The discursive process of resemantisation: how global health discourses turned male circumcision into an anti-HIV policy

Alejandro, Audrey ORCID: 0000-0002-3675-8986 and Feldman, Joshua (2024) The discursive process of resemantisation: how global health discourses turned male circumcision into an anti-HIV policy. International Relations. ISSN 0047-1178

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Abstract

In 2007, the WHO and UNAIDS established male circumcision as the first surgery ever implemented as a preventive health policy, via their Voluntary Medical Male Circumcision (VMMC) anti-HIV programme that delivered 18.6 million circumcisions in Southern and Eastern Africa by 2017. This article investigates how this genital ritual became a global health policy taking discourse as the entry point. Based on a mixed-method research design, we argue that global health International Organisations are at the forefront of the latest stage of a meaning-making process started in the 19th century: the transnational resemantisation of male circumcision into a medical procedure. First, we introduce the concept of resemantisation to the study of International Relations. Second, we conduct a computational discourse analysis of 396 VMMC policy documents and demonstrate the discursive mechanisms through which they play a role in this process. Third, we combine primary and secondary data to trace the transnational history of the circulation of medicalised male circumcision until its implementation as a global health policy. Overall, we introduce resemantisation as an analytical and methodological framework that nuances our understanding of meaning-making processes and builds bridges between the study of discourses and practices.

Item Type:	Article
Official URL:	https://journals.sagepub.com/home/ire
Additional Information:	© 2024 The Authors
Divisions:	Methodology
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine D History General and Old World
Date Deposited:	11 Apr 2024 13:33
Last Modified:	20 Dec 2024 00:53
URI:	http://eprints.lse.ac.uk/id/eprint/122610

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