George Ndege provides an examination of the conflicts and compromises between Western biomedicine and African traditional therapies in colonial Kenya.

The African Church and COVID-19: Human Security, the Church, and Society in Kenya is a bold and incisive look at the African Church in light of the COVID-19 pandemic. Throughout the book, contributors explore how the COVID-19 pandemic exposed the fragilities of African society as well as the weaknesses in the Church’s role in helping and serving African communities. The African Church and COVID-19 analyzes the question of how the Church in Kenya should move forward in a post-COVID-19 era to address the vulnerabilities of socio-economic and political structures in Africa.

This volume offers a debate on the role of Christianity in post-colonial Kenya, charting the role of the church, state and society in the transformation of Kenya and the relationship between the three. It shows how the church initiated health, education, and economic activities, showing it to be a major instrument of transformation.

Mental, neurological, and substance use disorders are common, highly disabling, and associated with significant premature mortality. The impact of these disorders on the social and economic well-being of individuals, families, and societies is large, growing, and underestimated. Despite this burden, these disorders have been systematically neglected, particularly in low- and middle-income countries, with pitifully small contributions to scaling up cost-effective prevention and treatment strategies. Systematically compiling the substantial existing knowledge to address this inequity is the central goal of this volume. This evidence-base can help policy makers in resource-constrained settings as they prioritize programs and interventions to address these disorders.

Since independence from Great Britain in 1963, Kenya has survived five decades as a functioning nation-state, holding regular elections; its borders and political system intact and avoiding open war with its neighbours and military rule internally. It has been a favoured site for Western aid, trade, investment and tourism and has remained a close security partner for Western governments. However, Kenya's successive governments have failed to achieve adequate living conditions for most of its citizens; violence, corruption and tribalism have been ever-present, and its politics have failed to transcend its history. The decisions of the early years of independence and the acts of its leaders in the decades since have changed the country's path in unpredictable ways, but key themes of conflicts remain: over land, money, power, economic policy, national autonomy and the distribution of resources between classes and communities.While the country's political institutions have remained stable, the nation has changed, its population increasing nearly five-fold in five decades. But the economic and political elite's struggle for state resources and the exploitation of ethnicity for political purposes still threaten the country's existence. Today, Kenyans are arguing over many of the issues that divided them 50 years ago. The new constitution promulgated in 2010 provides an opportunity for national renewal, but it must confront a heavy legacy of history. This book reveals that history.

In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and – albeit sometimes counterintuitively - trust for their people. “The state” has morphed into the “para-state” — not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the “global health” paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional. Contributors. Uli Beisel, Didier Fassin, P. Wenzel Geissler, Rene Gerrets, Ann Kelly, Guillaume Lachenal, John Manton, Lotte Meinert, Vinh-Kim Nguyen, Branwyn Poleykett, Susan Reynolds Whyte

The decades-long civil war ended in 1992 in Mozambique, a southeastern African nation once ruled by the Portuguese The country now attracts foreign investment and has one of the fastest-growing economies in Africa. Culture and Customs of Mozambique is a timely overview of an important nation as it rebuilds. The thorough narrative is the most-up-date and authoritative source on Mozambique's society. Ndege covers the land and history and especially clarifies the multiethnic society, which comprises sixteen ethnic groups, most of which are of Bantu origin. Each group speaks its own language, and some clans within each group speak different dialects of the same language. He discusses the migration of these groups into Mozambique from southern Africa and their absorption of disparate and small communities, as well as their diverse cultural customs and practices. Most important, the Zambezi valley, which has for centuries been a meeting place of many different societies, is significant in understanding the nature and pattern of settlement of various ethnic communities in modern-day Mozambique. Readers will learn about the young population and the migration to cities today. The importance of the family and the changes to the family and gender roles brought on by education, urbanization, migration, and religion are discussed. Other coverage includes the role of Islam and Christianity; the importance of art; indigenous, oral, and modern literature and media; a wide range of celebrations and leisure activities; ceremonies and cuisine; unique music and dance; and more.