Global Health Interventions and local Medical Practice: An ethnographic study of biomedicine and dilemmas of care in Kenya

The project explored the struggles of medical professionals to provide care in contexts of scarcity and patient poverty, and the moral and ethical dilemmas, engagements and detachments arising therein.

Through ethnographic research in a large urban hospital in Kenya, the project  explored the meetings and gaps between global health policies and interventions, national guidelines, and local medical practices and efforts to provide clinical care. As public health-sector strikes engulfed the country, struggles among citizens and health workers for public health-care amidst increasing privatization, inequality and scarcity became a major focus of this research.

In these changing contexts, the research has also explored doctors' and nurses' perspectives on and experiences of public health-care service; and generational changes surrounding expectations of medicine as a professional career and a middle class identity.

Chronic disease (particularly cancer and diabetes) became a major focus of this research. As Kenya faces an epidemiological transition, questions of access to care amidst socio-economic inequality and globalized medical markets have become increasingly pressing. 

Funded by a Norwegian Research Council FRISAM fellowship, awarded in 2012 and taken up in 2013.

Prosjektbeskrivelse med vedlegg


  • Ja


  • Nei


Intern fremleggelse - Ja1 fil

NSD - Ja 3 filer

Tidspunkt for anonymisering og sletting av dataene

  • Anonymisering: februar 2020

Andre godkjenninger5 filer


Ruth Jane Prince

Ansvarlig enhet

Avdeling for samfunnsmedisin og global helse


  • Phelgona Otieno (KEMRI-CRC)


  • Forskerprosjekt

Helsefaglig forskning

  • Ja


  • Ja


  • Start: september 2013
  • Slutt: januar 2020
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