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Metrics
What Counts in Global Health
Vincanne Adams
"Timely, incisive, and of immense importance, Metrics is the first volume to bring together ethnographic perspectives to critically assess the increasingly outsized role that audit cultures now play in determining the form, content, and politics of global health research and practice. Adding new specificity to the expanding literature on critical studies of global health, Metrics will resonate well beyond the field of anthropology, impacting history, sociology, policy, ethics, epidemiology, and economics."-Jeremy A. Greene, author of Generic: The Unbranding of Modern Medicine
"A stunning benchmark volume, in measured tones of 'applause and caution,' about the statistical methods that increasingly govern and provide investment opportunities for health interventions, poverty reduction, and much else in the postcolonial world. These new biopolitical economies displace national decision making and often their own humanitarian goals, using tropes of 'suffering individuals' as 'residuals' as symbolic capital to be reinvested and to give numbers affective credibility. But such stories can also expose the fabrications and distortions that the drive for statistical certainty produces, and explain why so many well-intentioned 'evidence-based' interventions fail. Lucidly explaining global health financialization, the volume calls for alternative metrics, complementary methods, and less reliance on abstracted indices and proxies." -Michael M. J. Fischer, author of Anthropological Futures
This volume's contributors evaluate the accomplishments, limits, and consequences of using quantitative metrics in global health. Whether analyzing maternal mortality rates, the relationships between political goals and metrics data, or the links between health outcomes and a program's fiscal support, the contributors question the ability of metrics to solve global health problems. They capture a moment when global health scholars and practitioners must evaluate the potential effectiveness and pitfalls of different metrics-even as they remain elusive and problematic.
Contributors: Vincanne Adams, Susan Erikson, Molly Hales, Pierre Minn, Adeola Oni-Orisan, Carolyn Smith-Morris, Marlee Tichenor, Lily Walkover, Claire L. Wendland
Vincanne Adams is Professor of Medical Anthropology in the Department of Anthropology, History and Social Medicine at the University of California, San Francisco.
Duke University Press
Critical Global Health: Evidence, Efficacy, Ethnography
March 2016 264pp 9780822360971 PB £20.99 now only £16.79* when you quote CSL117METR when you order
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