TY - JOUR
T1 - 'Beware of dalals'
T2 - A moral world of health market brokerage in Bangladesh
AU - Perkins, Janet E.
N1 - Funding Information:
This project was only possible thanks to many collaborators who shaped my thinking and supported and participated in my data generation. I acknowledge Dr Jeevan Sharman and Dr Lucy Lowe for their support and guidance throughout the project and for providing feedback on this manuscript. I would like to acknowledge my research assistant, Tamanna Majid, for her dedicated and tireless assistance, as well as her always valuable insights. I would like to thank Dr Shams El Arifeen of the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) for his support of my fieldwork and Dr Ahmed Ehsanur Rahman of icddr,b, for integrating me into his team and facilitating my access to people and spaces for this project. Finally, I would like to acknowledge all of the women and men who welcomed me into their lives and allowed me to share in their stories. This project received financial support from the Tweedie Exploration Fellowship grant. I obtained institutional ethical approval for this project through the University of Edinburgh School of Social and Political Science (approval date: 29 April 2019) and in‐county through the ethical review committee of the icddr,b in Dhaka (approval date: 13 November 2019).
Publisher Copyright:
© 2024 The Authors. Journal of the Royal Anthropological Institute published by John Wiley & Sons Ltd on behalf of Royal Anthropological Institute.
PY - 2024/9
Y1 - 2024/9
N2 - Anthropological enquiry into brokers and brokerage practice provides a prime entry point for making sense of social change. This article tends to the ways in which the trope of the broker and the everyday practice of those identified as enacting brokerage act as linchpins in broader moral grappling during a period of rapid social change. It draws from the ethnographic context of brokerage discursively constituted and enacted within maternal health markets in Bangladesh, focusing on the trope and actual practice of those identified as morally compromised dalals: brokers bringing women and families from public to private health institutions. It argues that the trope of the dalal operates as a metaphor for immorality ascribed to morally ambiguous spaces of the private health sector, a way for people to contend with a moral discomfort integral to applying market logics to health services enacted largely outside the jurisdiction of formal regulatory mechanisms. The practice of those identified as embodying dalals, in contrast, while flourishing in these conditions, is rooted in economic precarity, primarily of young men with limited power waiting for better opportunities, who negotiate and balance moral and economic imperatives in their line of work.
AB - Anthropological enquiry into brokers and brokerage practice provides a prime entry point for making sense of social change. This article tends to the ways in which the trope of the broker and the everyday practice of those identified as enacting brokerage act as linchpins in broader moral grappling during a period of rapid social change. It draws from the ethnographic context of brokerage discursively constituted and enacted within maternal health markets in Bangladesh, focusing on the trope and actual practice of those identified as morally compromised dalals: brokers bringing women and families from public to private health institutions. It argues that the trope of the dalal operates as a metaphor for immorality ascribed to morally ambiguous spaces of the private health sector, a way for people to contend with a moral discomfort integral to applying market logics to health services enacted largely outside the jurisdiction of formal regulatory mechanisms. The practice of those identified as embodying dalals, in contrast, while flourishing in these conditions, is rooted in economic precarity, primarily of young men with limited power waiting for better opportunities, who negotiate and balance moral and economic imperatives in their line of work.
U2 - 10.1111/1467-9655.14101
DO - 10.1111/1467-9655.14101
M3 - Article
SN - 1359-0987
VL - 30
SP - 589
EP - 607
JO - Journal of the Royal Anthropological Institute
JF - Journal of the Royal Anthropological Institute
IS - 3
ER -