Enacting spaces of inequality: Placing global/state governance within a Tanzanian Hospital

Noelle Sullivan*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Based on ethnographic research conducted in a government hospital in Tanzania, this article explores how global and state governance molds hospital spaces. While some spaces in the hospital are made global through regimes of governance, others-by virtue of being beyond state/donor interest-remain decidedly local. The unequal material configurations characteristic of layered hospital spaces mean that some actors can realize meaningful identities as patients and health professionals, whereas others cannot. Drawing on a case study of one patient's movement from an inpatient ward to an HIV/AIDS clinic within a government-operated hospital, this article reveals the ways that forms of state/donor governance can create multiple spaces, places, and persons within the same institution.

Original languageEnglish (US)
Pages (from-to)57-67
Number of pages11
JournalSpace and Culture
Issue number1
StatePublished - Feb 1 2012


  • biomedicine
  • global assemblages
  • governance
  • hospital ethnography
  • space

ASJC Scopus subject areas

  • Cultural Studies
  • Geography, Planning and Development
  • Arts and Humanities (miscellaneous)
  • Urban Studies
  • Tourism, Leisure and Hospitality Management

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