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 Periodical article |
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| Title: | Between the State and Civil Society: Medical Discipline in Tanzania |
| Author: | Harrington, John A. |
| Year: | 1999 |
| Periodical: | Journal of Modern African Studies |
| Volume: | 37 |
| Issue: | 2 |
| Period: | June |
| Pages: | 207-239 |
| Language: | English |
| Geographic term: | Tanzania |
| Subjects: | medical history health personnel Politics and Government Health and Nutrition |
| External link: | https://www.jstor.org/stable/161846 |
| Abstract: | This article examines the status of the medical profession in Tanzania, in the context of political and economic developments since independence. It focuses on the work of the Medical Council of Tanganyika, the body of elite practitioners which controls entry to the profession and which disciplines doctors for breaches of medical ethics. The Council's recent disciplinary case load has been significantly influenced by the introduction of new forms of health care delivery, and by the need for the profession to maintain its position within the health care system in spite of these changes. The author first considers different sociological theories of professionalization. This is followed by a discussion of the historical origins and development of the medical profession in Tanzania, from the colonial era, through the first two decades of independence, to the most recent period of crisis and restructuring. The changing discursive strategies used by the profession to legitimate its existence and activities in Tanzania are analysed, and against this background the constitution, powers and recent case load of the Medical Council of Tanganyika are discussed. The author draws some conclusions from the study regarding the project of (re)introducing 'civil society' into African countries. Bibliogr., notes, ref., sum. |
