@article{acd9ac028e114db58d1e8f19ff548290,
title = "Valuing care: Community workers and bureaucratic violence in global health",
abstract = "In this article, I explore the contradictory demands of {\textquoteleft}participation{\textquoteright} and {\textquoteleft}bureaucratization{\textquoteright} in Pakistan{\textquoteright}s HIV sector. Local models of relatedness, personhood, and informal networks, and the particular social and emotional skills of development workers were co-opted under the rubric of {\textquoteleft}participation{\textquoteright} while rolling-out projects for community care, yet the affect, relations of trust, and confidence built by community workers during their work were not translated into templates for reporting-up project impact. Technologically less equipped workers were either forced to extend their roles into report-writing, template-filling and indicator-measuring or driven out of HIV sector altogether during the process of scaling-up. This, I ague, is a form of bureaucratic violence that undermines community care. It draws attention to move beyond the metrics-driven data determinism of global health.",
keywords = "care, HIV/AIDS, metrics, global health, value, Pakistan",
author = "Ayaz Qureshi",
note = "Funding Information: The research for this article was funded by the Commonwealth Scholarship Commission in the UK (PKCA 2009-85). I am thankful to my research participants and to Kaveri Qureshi for her critical comments on an earlier draft. I am also thankful for the feedback of colleagues at the University of Edinburgh and participants of a panel at the Association of Social Anthropologists of the UK and Commonwealth{\textquoteright}s 2018 conference where I presented an earlier version of this article. Funding Information: Sadia visited local hospitals, clinics and laboratories to find new members for her CBO. Soon she became known in the neighbourhood as {\textquoteleft}AIDS wali baji{\textquoteright}, roughly translated as {\textquoteleft}sister AIDS{\textquoteright} – someone who talked about AIDS. As the CBO membership increased in her regional office, the head office supported her to set up a new office in a three-room rented apartment in the neighbourhood. The international donor of the CBO, Catholic Relief Services, supported her with a nutrition programme under which they distributed food rations to poorer members. Meanwhile, she reached out to the local police, politicians and community notables for financial support. She managed to pair up a number of AIDS-affected poor families with well-to-do families in an arrangement which she termed {\textquoteleft}adoption{\textquoteright} of the poor by the rich, whereby the rich neighbours took care of the financial needs of the poor on a regular basis. She was also able to channel zakat (Islamic charity) in the neighbourhood to her CBO, which was a valuable addition to the funding from Catholic Relief Services. She collected old clothes from the neighbourhood and stocked them in the CBO office for anyone to help themselves to. She visited the schools where children from AIDS-affected families studied, {\textquoteleft}to make sure that they had notebooks and pencils{\textquoteright}. She Funding Information: The research for this article was funded by the Commonwealth Scholarship Commission in the UK (PKCA 2009-85). I am thankful to my research participants and to Kaveri Qureshi for her critical comments on an earlier draft. I am also thankful for the feedback of colleagues at the University of Edinburgh and participants of a panel at the Association of Social Anthropologists of the UK and Common-wealth{\textquoteright}s 2018 conference where I presented an earlier version of this article. Publisher Copyright: {\textcopyright} 2022, Berghahn Journals. All rights reserved.",
year = "2022",
month = jun,
day = "1",
doi = "10.3167/aia.2022.290204",
language = "English",
volume = "29",
pages = "35--43",
journal = "Anthropology in Action: Journal for Applied Anthropology in Policy and Practice",
issn = "0967-201X",
publisher = "Berghahn Journals",
number = "2",
}