Manyau Salome, Dixon Justin, Mutukwa Norest, Kandiye Faith, Palanco Lopez Paula, MacPherson Eleanor E, Ferrand Rashida A, Chandler Clare I R
Med Anthropol. 2022 Apr;41(3):257-271. doi: 10.1080/01459740.2022.2037083. Epub 2022 Mar 4.
The advent of antibiotics transformed the global public health landscape, dramatically improving health outcomes. Drawing on historical and ethnographic research on sex work in Zimbabwe, we examine the role of antibiotics in the management of sexually transmitted infections among sex workers, from punitive colonial approaches to "empowerment"-based discourses. We illustrate how programs for sex workers, while valued by these women, are narrow, exclusionary, and enact a pharmaceuticalized form of governance that hangs on the efficacy of antibiotics. With antibiotics' efficacy under threat, we consider how latent colonial logics are in danger of being reactivated to control both infections and women.
抗生素的出现改变了全球公共卫生格局,极大地改善了健康状况。基于对津巴布韦性工作的历史和人种志研究,我们审视了抗生素在性工作者性传播感染管理中的作用,从惩罚性的殖民方法到基于“赋权”的话语。我们说明了为性工作者制定的项目虽然受到这些女性的重视,但却很狭隘、具有排他性,并且实施了一种依赖抗生素功效的药物化治理形式。随着抗生素功效受到威胁,我们思考潜在的殖民逻辑如何有可能被重新激活,以控制感染和女性。