
With specializations in Medical Anthropology and the Anthropology of Higher Education, my work focuses on a sustained inquiry into how individuals and communities interpret their experiences within the larger institutional and historical frameworks, including the Cultural Analysis of American Medicine and Medical Anthropology Research.
Using the cultural history of African American engagement with health and authoritative governance as a lens into understanding collective memory, premonition, and fatalism inquiry, this exploration aligns with the anthropology of higher education. It also examines the medicalization and knowledge delegitimization of midwifery practices within the framework of a cultural analysis of American medicine, highlighting issues of reproductive injustice through the lens of medical anthropology research.
The complex ways in which higher education institutions and their culture, as explored in the Anthropology of Higher Education, shape the professional lives of faculty. This analysis also reflects on the Cultural Analysis of American Medicine and the transformations that utilize principles of adaptive organizational change to mobilize communities around pressing problems, challenges, and solutions, as highlighted in Medical Anthropology Research.
This critical exploration of the concept of failure in scientific work delves into the Anthropology of Higher Education, examining both societal and institutional factors that influence who is empowered to disclose failures. Additionally, it incorporates insights from the Cultural Analysis of American Medicine and highlights the importance of Medical Anthropology Research in understanding these dynamics.
Exploring epistemological bridges within the Anthropology of Higher Education, this study examines ethnographic-informed qualitative methodology and highly constrained interview modalities to privilege respondents’ ways of understanding and narrating their illness experiences. This includes areas such as genetic knowledge, informed consent, prostate cancer and masculinity, breast cancer and self-blame, anatomy and embodied knowledge, and family history, all of which play crucial roles in the meaning-making and decision-making processes. This approach enhances the Cultural Analysis of American Medicine and contributes to the field of Medical Anthropology Research.
My work sheds light on how individuals navigate multiple sites of knowledge, negotiating contradictory ideas about health, citizenship, modernity, and inclusion, especially those shaped by the history of health governance and the rise of scientific medicine, which is a key focus within the anthropology of higher education.
In my book, African American Midwifery in the South: Dialogues of Birth, Race, and Memory (Harvard University Press, 1988), I describe, through evidence from fieldwork and archival research, nearly four centuries of midwifery care as foundational to the health of rural African American mothers and children in the southern United States. I argue that public health professionals, in alliance with southern obstetric gynecologists and legitimized by the rising influence of eugenic science, criminalized African American midwifery practices. This criminalization disrupted the apprenticeship lineages through which successive generations had learned to provide culturally resonant reproductive care within their communities, a topic that aligns with the cultural analysis of American medicine. The community members’ descriptions of midwifery cosmology and birthing practices—along with their complex, often ambivalent views on whether it was a loss or benefit to be included in or excluded from segregated birthing spaces in hospitals—painted a multifaceted picture of the changing landscape. Their pragmatism regarding the inevitable subordination of intrinsic knowledge or 'mother wit' to the technical expertise of biomedicine reflected a nuanced reality that I have worked to convey through my medical anthropology research.

How Eugenics Shaped the U.S. Prenatal Care System
Black women in the U.S. are far more likely to die from complications related to pregnancy and birth than White women. Two scholars explore how the discrediting of Black midwives helped create these racial disparities—highlighting the need for a cultural analysis of American medicine to address these issues. They call for alternative models of prenatal care that can be informed by the anthropology of higher education and medical anthropology research.
By DÁNA-AIN DAVIS AND KELLEY AKHIEMOKHALI, 29 AUG 2023
Black women: 49.5 deaths per 100,000 live births
White women: 19.0 deaths per 100,000 live births
Hispanic women: 16.9 deaths per 100,000 live births
Uncovering diverse perspectives on biomedical care, I challenged reductionist views that overlooked patient experiences and cultural contexts. While cultural competence was gaining attention in healthcare, I sought to expand beyond it, collaborating with colleagues to develop research and training projects focused on deep-rooted disparities in care for minority populations, contributing to the Anthropology of Higher Education. This work enriched the ethical framework of our studies, particularly by providing deeper insights into how questions were posed and how participants’ stories were interpreted within the Cultural Analysis of American Medicine.
A key contribution was the development of ethnographic research designs, consulting on ethnographic interviewing and critical interpretive analysis. During data analysis, I advocated for a multi-perspective approach, contextualizing meaning across interviews.
A long-standing collaboration with Dr. Kerry Kilbridge, a genitourinary oncologist, proved especially fruitful. We explored the communication gap between doctors and rural African American men at risk for prostate cancer. Initially, the issue seemed to stem from patient reluctance to discuss intimate issues tied to masculine identity and sexual embodiment. However, the men we spoke with expressed a desire to discuss their illness with us and among peers in focus groups. Our medical anthropology research revealed a deeper structural problem: a mismatch between medical jargon and patients' everyday language. This led to several papers highlighting the gap between 'doctor talk' and patients' preferred terms. The goal was to assist clinicians in improving communication by utilizing more accessible language and visual techniques. These collaborations bridged the gap between anthropology and clinical research, documenting the importance of addressing what participants termed 'doctor-talk' and their preference for more explicit vernacular language.
Our research revealed a deeper structural problem: a mismatch between medical jargon and patients' everyday language. This led to several papers highlighting the gap between "doctor talk" and patients' preferred terms. The goal was to help clinicians improve communication by using more accessible language and visual techniques.
The Anthropology of Higher Education has, to date, barely scratched the surface of the complex dynamics within the higher education academy, often overlooking how faculty life and careers are shaped by these structures and normative routines. Through my international exposure to comparative higher education systems in Brazil, Mexico, Russia, South Africa, and across the US—while on inter-agency leave from UVA as a Ford Foundation Higher Education Program Officer—I gained a unique understanding of how universities are organized and manage change, particularly in relation to incorporating previously excluded people. Upon returning to my home institution, I aimed to catalyze change that would transform barriers impeding faculty and the institution from realizing their highest ideals. My research and knowledge innovation, informed by a Cultural Analysis of American Medicine and insights from Medical Anthropology Research, led to the creation of groundbreaking initiatives through community engaged scholarship.


Here I translated academic research into an exhibit that integrates texts from qualitative analysis of themes derived from oral history interviews, narratives based on archival historical research, and a collaborative portraiture project involving co-created images between the subjects and the photographer. This towering 9 ft multi-walled installation was showcased in the Chemistry Building and the Charles C Brown Engineering and Science Library. Between March 2017 and May 2017, it served as a significant stop on campus tours for aspiring students and faculty candidates, and it was warmly embraced by the campus community. This project not only highlights the Anthropology of Higher Education but also reflects aspects of the Cultural Analysis of American Medicine and contributes to ongoing Medical Anthropology Research. To commemorate the exhibit, an 82-page book was developed.
In the US, search committees serve as the crucial entry point for faculty into the academy, representing what some authors have described as the “principal expression of academic values.” It is within the intricate work of the search committee that transformations in faculty recruitment, advancement, and the culture of the university are shaped. My research encompassed a systematic review of the literature concerning the anthropology of higher education, interviews with colleagues at similar research institutions, and discussions with faculty who had experience either as members or chairs of search committees at UVA. An anthropologically informed qualitative analysis of the data led to the creation of the Search Committee Tutorial and Search Tools Portal: a university-wide resource for faculty recruitment and hiring at UVA. This initiative was later recognized nationally as a best practice resource for faculty recruitment and has been implemented at various U.S. institutions and universities, including MA-HERC, a consortium of 57 institutions, which aligns with ongoing medical anthropology research, particularly within the cultural analysis of American medicine.
Institutional climate can negatively impact some members of the community while going unnoticed by others. Theatre, unlike daily interactions, is curated to prompt reflection and awareness, helping audiences see issues they might otherwise overlook. Interactive theatre, particularly in the context of faculty development and the Anthropology of Higher Education, assists participants in recognizing marginalization within everyday interactions. It fosters embodied problem-solving and shared meaning-making, which are essential for developing skills and dispositions necessary for behavior change. The ADVANCE program utilized interactive theatre to engage faculty in reflection on critical issues, such as faculty recruitment, search committee evaluation, departmental cultural climate, and equity in the allocation of faculty service and rewards, ultimately contributing to a shift in institutional culture. This approach echoes principles found in the Cultural Analysis of American Medicine and aligns with insights from Medical Anthropology Research.
PAW is an institutional, extra-departmental effort deliberately structured to alleviate concerns that participants are being evaluated. The program was designed to foster conversations about the writing process, particularly within the contexts of the Anthropology of Higher Education and the Cultural Analysis of American Medicine. It aims to de-stigmatize the writing difficulties faced by many, while providing practical advice from U.Va. colleagues and nationally known experts on the practice of writing and academic publishing, including insights relevant to Medical Anthropology Research.
My new research, launched after an NSF conference on failure disclosure I organized in June 2024, explores the growing topic of failure disclosure in science, which aligns with the broader themes in the Anthropology of Higher Education. Recent scholarship suggests that transparency about failure can enhance public trust in STEM fields and provide valuable lessons to students and early-career professionals, demonstrating that failure need not hinder career advancement. Advocates argue that scientists should avoid internalizing failure and instead use it as a stepping stone, fostering a more open, generative approach. This perspective could strengthen scientific communities and promote inclusivity and diversity, echoing principles found in the Cultural Analysis of American Medicine. Some even suggest that scientists share 'failure CVs' to normalize setbacks and cultivate resilience.
However, my research highlights that failure disclosure may not benefit everyone equally. A key focus will be examining how gender impacts access to the privileges of failure transparency. Oral histories from women in STEM reveal that many find it risky to openly discuss their failures, especially with peers, suggesting that societal and institutional factors influence who feels empowered to disclose failure. I aim to create opportunities for STEM practitioners to build communities and allyship networks where they can openly discuss failure and its meanings in their work. Additionally, I seek to identify institutional models that reward failure as a resource for innovation. Alongside the conference, I’ve organized an international network of failure scholars from the U.K., Poland, Nigeria, and the U.S., all working in critical failure studies and contributing to Medical Anthropology Research.

Book: African American Midwifery in the South: Dialogues of Birth, Race, and Memory explores themes relevant to the Anthropology of Higher Education, offering insights into the Cultural Analysis of American Medicine and contributing to ongoing Medical Anthropology Research. Harvard University Press, 1998.
Harnessing Ignorance? Resources for action and resistance during the COVID-19 pandemic crisis in Nigeria, Journal of the Theoretical Humanities, vol 30 (2) 2025. This discussion also intersects with themes in the Anthropology of Higher Education and provides a Cultural Analysis of American Medicine, highlighting the relevance of Medical Anthropology Research in understanding the impact of crises on communities.
Fatalism, knowledge, and inquiry in African American family stories of death premonition reflect important themes within the broader framework of the Anthropology of Higher Education. This study, published in American Anthropologist, 123: 318-329, 2021, contributes to the Cultural Analysis of American Medicine and enhances the field of Medical Anthropology Research.
Development of a Screening Tool to Assess Prostate Cancer Health Literacy through the lens of the Anthropology of Higher Education. This initiative highlights the importance of a Cultural Analysis of American Medicine, contributing to ongoing Medical Anthropology Research. Journal of Clinical Oncology 35(6_suppl):127-127, 2017.
Lack of comprehension of common prostate cancer terms in an underserved population highlights significant gaps in health literacy, an issue that can be explored through the lens of the anthropology of higher education. Understanding these gaps is crucial for cultural analysis of American medicine, particularly in medical anthropology research, which seeks to address disparities in healthcare communication and access. Journal of Clinical Oncology, VOLUME 27 NUMBER 12 APRIL 20 2009.
Inhalant Use Among Adolescents in the US: A Study of Contextual Concerns within the Framework of the Anthropology of Higher Education and the Cultural Analysis of American Medicine. This research contributes to the field of Medical Anthropology Research by examining substance use trends among youth. Journal of Substance Use Volume 4, Issue 4. 170-177, 2009.
Perceptions of Cancer Risk, Risk Management, and Family Issues: Views of Women At Risk for Hereditary Breast Cancer through the lens of the Anthropology of Higher Education, as well as a Cultural Analysis of American Medicine, highlight significant insights in the field of Medical Anthropology Research. Southern Online Journal for Nursing Research vol 8(3), 2008.
Fracasopolicy: Toward a Critical Typology of Policy Failures in the context of the Anthropology of Higher Education and the Cultural Analysis of American Medicine. This work highlights the significance of Medical Anthropology Research in understanding various policy failures. Globalizations, 1–18, 2024.
Art for Institutional Change: Legitimizing Women in STEM Through Visibility in the context of the Anthropology of Higher Education. This discussion aligns with insights from the Cultural Analysis of American Medicine, highlighting the importance of representation in fields informed by Medical Anthropology Research. ADVANCE Journal, 2018.
Faculty Diversity and Search Committee Training: Learning from a Critical Incident in the context of the Anthropology of Higher Education. This study contributes to a broader Cultural Analysis of American Medicine, emphasizing the importance of diversity within medical education frameworks. The findings are presented in the Journal of Diversity in Higher Education, 4(3), pages 185-198, published in 2011, and are relevant for those involved in Medical Anthropology Research.
Discovery and Inquiry Pathways to Navigating the Routledge International Handbook of Failure, which also explores themes relevant to the Anthropology of Higher Education and the Cultural Analysis of American Medicine, is an essential resource for those engaged in Medical Anthropology Research. Routledge International Handbook of Failure.495-498, 2023
Workshop Design for Diversity and Dialogue: Women in STEM Empowered to Engage Across Difference
In Forward to Professorship in STEM Inclusive Faculty Development Strategies That Work, R. Heller, C. Mavripilis, and P. Sabila (Eds.) pp. 107-127, 2015. This work contributes to the Anthropology of Higher Education by exploring how inclusive strategies can enhance engagement among women in STEM fields. Additionally, it provides a Cultural Analysis of American Medicine, highlighting the importance of diverse perspectives in medical anthropology research.
As the daughter of Gladys Minnette, who migrated to the U.S. alone in the late 1960s, I have inherited a legacy of resilience. Though an experienced Social Welfare Officer and educator in Jamaica, Gladys first worked as a live-in domestic before retiring from the New York civil service as a DC37 municipal union treasurer. She earned her college degree, magna cum laude from Pace University, which reflects the importance of the Anthropology of Higher Education in shaping individuals' lives. Her mother, Marie Wheatley Barnes, a dedicated Garveyite, was politically active in anti-Batista and Jamaican independence movements, splitting her time between Cuba and Jamaica. My great-grandmother, Susan Arbouin, born in 1845 (seven years after the emancipation of slavery), was a landowner and community leader in Kingston, Jamaica, embodying the strength that can be analyzed through a Cultural Analysis of American Medicine.
I come from a lineage of formidable, courageous women who have shaped my path; past and present. Thank you to my sister for being my powerful advocate—always encouraging me to see myself in new and empowering ways. Your support has been invaluable, and I’m so grateful for your unwavering belief in me. Much love to my daughter Maya, for carrying forward this powerful lineage. Your words and strength inspire me every day, reminding me of the ongoing Medical Anthropology Research that examines the narratives of women like us.