Unequal Worlds of Care

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A01=Amy Zhou
Author_Amy Zhou
care navigation
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foreign-funded medicine
global aid politics
global-local disconnect
health access struggles
health system gaps
healthcare inequality
HIV program limits
medical resistance
partial recovery stories
patient agency
policy impact on care
resilience in health systems
structural neglect
treatment refusal

Product details

  • ISBN 9780520409194
  • Dimensions: 152 x 229mm
  • Publication Date: 03 Mar 2026
  • Publisher: University of California Press
  • Publication City/Country: US
  • Product Form: Paperback
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Global health experts are optimistic that the end of AIDS is within reach. Yet while programs to combat HIV/AIDS have been essential, they exist alongside public healthcare systems that have struggled to gain donor attention and support. Unequal Worlds of Care examines how policymakers, providers, and patients in Malawi navigate a healthcare system transformed unevenly by foreign aid.

Whether through engaging in political resistance, refusing treatment, or leveraging the opportunities available to them, people contend with global health programs that only partially recognize their healthcare realities. Ultimately, overlooking fundamental aspects of healthcare limits even the best-intentioned efforts to improve people's health and well-being. Amy Zhou provides a comprehensive portrait of the human costs of institutional constraints—as well as the ingenuity and dignity of the people continuing to pursue care along these uncertain pathways.




 

Amy Zhou is Assistant Professor of Sociology at Barnard College, Columbia University.

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