This book focuses on health, healing and health care in Nepal. It presents an intriguing picture: the interplay between the natural processes that cause ill health or diseases and the socio-cultural processes through which people try to understand and cope with them. The work places medical tradition, health politics, gender and health, and pharmaceutical business within the wider politico-economic milieu of Nepal. It also describes the establishment of medical anthropology as an academic discipline, and its relevance for understanding the country’s specific health problems, health care traditions, and health policies. Combining scientific research with practical experiences, the book will serve as a unique resource, especially for health workers, policymakers, and teachers and students in medical schools, those in public health, social medicine, health care, governance and political studies, sociology and social anthropology, and Nepal and South Asian studies.

This book examines the role of the Nepali physicians in the revolutionary changes in 1990. These doctors are trained in the Western tradition, and participate in international scientific debates, yet they have always been concerned to develop a form of medical practice that was relevant to Nepali conditions, and which could speak to local conceptions about health, and so their medical practice was always politicized. Vincanne Adams argues that the commitment of these professionals to the values of science, and to public health, was crucial in their political activity, and that ideas and practices associated with the notions of 'democracy' and of 'science' supported each other. Describing her book as 'a story that explores how very fine the line is between politics and scientific medical truth claims', it therefore encompasses both the modern political history of Nepal and the role of medicine in a poor, largely rural, Hindu kingdom.

Contributed articles.

Engaging with a range of public health issues, this book charts important social and political transitions in Nepal through the lens of medicine and health development. It focuses on mission health care institutions, tuberculosis control programmes as a site of medical intervention, the "pharmaceuticalization" of mental health and public health, and in relation to development ideologies the attempted creation of modern subjects and citizens to advance the health of the nation. Based on two decades of experience, both as a physician and public health professional and an anthropologist, the author presents these issues through four case studies of health programme intervention in a district in central Nepal to show the inter-related aspects of the processes. The book explains how local realities align with, resist, and are complicated by globalized narratives and practices of health and development. It pays careful attention to traditional healers, infectious disease, micronutrient initiatives, mental health and the historical, ideological, and political-economic context of mission-based development work. Offering an ethnographic picture of the challenges and possibilities for action that exist in Nepal , this book is of interest to academics in the field of medical and development anthropology and those working directly in the fields of health and development.

Judith Justice uses an interdisciplinary approach to show how anthropologists and planners can combine their expertise to make health care programs culturally compatible with the populations they serve.