Chinese Medicine and Medical Pluralism in Dar es Salaam: Globalisation or Glocalisation?

Abstract

African healing systems have always been pluralistic in form and structure, capable of absorbing new traditions and practices. The spread of Chinese medicine in Tanzania over the past decade is a testament to the flexibility of pluralistic healing systems, as well as evidence of south-south processes of globalisation that are often ignored by the literature on globalisation. This article suggests, through a study of a Chinese medical clinic in Dar es Salaam, that its popularity highlights the strengths of local cultures despite increasing globalising forces, and that any consideration of globalisation must include south-south (or East-south) dynamics as well as the customary focus on the north-south track. The article also suggests that whilst the absorption of new traditions of healing speaks to the strength of the local, it also functions as an indication of the failure of alternative healing systems to address key current medical needs, and as such represents a crisis in health, as much as strength, in the healing sector.