Material politics of global health: delivering healthcare in unstable settings - Alice Street

Alice's research focuses on the material politics of global health, with a focus on Papua New Guinea and South India.

My work spans several areas addressing how modern healthcare is delivered in places where state infrastructure and resource are highly challenged.  My work focuses on four main projects.

Diagnostic Devices in Global Health

In 2017 I started a European Research Council funded project on diagnostic devices in global health. The DiaDev project, Investigating the Design and Use of Diagnostic Devices in Global Health, explores the emergent role that diagnostic devices are playing in the transformation of global health partnerships and national health systems in low and middle-income countries. Drawing on novel conceptual and methodological tools from social anthropology, it investigates the social, cultural and technical processes involved in developing, deploying and using diagnostic devices in resource-limited settings. The goal is to improve our understanding of relationships between technological innovation and health systems strengthening, with a view to guiding global health policy.

DiaDev:  Investigating diagnostics in global health

Hospitals in Resource-Limited Settings

Research on hospitals in resource-limited settings explores the ways in which people engage with biomedical technologies in conditions of uncertainty and precariousness. My book, Biomedicine in an Unstable Place is published by Duke University Press.

Biomedicine in an Unstable Place: Infrastructure and Personhood in a Papua New Guinean Hospital

Global Health in Fragile States

Research on global health governance has examined the ways in which managerial technologies travel to places of state absence or fragility. I am interested in the ways in which managerial knowledge practices have increasingly underpinned global health in recent years and the emergence of management as form of a state-building in an era of securitisation. Drawing on ethnographic fieldwork in a government health office it has examined issues of bureaucratic materiality and managerial personhood and expertise.

Hard-to-Reach

Research on "Off the Grid Infrastructures" examines the relationships that are built into and sustain physical infrastructures for health in locations that are beyond the reach of centrally planned public infrastructures. I examine “humanitarian goods”, such as rapid diagnostic kits or fortified foods, that are developed through public-private partnerships as technical solutions to fragile health systems.  In 2013 I was awarded one of the ESRC’s first grants under its new ‘Transforming Social Science’ scheme for a comparative study of infrastructures for living “off the grid”.

Life off the Grid