Much anthropology has considered the social embeddedness of medical systems, personnel, and practices and the political subjectivities that may arise among health workers. I explore what medical citizenship looks like under conditions of settler colonialism in West Papua based on an ethnographic study of Dani (Balim) and Lani HIV nurses and NGO volunteers who see themselves and their activities as part of a broader effort to save Papuans from extinction. In particular, HIV work emerges as a biosocial obligation, meaning that workers give their expertise, attention, compassion, and treatment networks to people with HIV in the name of ensuring the vitality of the wider population, but giving care is not altruistic. As HIV workers respond to erasure, constraints, and racism, they put themselves at the centre of HIV care webs. ‘Traditional’ technologies transform healthcare encounters and challenge strategic ignorance about the epidemic. A close navigation of global health and settler power allows for flexible, independent, even surreptitious HIV practices that are deceptively radical and disruptive. Papuan HIV workers’ medical citizenship is encompassed by and expresses vernacular sovereignties.

中文翻译：

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“拯救我们的人民”：西巴布亚的卫生工作者、医疗公民和本土主权

许多人类学已经考虑了医疗系统、人员和实践的社会嵌入性以及卫生工作者中可能出现的政治主观性。我基于对 Dani（巴林）和 Lani HIV 护士和非政府组织志愿者的人种学研究，探索在西巴布亚定居者殖民主义条件下医疗公民的样子，他们将自己和他们的活动视为拯救巴布亚人免于灭绝的更广泛努力的一部分。特别是，艾滋病工作作为一种生物社会义务出现，这意味着工作人员以确保更广泛人群活力的名义向艾滋病病毒感染者提供他们的专业知识、关注、同情和治疗网络，但给予关怀并不是无私的。当 HIV 工作者应对抹杀、限制和种族主义时，他们将自己置于 HIV 关怀网络的中心。“传统”技术改变了医疗保健遭遇并挑战了对流行病的战略无知。全球卫生和定居者权力的密切导航允许灵活、独立、甚至是秘密的艾滋病毒做法，这些做法具有欺骗性的激进和破坏性。巴布亚 HIV 工作者的医疗公民身份包含在本土主权范围内，并表达了本土主权。