Doctoral Dissertation Research: Program Scale-up and Political Worlds in Lesotho

博士论文研究：项目规模扩大与莱索特的政治世界外部资助的公共卫生项目的全球“规模扩大”促使东道国的政治和法律发生了戏剧性的变化。本项目将考察项目规模扩大所引发的体制变化对莱索托决策过程、政治文化和公民身份的影响。这项研究包括为期12个月的人种学研究--包括参与者观察和对政策制定者、社区领袖、患者和卫生服务提供者的采访--将在两个不同治疗地点周围的社区进行。这两个网站在截然不同的政策、利益和治理体系下运营：一个是政府运营的初级保健诊所；另一个是跨国合作伙伴关系。这项研究将为全球卫生政策、非洲政治发展和跨国法律体系中一个研究不足的方面提供重要的洞察。该项目的一个更广泛的目标是，其调查结果可以开始向社区、机构和组织通报不断变化的政治领域，在这些领域中，公共卫生规划继续运作，并为增加当地人口的代表性提出战略建议。

Doctoral Dissertation Research: Program Scale-up and Political Worlds in LesothoThe global "scale up" of externally-funded public health programs has precipitated dramatic political and legal changes in host countries. This project will examine the impacts of institutional changes triggered by program scale up on policymaking processes, political culture, and citizenship in Lesotho. The research involves twelve months of ethnographic research--including participant observation and interviews with policymakers, community leaders, patients, and health providers -- will be carried out in communities surrounding two different treatment sites. The two sites operate under contrasting policies, interests and governance systems: one is a government-run primary care clinic; the second is a multinational partnership.The research will provide crucial insight into an under-researched aspect of global health policy, African political development, and transnational legal systems. A broader objective of the project is that its findings can begin to inform communities, institutions and organizations about the changing political realms in which public health programming continues to operate, and suggest strategies for increased representation of local populations.