Professional pastoral work in a Kenyan clinical network: transposing transnational evidence-based governmentality

McGivern, G., Nzinga, J., Boussebaa, M. and English, M. (2020) Professional pastoral work in a Kenyan clinical network: transposing transnational evidence-based governmentality. In: Bevir, M. and Waring, J. (eds.) Decentring Health and Care Networks: Reshaping the Organization and Delivery of Healthcare. Series: Organizational behaviour in healthcare. Palgrave Macmillan: Cham, pp. 239-266. ISBN 9783030408886 (doi:10.1007/978-3-030-40889-3_11)

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Abstract

The Foucauldian concepts of governmentality and pastoral power have been used to explain the way health professionals internalise evidence-based practices in health care generally and clinical networks more specifically. However, we know little about the work, practices and process involved in developing and implementing an ‘evidence-based governmentality’ outside the West, particularly in Low and Middle Income Counties (LMICs), where governmentality often has a different transnational character. We explain the development and implementation of a Western transnational evidence-based governmentality in a clinical network in Kenya, using a decentred analytical approach. We highlight the essential work of medical professional ‘pastors’, with experience of both health care in Kenya and evidence-based medicine in Western High-Income Countries, in transposing this governmentality into health care in a LMIC in a way improving clinical care.

Item Type:Book Sections
Status:Published
Glasgow Author(s) Enlighten ID:Boussebaa, Professor Mehdi
Authors: McGivern, G., Nzinga, J., Boussebaa, M., and English, M.
College/School:College of Social Sciences > Adam Smith Business School > Management
Publisher:Palgrave Macmillan
ISBN:9783030408886
Published Online:08 July 2020

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