New Books In Medicine

John M. Janzen's Health in a Fragile State: Science, Sorcery, and Spirit in the Lower Congo (Wisconsin University Press, 2019) offers a granular and insightful view of the state of healthcare services in the Manianga region of the Lower Congo (Democratic Republic of Congo), and examines the extent to which said services are able to improve the health of the communities that inhabit this region.  The collapse of the Congolese state during the 1980s and 1990s resulted in the deterioration and virtual disappearance of state-sponsored healthcare institutions. This vacuum came to be filled by organisms such as the World Health Organization, other NGOs and health-based institutions organized under the new framework of the health zone.  As a result, a precarious healthcare system emerged, one that combines the ingenuity and resources of the local population with those from external sources. Unfortunately, this system is only able to offer a limited and fragile solution to the health needs of the populations it seeks