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Drums and syringes: Patients and healers in combat against TB bacilli and hungry ghosts in the hills of Nepal (Bibliotheca Himalayica)
The following account is based on twenty-two months of field work in Nepal, between January 1989 and March 1992. I am trained as a nurse and was one of the expatriates working with a British non governmental organisation (the Britain Nepal Medical Trust; BNMT) which ran a health project in Eastern Nepal. The backbone of this was a TB control programme covering eight hill districts. My position differed from the other expatriates in that I was seconded by another organisation, a Norwegian agency which was a funder to the British project. My roles were thus manifold, connected as I was to two different organisations, employed in some way by both, while at the same time trying to do anthropological research, and get integrated in the local community. The situation should give ample scope for role confusion and conflicts, but at the same time it offers opportunities for shifting positions and perspectives.
Collecting information about preconditions for effective TB control as well as the general situation of TB patients in the area, was part of my job assignment. In the beginning this took all of my time. Later on I also got involved in the upstart of a project meant to promote a dialogue between traditional healers and health post workers, motivated by the findings from the initial research.
I moved about a great deal, especially in the beginning of my stay. Before the completion of my term I had visited all the districts BNMT worked in. I met most of the staff of the TB clinics which were situated in each of the district centres. I met and talked with TB patients in the clinics, and visited many of them in their homes. During the second year I settled down in one of the hill districts, Bhojpur. I still
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