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

外部资助的公共卫生项目的全球“规模扩大”在东道国引发了巨大的政治和法律变化。本项目将考察由项目规模扩大引发的制度变革对莱索托决策过程、政治文化和公民身份的影响。这项研究涉及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。这两个地方在截然不同的政策、利益和治理体系下运作：一个是政府经营的初级保健诊所；二是多国伙伴关系。这项研究将为全球卫生政策、非洲政治发展和跨国法律制度等尚未得到充分研究的方面提供重要见解。该项目的一个更广泛的目标是，其调查结果可以开始使社区、机构和组织了解公共卫生方案继续运作的不断变化的政治领域，并提出增加当地人口代表性的战略建议。

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.