Translating Global Health Technologies. Accounting and Testing in health care provision in Uganda and Rwanda

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This project aims to consolidate and theoretically elaborate our research findings on how the translation of traveling global health technologies contributes to the emergence of new therapeutic agencements. Through our conceptualization of translation as a two-way process we could not only show how practices of creative adaptation affect and shape institutionalization of technologies, but also how this results in organizational learning of different scale and scope in Uganda and Rwanda. In the third and last project phase we propose to focus on accounting procedures and testing practices underlying and emerging out of processes of organizational learning. This will allow us to better capture the complex interplay between the use of technologies (e.g. rapid diagnostic tests) and medical data production (information and communication technologies). Focusing on interstitial spaces enables us to not only compare different types of organizational learning, but also to link this back to our research results of the second phase. The merging of accounting studies with approaches of the sociology of testing will provide theoretical advancement and generate new insights into the (analytical) differentiation between 'good' and 'bad' translations. This will significantly contribute to the priority programs overarching aim: clarify the role of technologies for the production of order and disorder in Africa.