured introduction to thoughtful global health practices . . . "Reimagining Global Health" provides a wealth of insights that would benefit seasoned professionals, scholars, and activists."--Daniel Takarabe Kim"Theoretical Medicine and Bioethics" (09/02/2015)
From the Inside Flap
"It is a challenging task to provide a novel and comprehensive view of global health -a dynamic arena for action and an increasingly attractive academic field. Reimagining Global Health does this with scholarly rigor and political courage. This book will become essential reading for all those working in clinical, public health, and policy roles to address the daunting health disparities of our times."—Julio Frenk, Dean of the Harvard School of Public Health, T & G Angelopoulos Professor of Public Health and International Development, Former Minister of Health of Mexico (2000-2006)
"The past decade has seen an unprecedented explosion of interest in the health and welfare of marginalized communities around the world. Reimagining Global Health offers a critical approach to the contemporary global health landscape, while also tracing its historical antecedents and suggesting a way forward. This seminal work by leading figures in the field is a crucial next step for those interested in grappling with the modern reality of global health inequity. Without question, Reimagining Global Health is a salient volume that will shape global health research, practice, and knowledge for many years to come."—Ambassador Mark Dybul, Executive Director of the Global Fund to Fight AIDS
“Inspired by practicing physicians like two of the authors of this book, Paul Farmer and Jim Kim, who won't take no for an answer when it comes to the universal right to health, many undergraduates, medical students and professional have turned to global health as their specialty and their calling. Until now, this nascent field did not have a unifying conceptual approach, let alone a text. This book, based on decades of practice and years of successfully teaching global health at Harvard, masterfully fills this gap. It presents a strong vision of health as a biological and social phenomenon, and illustrates how academics from different disciplines, and practitioners, must work together to understand not only what works, but how it can be sustainably delivered. Avoiding both cynicism or blind optimism, this book, like the authors in their work, is hopeful, practical, and demanding. It will become an unavoidable reference in the field.” –Esther Duflo, Department of Economics, MIT and author of Poor Economics
"With its unwavering commitment to social justice and refreshingly lucid sense of possibility, Reimagining Global Health is an essential antidote to the deadly and inexcusable health disparities of our times. Combining deep social analysis and visceral human and institutional engagements, the authors of this momentous book re-socialize and politicize disease and health and, in the process, create a distinct and innovative grammar that will surely inspire and shape the work of generations of global health scholars and practitioners."—João Biehl, Princeton University
"From the interstices of medical knowledge and practices and the social sciences a new academic field of "global health" is emerging. While economists worship their methodology, and political scientists their great thinkers, global health has outflanked them all in the quest for real explanations and real solutions to the most pressing problem of the world's poor people. With this book, written by some of the field's pioneers, you can take the first step in orienting yourself in this fluid and inter-disciplinary endeavor. Iconoclastic and passionate in equal measure."—James Robinson, David Florence Professor of Government at Harvard University
"Lucky Harvard students! Having these teachers. And lucky students elsewhere when they have the chance to read this important book. I was familiar in one way or another with most of the material covered by this book and I could not put it down."—Michael Marmot, University College, London, Institute of Healthy Equity
“When I first invited Paul Farmer and Jim Kim to Rwanda ten years ago, it was not for business as usual. The partnership they committed to was working to break the cycle of poverty and disease in some of Rwanda’s poorest districts. Together, through the leadership of the Rwandan public sector and the steadfast accompaniment of global visionaries including many co-authors of chapters in this book, we are redefining what is possible in health care delivery. Reimagining Global Health asks how the hard-won lessons learned along the way might be shared most widely and usefully. In these pages, students and practitioners across disciplines and contexts will find crucial questions for all those who would advance the human right to health. Rich case studies and incisive biosocial analysis throw the central importance of humility, constancy, and imagination into bold relief.”—Dr. Agnes Binagwaho, Minister of Health of Rwanda; Senior Lecturer, Harvard Medical School; Clinical Professor of Pediatrics, Geisel School of Medicine at Dartmouth
"This inspiring book transforms the field of global health into a revolutionary global movement for human rights to combat the useless suffering imposed by North/South social inequality. The authors' historical, practice-based and theoretical arguments wrench the field out of its colonial-missionary roots and attack the contemporary greedy behemoths of Bio-Tech, Big Pharma, for-profit healthcare, and cost-benefit neoliberal triage logics to make "Health for All" a real possibility--as well as a universal human right to be enforced by political will, funding and democratic access to technology."—Philippe Bourgois author of Righteous Dopefiend and of In Search of Respect: Selling Crack in El Barrio.
"Reimagining Global Health is a well written text based on extensive research, teaching and practical experience. The fact that it is based on three years of teaching a course implies that it has been finely honed by responses from students. It is superbly researched and written and provides many new angles and fresh perspectives."—Solly Benatar, Professor, Dalla School of Public Health and Joint Centre for Bioethics, University of Toronto
About the Author
Paul Farmer is co-founder of Partners In Health and Chair of the Department of Global Health and Social Medicine at Harvard Medical School. He has authored numerous books, including Pathologies of Power: Health, Human Rights, and The New War on the Poor.
Jim Yong Kim is co-founder of Partners In Health and the current President of the World Bank Group.
Arthur Kleinman is Professor of Anthropology at Harvard University and Professor of Social Medicine at Harvard Medical School. He is the author of numerous influential works including The Illness Narratives: Suffering, Healing, And The Human Condition.
Matthew Basilico is a medical student at Harvard Medical School and a PhD candidate in economics at Harvard University. He was a Fulbright Scholar in Malawi, where he has lived and worked with his wife Marguerite.
Most helpful customer reviews
22 of 23 people found the following review helpful.
A sorely needed viewpoint on global health
By David
As a graduating medical student with a strong interest in global surgery, I've taken to reading just about every book on global health that I can get my hands on. Many of these books approach the subject strictly from a medical point of view, occasionally with some cost-effectiveness research thrown in. Then, there are the international development books that generally treat medicine as an abstract concept, something that can be addressed as a whole with a yet-to-be-determined singular solution ("Poor Economics" is an exceptional book that does not fall into this trap).
However, I felt that I needed a different perspective. I wanted to read a text that went deeper into the theory of global health itself. From whence has this seemingly urgent notion come? What is the rationale behind such a science, when clearly there are enough problems in many of our own countries to occupy us for a lifetime? How can we work with the population and not just on the population?
While this book cannot completely answer all of these questions, it attempts to give us an anthropological framework through which to understand the problems and then act on them. In order to do so, the book is made up into roughly three parts. The first part attempts to evaluate the history and underlying philosophy of global health, from its colonial times through the present. In addition to evaluating successful programs (smallpox eradication) and failed programs (malaria eradication), there is particular value in showing how our thoughts of reasonable expectations and limitations have changed. At one point, it was not deemed possible to use anti-retrovirals in sub-Saharan Africa (the people were not sophisticated enough, so the thinking went), but through programs to reduce costs and increase education, this initiative has turned into one of the more successful programs in history. Thus, when evaluating what to do, we cannot be trapped into false limitations.
The second part of the book examines some new ways of conducting programs that have been pioneered by Partners in Health and other similar organizations. I thought that this was truly an invaluable part of the book. While the concepts are not staggering, the success is. Simply put, the organizations decided to look not at academic theories, but at what practically was needed to help populations treat HIV, TB, etc. If they needed to provide transportation money and food to entice people, then so be it. Additionally, they did not shy away from training local, community health workers to run these programs and to identify weak points. Most importantly, they continually reevaluated the programs and changed what needed to be changed. Again, nothing amazing in concept, but elements that have not been well-incorporated into many global health programs.
The final point is where we go from here, both philosophically and practically. Most importantly, they describe a model of accompaniment, whereby foreign individuals, companies, and NGO's forego both unaccountable grants and paternalistic meddling. Instead, these entities should accompany locals in the process of using the aid to use evidence-based methods to build a better society, whether that means showing them new ways of manufacturing (creating local jobs in the process), helping them to learn principles of finance (so as to run companies locally), or helping to organize better governance. Using this model as a basis, there is a chapter that then focuses on specifics such as HIV, TB, malaria, neglected diseases, chronic diseases, surgery, and so forth.
One criticism I have of the book is that it sometimes comes off as overly-idealistic. At one point, it seems to argue against the use of cost-effectiveness research for programs that should be considered a fundamental right. While I agree with them in theory, that there are certain fundamental rights that the poorest of the poor should have, at some point we simply must meld ideals with practicality. While fighting for these rights, we must also administer funds in the ways in which we can make the greatest difference until such a time as all the necessary funds to achieve these rights available. I don not see this as caving in to limitations, but rather trying to simultaneously overcome them and do as much good as possible.
Overall then, you have a very comprehensive introduction to global health from a new viewpoint. While not everyone will like the anthropological focus, I see it as an essential accompaniment to the books on the global science of medicine or economics. Hopefully, we will see widespread incorporation of these lessons.
10 of 11 people found the following review helpful.
An instant classic
By Lawrence H. Moulton
"Reimagining Global Health" is the compilation of decades of experience of learning and teaching about the intersection of public health and health care delivery in some of the world's most challenging environments. A full arsenal of perspectives, including medical, anthropological, political, and philosophical, is brought to bear on the problems of identifying need, determining solutions, and bringing them to scale.
Everyone involved in improving the health of underserved populations can learn something from this textbook, which modestly calls itself "An Introduction" but delves into deep concepts.
5 of 5 people found the following review helpful.
The just and equitable distribution of the risk of suffering
By Earth Hasassri
This book provides a thorough framework of evaluating the just and equitable distribution of the risk of suffering and the tools to lesson or prevent it. By framework, I mean the following:
1. One way to contextualize global health is to use the perspective of social theory and its critique. By providing the reader with how to think about the social construction of knowledge, the reader starts to think about and gather how thoughts and processes are institutionalized. Learning how systems and policies came to be will help the reader learn what they can do to change or improve them.
2. A history of colonial medicine and its legacies provides a lens of how ideas and methods were attempted and how they transitioned, had things added to them, or changed over the years. The current state of global health may be extremely complicated, but learning about how each individual and chronologically sequential parts came to be compounded into the modern circumstances will help the reader evaluate what (or more importantly, who) made certain circumstances exist in the first place.
3. By using effective responses to global health emergencies as a case-study, this book helps the reader reimagine what was thought to be impossible as a challenging and worthwhile task. This is applied to the global AIDS response, building effective rural healthcare delivery, and scaling up effective delivery models worldwide.
4. Critical perspectives are offered on the metrics of disease, specifically the DALY. By providing a clear history about how a widely used metric was developed, learning about its strengths, and then evaluating it for its limitations, this book will help provide a framework about how to be critical of measurements on difficult quantitative challenges in health, such as mental health and multi-drug resistant tuberculosis (MDRTB).
5. Values are an important part of this book. Why should one care and what rules constrain what you can do in a global health setting? One chapter is dedicated to the bioethics and a variety of values that aligns those who wish to work with underserved and vulnerable populations.
6. The book ends with active steps an individual can take to incorporate global health priorities in their daily life and values. By providing data, case studies, and philosophical discussions on important issues in global health, the authors of this book reflect on a movement for global health equity.
I give this book 10/10 in providing a comprehensive introduction to the important concepts in global health.
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