This book provides an ethnographic account of the ways in which biomedicine, as a part of the modernization of healthcare, has been localized and established as the culturally dominant medical system in rural Bangladesh. Dr Faruk Shah offers an anthropological critique of biomedicine in rural Bangladesh that explains how the existing social inequalities and disparities in healthcare are intensified by the practices undertaken in biomedical health centres through the healthcare bureaucracy and local gendered politics. This work of villagers’ healthcare practices leads to a fascinating analysis of the local healthcare bureaucracy, corruption, structural violence, commodification of health, pharmaceutical promotional strategies and gender discrimination in population control. Shah argues that biomedicine has already achieved cultural authority and acceptability at almost all levels of the health sector in Bangladesh. However, in this system healthcare bureaucracy is shaped by social capital, power relations and kin networks, and corruption is a central element of daily care practices.

This book provides an ethnographic account of the ways in which biomedicine, as a part of the modernization of healthcare, has been localized and established as the culturally dominant medical system in rural Bangladesh. Dr Faruk Shah offers an anthropological critique of biomedicine in rural Bangladesh that explains how the existing social inequalities and disparities in healthcare are intensified by the practices undertaken in biomedical health centres through the healthcare bureaucracy and local gendered politics. This work of villagers’ healthcare practices leads to a fascinating analysis of the local healthcare bureaucracy, corruption, structural violence, commodification of health, pharmaceutical promotional strategies and gender discrimination in population control. Shah argues that biomedicine has already achieved cultural authority and acceptability at almost all levels of the health sector in Bangladesh. However, in this system healthcare bureaucracy is shaped by social capital, power relations and kin networks, and corruption is a central element of daily care practices.

This thesis provides an ethnographic account of the ways in which biomedicine, as a part of the modernization of healthcare, has been localized and established as the culturally dominant medical system in rural Bangladesh. I show how biomedical institutions and medical professionals are becoming entrenched as almost unquestioned authorities in the domain of healthcare through the backing of the state, government and non-government organisations, pharmaceutical companies, and the market economy. I offer an anthropological critique of biomedicine in rural Bangladesh that explains how the existing social inequalities and disparities in healthcare are intensified by the practices undertaken in biomedical health centres through the healthcare bureaucracy and local gendered politics. I employ critical and interpretative approaches in medical anthropology to examine the meaning and nature of biomedicine, addressing how biomedicine has been recognized and accommodated in the local medical system of rural Bangladesh. I have systematically analysed this through the exploration of the health seeking behaviour of a Bangladeshi rural community and the community members' experiences with local clinics and biomedical hospitals which locals frequent for healthcare. This study of villagers' healthcare practices has led me to the analysis of the local healthcare bureaucracy, corruption, structural violence, commodification of health, pharmaceutical promotional strategies, gender discrimination in healthcare and population control. My findings suggest that biomedicine has already achieved cultural authority, acceptability and power at almost all levels of public and private health sectors in Bangladesh, as well as becoming the major and regular healthcare option for the local people as an element of the desire for progress, prosperity and modernity. However, in this system, bureaucracy is shaped by social capital, power relations and kin networks, and corruption is an integral part of daily care practices. This distinct version of rural Bangladeshi biomedicine contributes to medical anthropology by reinforcing that biomedicine is not homogenous in terms of its underlying philosophy and practice; rather it has numerous forms and approaches that depend upon geographic location, sociocultural settings, social hierarchy, bureaucracy, accountability, corruption, and a healthcare system characterized by medical pluralism. My multilevel ethnographic study thus contributes to medical anthropology by expanding scholarly understandings of the nature, practice and localization process of biomedicine(s) and bureaucracy in rural Bangladesh.

The fully revised new edition of the defining reference work in the field of medical anthropology A Companion to Medical Anthropology, Second Edition provides the most complete account of the key issues and debates in this dynamic, rapidly growing field. Bringing together contributions by leading international authorities in medical anthropology, this comprehensive reference work presents critical assessments and interpretations of a wide range of topical themes, including global and environmental health, political violence and war, poverty, malnutrition, substance abuse, reproductive health, and infectious diseases. Throughout the text, readers explore the global, historical, and political factors that continue to influence how health and illness are experienced and understood. The second edition is fully updated to reflect current controversies and significant new developments in the anthropology of health and related fields. More than twenty new and revised articles address research areas including war and health, illicit drug abuse, climate change and health, colonialism and modern biomedicine, activist-led research, syndemics, ethnomedicines, biocommunicability, COVID-19, and many others. Highlighting the impact medical anthropologists have on global health care policy and practice, A Companion to Medical Anthropology, Second Edition: Features specially commissioned articles by medical anthropologists working in communities worldwide Discusses future trends and emerging research areas in the field Describes biocultural approaches to health and illness and research design and methods in applied medical anthropology Addresses topics including chronic diseases, rising levels of inequality, war and health, migration and health, nutritional health, self-medication, and end of life care Part of the acclaimed Wiley Blackwell Companions to Anthropology series, A Companion to Medical Anthropology, Second Edition, remains an indispensable resource for medical anthropologists, as well as an excellent textbook for courses in medical anthropology, ethnomedicine, global health care, and medical policy.

What is the current state of traditional healing practices in contemporary Asian societies? How are their practitioners faring in the encounter with Western science and its biomedical approach? How are traditional healing practices being transformed by the politics of health within the modern nation-state and by the processes of commodification typical of modern economies? How do patients in Asian societies see the various healing options now open to them? The authors, all of whom are anthropologists, observe the clashes and complementarities between traditional therapies and biomedicine, which, in its many manifestations, is the dominant form of medicine supported by national governments, and is emblematic of the modernity to which they aspire. Some of the medical traditions, such as the sophisticated herbal-humoral systems of Tibetan medicine and Indian Ayurveda, are becoming well known in the West, both through scholarly study and through their increasing popularity with Western patients interested in their healing potential. This book adds a new dimension to their study, being focused unlike most previous writing on practice rather than textual tradition.

Research into 'colonial' or 'imperial' medicine has made considerable progress in recent years, whilst the study of what is usually referred to as 'indigenous' or 'folk' medicine in colonized societies has received much less attention. This book redresses the balance by bringing together current critical research into medical pluralism during the last two centuries. It includes a rich selection of historical, anthropological and sociological case-studies that cover many different parts of the globe, ranging from New Zealand to Africa, China, South Asia, Europe and the USA.

In Biomedical Hegemony and Democracy in South Africa Ngambouk Vitalis Pemunta and Tabi Chama-James Tabenyang unpack the contentious South African government’s post-apartheid policy framework of the ‘‘return to tradition policy’’. The conjuncture between deep sociopolitical crises, witchcraft, the ravaging HIV/AIDS pandemic and the government’s initial reluctance to adopt antiretroviral therapy turned away desperate HIV/AIDS patients to traditional healers. Drawing on historical sources, policy documents and ethnographic interviews, Pemunta and Tabenyang convincingly demonstrate that despite biomedical hegemony, patients and members of their therapy-seeking group often shuttle between modern and traditional medicine, thereby making both systems of healthcare complementary rather than alternatives. They draw the attention of policy-makers to the need to be aware of ‘‘subaltern health narratives’’ in designing health policy.