Exploring smoke: an ethnographic study of air pollution in rural Malawi
Open Access
- 30 June 2021
- journal article
- research article
- Published by BMJ in BMJ Global Health
- Vol. 6 (6), e004970
- https://doi.org/10.1136/bmjgh-2021-004970
Abstract
Air pollution adversely affects human health, and the climate crisis intensifies the global imperative for action. Low-/middle-income countries (LMIC) suffer particularly high attributable disease burdens. In rural low-resource settings, these are linked to cooking using biomass. Proposed biomedical solutions to air pollution typically involve ‘improved cooking technologies’, often introduced by high-income country research teams. This ethnography, set in a rural Malawian village, aimed to understand air pollution within its social and environmental context. The results provide a multifaceted account through immersive participant observations with concurrent air quality monitoring, interviews and participatory workshops. Data included quantitative measures of individuals’ air pollution exposures paired with activity, qualitative insights into how smoke is experienced in daily life throughout the village, and participants’ reflections on potential cleaner air solutions. Individual air quality monitoring demonstrated that particulate levels frequently exceeded upper limits recommended by the WHO, even in the absence of identified sources of biomass burning. Ethnographic findings revealed the overwhelming impact of economic scarcity on individual air pollution exposures. Scarcity affected air pollution exposures through three pathways: daily hardship, limitation and precarity. We use the theory of structural violence, as described by Paul Farmer, and the concept of slow violence to interrogate the origins of this scarcity and global inequality. We draw on the ethnographic findings to critically consider sustainable approaches to cleaner air, without re-enacting existing systemic inequities.Funding Information
- Wellcome Trust (W54AGB)
This publication has 63 references indexed in Scilit:
- Global imperatives, local contingencies: An analysis of divergent priorities and dominant perspectives in stove development from the 1970s to dateProgress in Development Studies, 2013
- Who Adopts Improved Fuels and Cookstoves? A Systematic ReviewEnvironmental Health Perspectives, 2012
- Biomass fuel use and indoor air pollution in homes in MalawiOccupational and Environmental Medicine, 2009
- Politics is nothing but medicine at a larger scale: reflections on public health's biggest ideaJournal of Epidemiology and Community Health, 2009
- ‘He is now like a brother, I can even give him some blood’ – Relational ethics and material exchanges in a malaria vaccine ‘trial community’ in The GambiaSocial Science & Medicine (1982), 2008
- Structural Violence and Clinical MedicinePLoS Medicine, 2006
- An Anthropology of Structural ViolenceCurrent Anthropology, 2004
- The Malawi Famine of 2002IDS Bulletin, 2002
- Review of Epidemiological Evidence of Health Effects of Particulate Air PollutionInhalation Toxicology, 1995
- Violence, Peace, and Peace ResearchJournal of Peace Research, 1969