2026-09-26T10:48:18Z https://www.ideals.illinois.edu/oai-pmh

oai:www.ideals.illinois.edu:2142/114082 2023-07-11 col_2142_5131 col_2142_14851 com_2142_5130 com_2142_14849 com_2142_8903

Dill, Brian Dill, Brian Zerai, Assata Gille, Zsuzsa Tabb DIna, Karen 2022-04-29T21:58:27Z 2024-04-29T21:58:46Z 2021-12 Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2023-12-01 The student, Rachel Smith, accepted the attached license on 2021-11-28 at 23:38. The student, Rachel Smith, submitted this Dissertation for approval on 2021-11-28 at 23:57. This Dissertation was approved for publication on 2021-12-02 at 14:59. DSpace SAF Submission Ingestion Package generated from Vireo submission #17278 on 2022-04-29 at 16:10:01 Made available in DSpace on 2022-04-29T21:58:27Z (GMT). No. of bitstreams: 2 SMITH-DISSERTATION-2021.pdf: 953059 bytes, checksum: 665f844486c3e0845f4090f127221668 (MD5) LICENSE.txt: 4209 bytes, checksum: 9a8eeb06dd68089b272101b4a489ebef (MD5) Previous issue date: 2021-12-02 Embargo set by: Seth Robbins for item 123447 Lift date: 2024-04-29T21:58:46Z Reason: Author requested closed access (OA after 2yrs) in Vireo ETD system Author requested closed access (OA after 2yrs) in Vireo ETD system Limited application/pdf en text The promise and failure of global health: Women’s healthcare amid the rising burden of chronic health conditions in northeastern Tanzania Smith, Rachel 2021-12-02 Sociology 2022-04-29T21:58:27Z This thesis interrogates the discourse and practice of global health in northeastern Tanzania. It investigates how the rising burden of chronic health conditions complicates the provision of women’s healthcare and presents new challenges for national and global health initiatives. Across sub-Saharan Africa, processes of urbanization, globalization and changing lifestyles are altering regimes of social reproduction and increasing health risks for women with both a high rate of communicable and non-communicable diseases. Creating policies and dedicating resources that meet these challenges in Tanzania, as well as in neighboring countries, requires a deeper understanding of local healthcare realities as well as the inclusion of women’s health priorities, and perspectives on accessing care - something that previous women’s health initiatives have failed to do. This research project utilized participant-observation ethnography and semi-structured interviews with women and healthcare providers at several different healthcare sites in an urban setting in Northeastern Tanzania. This research demonstrates the mismatch between the priorities of Western-led global health initiatives that target women’s health in the country and the priorities of women themselves. It also historicizes and contextualizes biomedicine, and shows how dramatically different healthcare realities in high and low-resource settings present limitations to the Western biomedical model typically exported in global health initiatives. Lastly, it highlights the contradictions between global health discourse – which emphasizes equity and partnership – and the realities of global health in practice in this Tanzanian setting. Thesis eng http://hdl.handle.net/2142/114082 Copyright 2021 Rachel Smith Sociology Sociology University of Illinois at Urbana-Champaign Dissertation Ph.D.