1st Edition

Health on Delivery The Rollout of Antiretroviral Therapy in Malawi

By Anat Rosenthal Copyright 2017
    156 Pages
    by Routledge

    156 Pages
    by Routledge

    In 2004 Malawi began to offer antiretroviral therapy to anyone who needed it. This undertaking would have been ambitious for any nation, but it was unprecedented coming from one of the poorest countries in the world.

    Health on Delivery examines this introduction of state-provided antiretroviral therapy from an ethnographic perspective. Moving from World Health Organization boardrooms in Geneva to clinics held under trees in rural Malawi, it studies the patients, healthcare providers, and policy-makers involved, considering how the rollout has impacted their lives and professions. In doing so, it examines both the challenges and successes of an ambitious attempt to provide universal HIV treatment with limited money, infrastructure, and human resources. As well as an important case study, the book also offers an analytic framework to address the processes by which global policy is made and implemented.

    Engagingly written, Health on Delivery will be interesting reading for students and scholars of both anthropology and public health, as well as related disciplines such as geography, international politics and world development. It will also appeal to the general reader interested in global health policies and world development.


    Hierarchies of Emergency: Global Policy and the ART Rollout in Malawi

    Stretched Too Thin: Malawi’s National Shortage of Healthcare Workers

    Relationship Matters: Patient and Healthcare Provider Experiences in an Antiretroviral Clinic

    Reaching Out for Health: Strategies to Improve HIV Care in Village Settings

    Conclusion - A Lesson in Healthcare Delivery: How Global Policy Translates into HIV Care, and What We Can Learn From It.


    Anat Rosenthal is a lecturer in the Department of Health Systems Management and the Tamar Golan Africa Centre at Ben-Gurion University of the Negev, Israel. A medical anthropologist, she studies global health policy and healthcare delivery in resource-limited settings.