The self as capital in the narrative economy: how biographical testimonies move activism in the Global South.

This article analyses and theorises the practice of biographical storytelling of HIV-positive AIDS activists in South Africa. Combining research in illness narratives, studies of emotions in social activism and analysis of global health institutions in Africa, I explore how biographical self-narrations are deployed to facilitate access to resources and knowledge and thus acquire material and symbolic value. I illustrate my argument through the analysis of the case of an AIDS activist who became a professional biographical storyteller. Based on the analysis which I claim to represent wider dynamics in human-rights-based health activism in the Global South, I propose the concept of narrative economies by which I mean the set of exchange relationships within which biographical self-narrations circulate and produce social value for individuals and organisations.

'Transparent sexualities': sexual openness, HIV disclosure and the governmentality of sexuality in South Africa.

In South Africa, as elsewhere in the world, responses to HIV and AIDS have been accompanied by calls to 'break the silence' and to openly talk about aspects of intimate life, otherwise considered private. These calls have been followed by the production of new bodies of knowledge about sex, and projections of transparent sexualities. In this context, the concept of counselling has taken on particular significance in terms of re-conceptualising diverse institutional sites as places of education, advice giving and moral inculcation with a view toward behavioural change. In this paper, I trace a series of processes and practices of negotiation whereby in a big church in the city of Cape Town sexuality has been rendered an object of knowledgeability and inquiry. The same processes work as conditions of possibility for the emergence of counselling practices by facilitating the circulation of concepts such as 'responsible relationships', 'responsible choices' and so on through the sites of faith-based health activism. Adopted from public health discourse, but inflected by religious idioms, these concepts allowed for the dissemination of new vocabularies of sex in which counselling is construed as a key mechanism.

Where is the bottleneck? Drones and the paradoxes of digitising medical supplies in Ghana's landscapes of care.

Implemented in several African countries, medical drones have emerged as a major infrastructural innovation in national healthcare systems and are widely hailed for improving, if not revolutionising, access to medicine and care for rural populations. Being based on digitally driven, autonomous aviation systems, drones are part of wider efforts to use digital technologies in health systems. In this article, we explore the paradoxes that emerge from definitions of logistics as the bottleneck of quality healthcare. Based on ethnographic research in Ghana, we explore the ways in which drone systems have been built up and justified by private and political actors and used by pharmacists and other healthcare professionals along the supply chain as serving emergencies. However, they have transformed the existing landscape of medical supply chiefly because of the multiple ways in which emergencies are defined. We find that while the introduction of drones has dynamised supply chain processes but also reveals structural bottlenecks, e.g. the lack of medical products and malfunctioning institutions. Situated at the interface of critical studies on infrastructures and medical anthropology, our article contributes to the thriving scholarship on digital innovation in healthcare.

Challenging Pentecostal moralism: erotic geographies, religion and sexual practices among township youth in Cape Town.

Research on constructions of sexuality in Pentecostalism often struggles with the fact that the research setting is defined ex ante in terms of church communities, which imposes upon ethnographic accounts the same limitations Pentecostal morality imposes upon church members' discourse. Taking young Pentecostals operating in a space that is not explicitly religious as the methodological entrance to the field, this paper explores negotiations over sexuality, intimate relationships and love among Xhosa-speaking township youth. It introduces the notion of erotic geographies to consider how possible influences of religious discourses on sexuality are refracted by alternative cultural orientations and material contexts. Findings suggest that premarital abstinence appears as a highly exceptional ideal for youth. Even among Pentecostal youth, notions of sexuality are largely severed from religiosity and faithfulness and romanticism are dominant ideals. Future research on Pentecostalism and sexuality should be less religious-centric and rooted more firmly in ethnographies of youth sexual cultures.