Treating Diabetes in Cameroon: a Comparative Study in Medical Anthropology
Treating Diabetes in Cameroon: A Comparative Study in Medical Anthropology Paschal Kum Awah (MSc) NEWCASTLE UNIVERSITY LIBRARY ---------------- --- - -~ -.._-- -'-- •.. 204 26706 a --_._----._- -------. -------- Thesis submitted for the degree of Doctor of Philosophy, University of Newcastle upon Tyne. Research conducted in the School of Population and Health Sciences and School of Geography, Politics and Sociology October 2005 Abstract This thesis presents and analyses the findings of research into the management of diabetes in one urban and one rural district of Cameroon. The phenomenon of non communicable diseases like diabetes mellitus is becoming a recurrent problem in middle and low-income countries, notably in Sub-Sahara Africa. This ethnographic study, in the tradition of medical anthropology, involved over two years of fieldwork, and has been undertaken to shed more light on the paradoxes that underpin the interpretation and management of diabetes in Cameroon. Initially, I set out to study how diabetes was managed in clinical settings; but as the research developed my enquiries led out from the clinic to encompass first the perspectives of patients and their families, and in the end the perspectives of traditional healers also. It thus draws together four distinct sets of actors engaged in the process of treating diabetes mellitus: clinical staff, patients, their families, and traditional healers. In this research, I explored the ways in which Cameroonians negotiate a meaningful and manageable path between alternative therapeutic regimes. But as my analysis shows, behind different therapeutic approaches lie alternative presumptions about aetiology and efficacy, about behaviour and the body. In integrating the perspectives of the different actors identified above, the research highlights three major themes.
[Show full text]