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

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.