John Iliffe's 1998 book is a history of the African medical profession in Uganda, Kenya and Tanzania from the earliest training of modern medical staff in the 1870s to the present day. Based on extensive research, and dealing exclusively with African doctors, it offers an understanding of professionalisation in the Third World. It describes the recruitment and education of doctors, their understanding and practice of modern medicine, the struggle for international recognition of their qualifications and efforts to develop East African medical systems after independence, and their experiences during a period of political and economic difficulty. The book ends with an account of the significant work of East African doctors in the study and control of AIDS. This is a major contribution to the social history of Africa and to the social history of medicine more broadly.

This ground-breaking book offers unique insights into the careers of Indian doctors in colonial Kenya during the height of British colonialism, between 1895 and 1940. The story of these important Indian professionals presents a rare social history of an important political minority.

This electronic version has been made available under a Creative Commons (BY-NC-ND) open access license. The Colonial Medical Service was the personnel section of the Colonial Service, employing the doctors who tended to the health of both the colonial staff and the local populations of the British Empire. Although the Service represented the pinnacle of an elite government agency, its reach in practice stretched far beyond the state, with the members of the African service collaborating, formally and informally, with a range of other non-governmental groups. This collection of essays on the Colonial Medical Service of Africa illustrates the diversity and active collaborations to be found in the untidy reality of government medical provision. The authors present important case studies covering former British colonial dependencies in Africa, including Kenya, Malawi, Nigeria, Tanzania, Uganda and Zanzibar. They reveal many new insights into the enactments of colonial policy and the ways in which colonial doctors negotiated the day-to-day reality during the height of imperial rule in Africa. The book provides essential reading for scholars and students of colonial history, medical history and colonial administration.

The Experiment Must Continue is a beautifully articulated ethnographic history of medical experimentation in East Africa from 1940 through 2014. In it, Melissa Graboyes combines her training in public health and in history to treat her subject with the dual sensitivities of a medical ethicist and a fine historian. She breathes life into the fascinating histories of research on human subjects, elucidating the hopes of the interventionists and the experiences of the putative beneficiaries. Historical case studies highlight failed attempts to eliminate tropical diseases, while modern examples delve into ongoing malaria and HIV/AIDS research. Collectively, these show how East Africans have perceived research differently than researchers do and that the active participation of subjects led to the creation of a hybrid ethical form. By writing an ethnography of the past and a history of the present, Graboyes casts medical experimentation in a new light, and makes the resounding case that we must readjust our dominant ideas of consent, participation, and exploitation. With global implications, this lively book is as relevant for scholars as it is for anyone invested in the place of medicine in society.

A “lyrical, inspirational” story of doctors who changed the health care of an African nation (Tom Brokaw, author of The Greatest Generation) Dr. Dilan Ellegala arrives in Tanzania, shocked to find the entire country has just three brain surgeons for its population of forty-two million. Haydom Lutheran Hospital lacks even the most basic surgical tools, not even a saw to open a patient’s skull. Here, people with head injuries or brain tumors heal on their own or die. When confronted with a villager suffering from a severe head trauma, Dilan buys a tree saw from a farmer, sterilizes it, and then uses it to save the man’s life. Yet Dilan realizes that there are far too many neurosurgery patients for one person to save, and of course he will soon be leaving Tanzania. He needs to teach someone his skills. He identifies a potential student in Emmanuel Mayegga, a stubborn assistant medical officer who grew up in a mud hut. Though Mayegga has no medical degree, Dilan sees that Mayegga has the dexterity, intelligence, and determination to do brain surgery. Over six months, he teaches Mayegga how to remove tumors and treat hydrocephalus. And then, perhaps more important, Dilan teaches Mayegga how to pass on his newfound skills. Mayegga teaches a second Tanzanian, who teaches a third. It’s a case of teach-a-man-to-fish meets brain surgery. As he guides these Tanzanians to do things they never thought possible, Dilan challenges the Western medical establishment to do more than send vacationing doctors on short-term medical missions. He discovers solutions that could transform health care for two billion people across the world. A Surgeon in the Village is the incredible and riveting account of one man’s push to “train-forward”—to change our approach to aid and medical training before more lives are needlessly lost. His story is a testament to the transformational power of teaching and the ever-present potential for change. As many as seventeen million people die every year because of a shortage of surgeons, more than die from AIDS, malaria, and tuberculosis combined. Dilan Ellegala and other visionaries are boldly proposing ways of saving lives.

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Introduction -- Moving through the Practico-Sensory Realm of Space -- Spatial Textures of the Clinical Encounter -- Misunderstandings, and the Spaces They Create -- Emplacement, Emplotment, 'Empotment' -- Patients, Practitioners and Their Pots -- The Patients -- The Practitioners -- The Pots: Orientations -- Pots, 'Pots' and Pots -- What Is in a 'Pot'? Industrially-Produced Chinese Formula Medicines -- What Makes a Pot Efficacious? Social Distance, Exotic Techniques and -- Potencies beyond Them -- 'The Chinese Antimalarial' as 'Pot' and Pot -- Conclusion. Kaleidoscopic Refractions.