Fistula Politics
270 pages, 6 x 9
25 color and B-W photos
Paperback
Release Date:15 Oct 2018
ISBN:9781978800366
Hardcover
Release Date:15 Oct 2018
ISBN:9781978800373
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Fistula Politics

Birthing Injuries and the Quest for Continence in Niger

Rutgers University Press
Obstetric fistula is a birthing injury caused by prolonged obstructed labor that results in urinary and fecal incontinence. It is nearly non-existent in the Global North. In contrast Niger, in West Africa, has one of the highest rates of fistula in the world. In Western humanitarian and media narratives, fistula is presented as deeply stigmatizing, resulting in divorce, abandonment by kin, exile from communities, depression and suicide. In Fistula Politics, Alison Heller illustrates the inaccuracy of these popular narratives and shows how they serve the interests not of the women so affected, but of humanitarian organizations, the media, and local clinics.  
Alison Heller has transformed the discourse on fistula with her brilliantly detailed ethnography of the lives of affected women in Niger. Fistula Politics is an inspiring account of the real lives of determined women facing the hardships of birthing injuries: pregnancy losses and social suffering, persistent wetness and months-long waiting for treatment in the context of 'regional poverty' and mismanaged care. Transformed my understanding! Truly brilliant! Ellen Gruenbaum, author of The Female Circumcision Controversy: An Anthropological Perspective
Most of us know the 'fistula narrative,' a story of innocent girls who suffer the dreadful consequences of early childbearing and can be saved through a simple biomedical intervention. Ali Heller’s evocative and meticulously empirical book reveals the complexities that this sensational narrative fails to capture. The alternative accounts told here raise vital questions about fistula’s true causes, consequences, cures, and costs—and about the marketing of humanitarian biomedicine. Claire L. Wendland, author of A Heart for the Work: Journeys through an African Medical School
Chronicle of Higher Education new scholarly books weekly book list,' by Nina C. Ayoub Chronicle of Higher Education
 A recommended read for scholars and practitioners in global public health, international development and medical anthropology. Anthrodendum
Fistula Politics is a highly readable, teachable, and beautifully illustrated monograph that is grounded in careful empirical observation. The book is elegantly organized and could be taught in undergraduate and graduate courses in medical anthropology or sociology, global health, human reproduction, gender studies, human rights, or research methods. Medical Anthropology Quarterly
Fistula Politics is a richly-documented ethnography of Nigerian women's reproductive lives...Compellingly illustrates the value of anthropology as it provides us with an ethnographically-based, yet comprehensive and holistic, insight into people's lived experiences.'  Anthropos
Fistula Politics is written in clear, accessible language. I expect it will be widely read not only by medical anthropologists and gender and sexuality studies specialists but also by the very actors who intervene in preventing and repairing fistula. Africa
Heller’s ethnography, Fistula Politics, is a welcome addition to ethnographic studies of fistula, biomedicine, and the body. Chau J. Kelly, H-Net
Alison Heller has transformed the discourse on fistula with her brilliantly detailed ethnography of the lives of affected women in Niger. Fistula Politics is an inspiring account of the real lives of determined women facing the hardships of birthing injuries: pregnancy losses and social suffering, persistent wetness and months-long waiting for treatment in the context of 'regional poverty' and mismanaged care. Transformed my understanding! Truly brilliant! Ellen Gruenbaum, author of The Female Circumcision Controversy: An Anthropological Perspective
Most of us know the 'fistula narrative,' a story of innocent girls who suffer the dreadful consequences of early childbearing and can be saved through a simple biomedical intervention. Ali Heller’s evocative and meticulously empirical book reveals the complexities that this sensational narrative fails to capture. The alternative accounts told here raise vital questions about fistula’s true causes, consequences, cures, and costs—and about the marketing of humanitarian biomedicine. Claire L. Wendland, author of A Heart for the Work: Journeys through an African Medical School
Chronicle of Higher Education new scholarly books weekly book list,' by Nina C. Ayoub Chronicle of Higher Education
 A recommended read for scholars and practitioners in global public health, international development and medical anthropology. Anthrodendum
Fistula Politics is a highly readable, teachable, and beautifully illustrated monograph that is grounded in careful empirical observation. The book is elegantly organized and could be taught in undergraduate and graduate courses in medical anthropology or sociology, global health, human reproduction, gender studies, human rights, or research methods. Medical Anthropology Quarterly
Fistula Politics is a richly-documented ethnography of Nigerian women's reproductive lives...Compellingly illustrates the value of anthropology as it provides us with an ethnographically-based, yet comprehensive and holistic, insight into people's lived experiences.'  Anthropos
Fistula Politics is written in clear, accessible language. I expect it will be widely read not only by medical anthropologists and gender and sexuality studies specialists but also by the very actors who intervene in preventing and repairing fistula. Africa
Heller’s ethnography, Fistula Politics, is a welcome addition to ethnographic studies of fistula, biomedicine, and the body. Chau J. Kelly, H-Net
Alison Heller is an assistant professor of anthropology at the University of Maryland in College Park.
Contents
Note on Terminology
List of Abbreviations
Foreword
1          Chapter 1: Incontinence and Inequalities  
44                    Part I   Living Incontinence
45        Laraba’s Story
53        Chapter 2: Fistula Stigma
96        Chapter 3: Liminal Wives
143                  Part II  Clinical Encounters
144      Six Beds, Sixty Minutes
153      Chapter 4: The “Worst Place to be a Mother”
193      Chapter 5: The Indeterminable Wait
234                  Part III            The Marketplace of Victimhood
235      Arantut’s Story
241      Chapter 6: Superlative Sufferers
271      Chapter 7: Costs and Consequences
299      Chapter 8: The Threshold of Continence
Appendix
Acknowledgments
Notes  
Bibliography                                                                                           
Index
 
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