Medicine Anthropology Theory 6 (4): 127–141; https://doi.org/10.17157/mat.6.4.642.
© Abigail H. Neely, 2019. Published under a Creative Commons Attribution 4.0 International license.
INTERVENTIONS
Worlds in a bottle
An object-centered ethnography for global health
Abigail H. Neely
Abstract
In this article, I call for an object-centered ethnography to illuminate the ontological
multiplicity that marks the worlds of health and healing that people inhabit. Focusing on a
sports-drink bottle filled with a remedy from a faith healer in rural South Africa, I explore
the ‘partial connections’ that link the world of global health and the world of traditional
healing through objects and bodies. Drawing on medical anthropology focused on global
health and medical pluralism as well as scholarship from the ontological turn, I argue that
global health programs are limited by their failure to recognize the ontological multiplicity
their target populations inhabit.
Keywords
global health, ontology, South Africa, ethnography, multiplicity
In December of 2015, we stopped at a mountainside homestead in a rural area locally known
as Pholela in KwaZulu-Natal, South Africa. This was the place where I had been conducting
research with Thokozile Nguse, my long-term research assistant and collaborator, since
2008. It is a place on the margins of global health interventions, where international donors
fund pharmaceutical treatments for diseases like HIV/AIDS and where the billboards put up
by nongovernmental organizations remind people that practicing safe sex is the key to
preventing its transmission. In 2015, we were conducting a survey about access to health