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Enter history and you find the missing politics, then and now. When we look at international health interventions historically, it becomes clear that the political and economic requirements of the day and the ideological whims of the elites in charge determine how priorities are set and why they are abandoned. As social scientists unearth the recent history that explains how people become target populations in global health, unexpected anthropological terrains come into view: we find ourselves face-to-face with profound disconnections between how campaigns are designed and the complex ways in which they are actually received and critiqued. The counterknowledge of the people who are actually at the center of things is thus integral to the structures and effects of interventions and has the potential to protect us from the repetition of history.
In his chapter, historian Marcos Cueto explores the politics that shape the world of global health, especially with regard to the treatment of malaria in the 1950s and its iteration in the 2000s in the form of Roll Back Malaria (RBM). The World Health Organization (WHO), the institutional catalyst of international health initiatives, is at the center of Cueto’s account. He vividly describes how the changing interests of the funders and collaborators involved in particular state-market interactions significantly influence how technology and health interventions are imagined and deployed.
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