Tales of money and blood : narratives of patients constructing corruption in Tanzanian public health care.

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Title: Tales of money and blood : narratives of patients constructing corruption in Tanzanian public health care.
Author: Quist, Liina-Maija
Other contributor: University of Helsinki, Faculty of Social Sciences, Department of Social Studies
Helsingin yliopisto, Valtiotieteellinen tiedekunta, Sosiaalitieteiden laitos
Helsingfors universitet, Statsvetenskapliga fakulteten, Institutionen för socialvetenskaper
Date: 2010-04-19
Language: en
URI: http://hdl.handle.net/10138/16193
Thesis level: master's thesis
Discipline: Sociology
Yleinen sosiologia
Abstract: This thesis is about narrative construction of corruption in Tanzanian public health care. The objective of the study is to discuss Tanzanian patients’ group narratives about corruption, which describe corruption as a predatory transaction between a predator state and citizen victims. The study is based on ethnographic fieldwork among rural Makonde in the Mtwara Region of South-Eastern Tanzania. The major part of the research material consists of narratives collected during group interviews. The study argues that patients make use of a folk narrative genre to discuss corruption. The narratives of the study consist of personal and shared narratives which highlight the participants’ collective tendency to represent corruption as a predatory transaction. Applying Ian Hacking’s idea of “making people” through speech and action, the study argues that beside scientific (e.g. Bayart 2009, Blundo et al. 2006) and Tanzanian public discourse about corruption which “make corruption” as a predatory transaction between a predator state and citizen victims, also the study’s participants make corruption in a similar way. Moreover, using the genre this way to make sense and debate the social world of public health care resembles the use of vampire stories and their victims, told in Central and Eastern Africa during and after colonialism (White 2000). The narratives mediate confusion and concern that relate to questions of money, poverty and relations between citizens and state officials. Through the narratives, the participants also question Tanzanian post-colonial health care policies of cost-sharing and express their concerns about a severe lack of resources. Unlike the writings of Bayart (2009), Bayart et al. (1999), Blundo et al. (2006) and Olivier de Sardan (1999), these narratives do not give reason to suggest that culture or “socio-cultural logics” would be focal for understanding corruption in Africa. Instead, they can be interpreted as ordinary people’s means to explicate and question the post-colonial Tanzanian state and its incapacity to meet the needs of its people.
Description: Endast sammandrag. Inbundna avhandlingar kan sökas i Helka-databasen (http://www.helsinki.fi/helka). Elektroniska kopior av avhandlingar finns antingen öppet på nätet eller endast tillgängliga i bibliotekets avhandlingsterminaler.Only abstract. Paper copies of master’s theses are listed in the Helka database (http://www.helsinki.fi/helka). Electronic copies of master’s theses are either available as open access or only on thesis terminals in the Helsinki University Library.Vain tiivistelmä. Sidottujen gradujen saatavuuden voit tarkistaa Helka-tietokannasta (http://www.helsinki.fi/helka). Digitaaliset gradut voivat olla luettavissa avoimesti verkossa tai rajoitetusti kirjaston opinnäytekioskeilla.
Subject: corruption
folk narrative
public health care

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