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This chapter examines the work of Konbit Sante, a small, secular American organization and one of the many international aid organizations that provide aid to the Hôpital Universitaire Justinien. It draws on the group’s struggles to “build capacity” in Haiti’s public health system. In choosing not to provide clinical services to Haitian patients, Konbit Sante joins a growing number of organizations and agencies that have been shaped by longstanding critiques of humanitarian and development practices. In describing the Konbit Sante’s struggles to maintain partnerships with their Haitian colleagues, the chapter illustrates the persistence of gift relations in global health, and the tensions that arise as actors negotiate between material and immaterial forms of aid. Despite donors' and recipients' desires to distance themselves from donations of material supplies, these types of donations often create the necessary conditions for systemic and structural interventions that are increasingly identified as global health priorities. |
