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University of California Press
Open Access

Documenting Death

Maternal Mortality and the Ethics of Care in Tanzania

by Adrienne E. Strong (Author)
Price: $12.99 / £10.99
Publication Date: Nov 2020
Edition: 1st Edition
Title Details:
Rights: World
Pages: 270
ISBN: 9780520973916
Trim Size: 6 x 9
Illustrations: 13 color photographs, 3 illustrations, 2 maps,

About the Book

A free open access ebook is available upon publication. Learn more at www.luminosoa.org.

Documenting Death is a gripping ethnographic account of the deaths of pregnant women in a hospital in a low-resource setting in Tanzania. Through an exploration of everyday ethics and care practices on a local maternity ward, anthropologist Adrienne E. Strong untangles the reasons Tanzania has achieved so little sustainable success in reducing maternal mortality rates, despite global development support. Growing administrative pressures to document good care serve to preclude good care in practice while placing frontline healthcare workers in moral and ethical peril. Maternal health emergencies expose the precarity of hospital social relations and accountability systems, which, together, continue to lead to the deaths of pregnant women.

About the Author

Adrienne E. Strong is Assistant Professor of Anthropology at the University of Florida.

Reviews

"This powerful and compelling analysis of maternal mortality in rural Tanzania is a groundbreaking addition to scholarship on Africa and its public health challenges. Adrienne E. Strong presents a rich ethnography of hospital function and dysfunction, to which the voices of patients and staff add poignant detail. The ways in which state and global health policy shape maternal health and well-being frame individual narratives in a memorable testimony."––Carolyn Sargent, Professor of Anthropology, Washington University in St. Louis

"Documenting Death is an arresting tale of life and death on a busy maternity ward in rural Tanzania. Drawing on a remarkable period of ethnographic fieldwork, Strong evocatively details the predicament of nurse midwives caught in the ‘biobureaucracy’ of global health projects and their audit trails. A significant contribution to medical anthropology and critical global health scholarship."––Margaret MacDonald, Associate Professor of Anthropology, York University

Awards

  • Adele E. Clarke Book Award 2021 Honorable Mention 2021, ReproNetwork
  • Eileen Basker Memorial Prize 2021 2021, Society for Medical Anthropology
  • Leah M. Ashe Prize for the Anthropology of Medically–Induced Harm Honorable Mention 2022 2022, Society for Medical Anthropology