Being Closer: Children and Caregiving in the Time of TB and HIV in Lusaka,Zambia.
详细信息
- 作者：Hunleth ; Jean M.
- 学历：Ph.D.
- 年：2011
- 导师：Hansen, Karen Tranberg,eadvisorSchwartzman, Helenecommittee memberLeonard, Williamecommittee memberWurtz, Rebeccaecommittee memberBond, Virginiaecommittee member
- 毕业院校：Northwestern University
- Department：Anthropology
- ISBN：9781124661384
- CBH：3456571
- Country：USA
- 语种：English
- FileSize：25656990
- Pages：340
文摘
Children are not simply victims of the rise in HIV-related illnesses and premature deaths among adults in Zambia. They are actively engaged in social practices and productive activities that shape the care they give to and receive from adults. I focus specifically on childrens roles in managing tuberculosis TB). Because of the biosocial construction of TB, its infectious nature, and the universalized strategies to treat TB, childrens roles in managing the disease are frequently ignored, desired, contested, and necessary. Within such a context, I argue that children develop practices of care that hinge on proximity and interdependence. My research was set in the Lusaka-based residential area of George, one of the most heavily HIV and TB-affected settlements in Zambia. I carried out one year of ethnographic research with twenty-five households and 38 children ages 8 to 12). To prioritize childrens input and experiences, I used methods such as drawing, role-plays, tape-recorded story telling, and focus group discussions. I also examined childrens roles and responsibilities through a survey of 200 households in George. In this dissertation, I develop a construct for examining childrens agency in the time of TB and HIV, which I call "being closer." A phrase used often by children and adults when an adult relative is sick, being closer characterizes childrens efforts within illness to sustain social ties, give and receive care, and affirm their value and personhood. Being closer is a practice of care in which children actively direct their actions and sentiments toward particular relationships and people. Sociostructural processes and universal paradigms for treating TB DOTS) and providing assistance for children orphans or OVC) shape and are affected by childrens strategies to be closer to sick adults. By emphasizing proximity and interdependence, childrens desire to be closer challenges assumptions about relationship building and communication in childhood studies, Africanist anthropology, global health, illness management studies, and public health practice.