{"id":{"repo_id":"uiuc","oai_identifier":"oai:www.ideals.illinois.edu:2142/114082"},"canonical_url":"https://search.dev.ndltd.org/etd/uiuc/oai:www.ideals.illinois.edu:2142/114082","repository":{"repo_id":"uiuc","name":"University of Illinois - Urbana-Champaign","base_url":"https://www.ideals.illinois.edu/oai-pmh"},"display":{"title":"The promise and failure of global health: Women’s healthcare amid the rising burden of chronic health conditions in northeastern Tanzania","abstract":"Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2023-12-01","abstract_html":"Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2023-12-01","abstract_has_math":false,"creators":["Smith, Rachel"],"institution":"University of Illinois at Urbana-Champaign","degree_name":"Ph.D.","degree_level":"Dissertation","degree_discipline":"Sociology","degree_department":null,"school":null,"contributors":["Dill, Brian","Zerai, Assata","Gille, Zsuzsa","Tabb DIna, Karen"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2022,"date_issued":"2022-04-29T21:58:27Z","date_published":"2022-04-29T21:58:27Z","updated_at":"2026-07-22T22:24:54Z","subjects":["Sociology"],"languages":["en","eng"],"rights":["Copyright 2021 Rachel Smith"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/2142/114082","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Dill, Brian","Zerai, Assata","Gille, Zsuzsa","Tabb DIna, Karen"]},{"key":"dc:creator","label":"Author","values":["Smith, Rachel"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2022-04-29T21:58:27Z","2024-04-29T21:58:46Z","2021-12","2021-12-02"]},{"key":"dc:type","label":"Dc Type","values":["text","Thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Sociology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Ph.D."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Illinois at Urbana-Champaign"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Sociology"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en","eng"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright 2021 Rachel Smith"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://hdl.handle.net/2142/114082"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2023-12-01","The student, Rachel Smith, accepted the attached license on 2021-11-28 at 23:38.","The student, Rachel Smith, submitted this Dissertation for approval on 2021-11-28 at 23:57.","This Dissertation was approved for publication on 2021-12-02 at 14:59.","DSpace SAF Submission Ingestion Package generated from Vireo submission #17278 on 2022-04-29 at 16:10:01","Made available in DSpace on 2022-04-29T21:58:27Z (GMT). No. of bitstreams: 2 SMITH-DISSERTATION-2021.pdf: 953059 bytes, checksum: 665f844486c3e0845f4090f127221668 (MD5) LICENSE.txt: 4209 bytes, checksum: 9a8eeb06dd68089b272101b4a489ebef (MD5) Previous issue date: 2021-12-02","Embargo set by: Seth Robbins for item 123447 Lift date: 2024-04-29T21:58:46Z Reason: Author requested closed access (OA after 2yrs) in Vireo ETD system","Author requested closed access (OA after 2yrs) in Vireo ETD system","Limited","This thesis interrogates the discourse and practice of global health in northeastern Tanzania. It investigates how the rising burden of chronic health conditions complicates the provision of women’s healthcare and presents new challenges for national and global health initiatives. Across sub-Saharan Africa, processes of urbanization, globalization and changing lifestyles are altering regimes of social reproduction and increasing health risks for women with both a high rate of communicable and non-communicable diseases. Creating policies and dedicating resources that meet these challenges in Tanzania, as well as in neighboring countries, requires a deeper understanding of local healthcare realities as well as the inclusion of women’s health priorities, and perspectives on accessing care - something that previous women’s health initiatives have failed to do. This research project utilized participant-observation ethnography and semi-structured interviews with women and healthcare providers at several different healthcare sites in an urban setting in Northeastern Tanzania. This research demonstrates the mismatch between the priorities of Western-led global health initiatives that target women’s health in the country and the priorities of women themselves. It also historicizes and contextualizes biomedicine, and shows how dramatically different healthcare realities in high and low-resource settings present limitations to the Western biomedical model typically exported in global health initiatives. Lastly, it highlights the contradictions between global health discourse – which emphasizes equity and partnership – and the realities of global health in practice in this Tanzanian setting."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["The promise and failure of global health: Women’s healthcare amid the rising burden of chronic health conditions in northeastern Tanzania"]}]}],"canonical_facts":{"dc:contributor":["Dill, Brian","Zerai, Assata","Gille, Zsuzsa","Tabb DIna, Karen"],"dc:creator":["Smith, Rachel"],"dc:date":["2022-04-29T21:58:27Z","2024-04-29T21:58:46Z","2021-12","2021-12-02"],"dc:description":["Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2023-12-01","The student, Rachel Smith, accepted the attached license on 2021-11-28 at 23:38.","The student, Rachel Smith, submitted this Dissertation for approval on 2021-11-28 at 23:57.","This Dissertation was approved for publication on 2021-12-02 at 14:59.","DSpace SAF Submission Ingestion Package generated from Vireo submission #17278 on 2022-04-29 at 16:10:01","Made available in DSpace on 2022-04-29T21:58:27Z (GMT). No. of bitstreams: 2 SMITH-DISSERTATION-2021.pdf: 953059 bytes, checksum: 665f844486c3e0845f4090f127221668 (MD5) LICENSE.txt: 4209 bytes, checksum: 9a8eeb06dd68089b272101b4a489ebef (MD5) Previous issue date: 2021-12-02","Embargo set by: Seth Robbins for item 123447 Lift date: 2024-04-29T21:58:46Z Reason: Author requested closed access (OA after 2yrs) in Vireo ETD system","Author requested closed access (OA after 2yrs) in Vireo ETD system","Limited","This thesis interrogates the discourse and practice of global health in northeastern Tanzania. It investigates how the rising burden of chronic health conditions complicates the provision of women’s healthcare and presents new challenges for national and global health initiatives. Across sub-Saharan Africa, processes of urbanization, globalization and changing lifestyles are altering regimes of social reproduction and increasing health risks for women with both a high rate of communicable and non-communicable diseases. Creating policies and dedicating resources that meet these challenges in Tanzania, as well as in neighboring countries, requires a deeper understanding of local healthcare realities as well as the inclusion of women’s health priorities, and perspectives on accessing care - something that previous women’s health initiatives have failed to do. This research project utilized participant-observation ethnography and semi-structured interviews with women and healthcare providers at several different healthcare sites in an urban setting in Northeastern Tanzania. This research demonstrates the mismatch between the priorities of Western-led global health initiatives that target women’s health in the country and the priorities of women themselves. It also historicizes and contextualizes biomedicine, and shows how dramatically different healthcare realities in high and low-resource settings present limitations to the Western biomedical model typically exported in global health initiatives. Lastly, it highlights the contradictions between global health discourse – which emphasizes equity and partnership – and the realities of global health in practice in this Tanzanian setting."],"dc:format":["application/pdf"],"dc:identifier":["http://hdl.handle.net/2142/114082"],"dc:language":["en","eng"],"dc:rights":["Copyright 2021 Rachel Smith"],"dc:subject":["Sociology"],"dc:title":["The promise and failure of global health: Women’s healthcare amid the rising burden of chronic health conditions in northeastern Tanzania"],"dc:type":["text","Thesis"],"thesis:degree_discipline":["Sociology"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Ph.D."],"thesis:institution_name":["University of Illinois at Urbana-Champaign"]},"updated_at":"2026-07-22T22:24:54Z"}