Medical research has been central to biomedicine in Africa for over a century, and Africa, along with other tropical areas, has been crucial to the development of medical science. At present, study populations in Africa participate in an increasing number of medical research projects and clinical trials, run by both public institutions and private companies. Global debates about the politics and ethics of this research are growing and local concerns are prompting calls for social studies of the "trial communities" produced by this scientific work. Drawing on rich, ethnographic and historiographic ---material, this volume represents the emergent field of anthropological inquiry that links Africanist ethnography to recent concerns with science, the state, and the culture of late capitalism in Africa.
P. Wenzel Geissler teaches social anthropology at the University of Oslo and at the London School of Hygiene and Tropical Medicine. He studied medical zoology in Hamburg and Copenhagen and social anthropology in Copenhagen and Cambridge. Since 1993 he has worked in western Kenya, conducting first medical research and then several years of ethnographic fieldwork. Currently he is writing an ethnography of post-colonial scientific research in Kisumu, Kenya. Catherine Molyneux, Ph.D., is employed by Oxford University and has been working as part of the KEMRI-Wellcome Trust Research Programme in Kilifi, Kenya, since 1994. She currently co-leads the Social and Behavioural research (SBR) group in Kilifi. Her current research focuses on community accountability and producing new thinking, evidence and recommendations around strengthening community involvement in biomedical research and health delivery in sub-Saharan Africa.
Introduction: Studying trial communities: anthropological and historical inquiries into ethos, politics and economy of medical research in AfricaP. Wenzel GeisslerEngagementsChapter 1. Writing Knowledge and Acknowledgement: Possibilities in Medical ResearchSusan Reynolds WhyteChapter 2. Can one Rely on Knowledge?Marilyn StrathernChapter 3. Being 'with MRC': Infant Care and the Social Meanings of Cohort Membership in Gambia's Plural Therapeutic LandscapesMelissa Leach and James FairheadChapter 4. Contextualising Ethics in AIDS Research: or, the Morality of Knowledge Production in Ethnographic Fieldwork on 'the Unspeakable'Hansjorg DilgerChapter 5. Testing a New Drug for Leprosy: Clofazimine and its Precursors in Ireland and Nigeria, 1944-1966John MantonChapter 6. Elucidating Ethics in Practice -- Focus on AccountabilityGeorge UlrichEvidenceChapter 7. When Physicians Meet: Local Medical Knowledge and Global Public GoodsSteven FeiermanChapter 8. The Plausibility Design, Quasi-Experiments, and Real World Research: a Case Study from the Interdisciplinary Monitoring Project for Antimalarial Combination Treatment in TanzaniaS. Patrick KachurChapter 9. Remember Bambali: Evidence, Ethics and the Co-Production of TruthAnn KellyChapter 10. Foetuses, Facts and Frictions: Insights from Ultrasound Research in TanzaniaBabette Muller-RockstrohChapter 11. Healers and Scientists: The Epistemological Politics of Research about Medicinal Plants in Tanzania or 'Moving Away from Traditional Medicine'Stacey A. LangwickChapter 12. Parasite Lost. Remembering Modern Times with Kenyan Government Medical ScientistsP. Wenzel GeisslerChapter 13. Is the Sharia of the Doctors Killing the People? A Local Debate on Ethics and the Control of HIV/AIDS in a Rural Area in KenyaSuzette HealdPoliticsChapter 14. The Historical Interface between the State and Medical Science in Africa: Kenya's CaseKenneth S. OmbongiChapter 15. The intimate rules of the French Cooperation: Morality, Race and the Postcolonial Division of Scientific Work at the Pasteur Institute of CameroonGuillaume LachenalChapter 16. The Mosquito Taken at the Beer-Hall': Malaria Research and Control on Zambia's CopperbeltLyn SchumakerChapter 17. Trial Communities: HIV and Therapeutic Citizenship in West AfricaVin-Kim NguyenChapter 18. Differences in Medicine, Differences in Ethics: or, When is it Research and When is it Kidnapping or is That Even the Right Question?Luise WhiteIndex