In search of a ‘good number’: knowledge controversy and population estimates in the endgame of hepatitis C elimination
We explore the contentious life of a metric used to assess a country’s progress in relation to global disease elimination targets. Our topic is hepatitis C elimination, and our context is Australia. A fundamental metric in the calculation of progress toward hepatitis C elimination targets, as set by...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-02-01
|
| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/9/2/e014659.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850095732940341248 |
|---|---|
| author | Tim Rhodes Kari Lancaster Sophie Adams |
| author_facet | Tim Rhodes Kari Lancaster Sophie Adams |
| author_sort | Tim Rhodes |
| collection | DOAJ |
| description | We explore the contentious life of a metric used to assess a country’s progress in relation to global disease elimination targets. Our topic is hepatitis C elimination, and our context is Australia. A fundamental metric in the calculation of progress toward hepatitis C elimination targets, as set by the WHO, is the population prevalence of people living with hepatitis C. In Australia, this modelled estimate has generated some controversy, largely through its repeated downsizing as an effect of calculus. The 2015 baseline population estimate in Australia, from which measures of current elimination progress are assessed, has reduced, over time, by around 30%. Informed by a social study of science approach, we used qualitative interviews with 32 experts to explore the knowledge controversy. The controversy is narrated through the core concerns of ‘scale’ and ‘care’, with narratives aligning differently to imaginaries of ‘science’ and ‘community’. We trace how constitutions of ‘estimate’ and ‘number’ circulate in relation to ‘population’ and ‘people’, and as affective values. We show how enactments of estimates and numbers materialise hepatitis elimination in different ways, with policy implications. The event of the knowledge controversy opens up the social and political life of enumerations—for science and community—inviting deliberation on how to make ‘good numbers’ in the race to eliminate hepatitis C. |
| format | Article |
| id | doaj-art-4da7bc8ef1724a73a2bacde6e8a2d4c1 |
| institution | DOAJ |
| issn | 2059-7908 |
| language | English |
| publishDate | 2024-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-4da7bc8ef1724a73a2bacde6e8a2d4c12025-08-20T02:41:23ZengBMJ Publishing GroupBMJ Global Health2059-79082024-02-019210.1136/bmjgh-2023-014659In search of a ‘good number’: knowledge controversy and population estimates in the endgame of hepatitis C eliminationTim Rhodes0Kari Lancaster1Sophie Adams2Centre for Social Research in Health, University of New South Wales, Sydney, New South Wales, AustraliaCentre for Social Research in Health, University of New South Wales, Sydney, New South Wales, AustraliaDeakin University, Burwood, AustraliaWe explore the contentious life of a metric used to assess a country’s progress in relation to global disease elimination targets. Our topic is hepatitis C elimination, and our context is Australia. A fundamental metric in the calculation of progress toward hepatitis C elimination targets, as set by the WHO, is the population prevalence of people living with hepatitis C. In Australia, this modelled estimate has generated some controversy, largely through its repeated downsizing as an effect of calculus. The 2015 baseline population estimate in Australia, from which measures of current elimination progress are assessed, has reduced, over time, by around 30%. Informed by a social study of science approach, we used qualitative interviews with 32 experts to explore the knowledge controversy. The controversy is narrated through the core concerns of ‘scale’ and ‘care’, with narratives aligning differently to imaginaries of ‘science’ and ‘community’. We trace how constitutions of ‘estimate’ and ‘number’ circulate in relation to ‘population’ and ‘people’, and as affective values. We show how enactments of estimates and numbers materialise hepatitis elimination in different ways, with policy implications. The event of the knowledge controversy opens up the social and political life of enumerations—for science and community—inviting deliberation on how to make ‘good numbers’ in the race to eliminate hepatitis C.https://gh.bmj.com/content/9/2/e014659.full |
| spellingShingle | Tim Rhodes Kari Lancaster Sophie Adams In search of a ‘good number’: knowledge controversy and population estimates in the endgame of hepatitis C elimination BMJ Global Health |
| title | In search of a ‘good number’: knowledge controversy and population estimates in the endgame of hepatitis C elimination |
| title_full | In search of a ‘good number’: knowledge controversy and population estimates in the endgame of hepatitis C elimination |
| title_fullStr | In search of a ‘good number’: knowledge controversy and population estimates in the endgame of hepatitis C elimination |
| title_full_unstemmed | In search of a ‘good number’: knowledge controversy and population estimates in the endgame of hepatitis C elimination |
| title_short | In search of a ‘good number’: knowledge controversy and population estimates in the endgame of hepatitis C elimination |
| title_sort | in search of a good number knowledge controversy and population estimates in the endgame of hepatitis c elimination |
| url | https://gh.bmj.com/content/9/2/e014659.full |
| work_keys_str_mv | AT timrhodes insearchofagoodnumberknowledgecontroversyandpopulationestimatesintheendgameofhepatitiscelimination AT karilancaster insearchofagoodnumberknowledgecontroversyandpopulationestimatesintheendgameofhepatitiscelimination AT sophieadams insearchofagoodnumberknowledgecontroversyandpopulationestimatesintheendgameofhepatitiscelimination |