Public Health as Politics: Legitimacy and the Mecca Gureba Hospital in the Late Ottoman Hejaz


BEKTAŞ A.

Journal of Balkan and Near Eastern Studies, 2025 (SSCI, Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1080/19448953.2025.2583698
  • Dergi Adı: Journal of Balkan and Near Eastern Studies
  • Derginin Tarandığı İndeksler: Social Sciences Citation Index (SSCI), Scopus, IBZ Online, Historical Abstracts, Humanities Abstracts, Index Islamicus, Political Science Complete
  • Anahtar Kelimeler: cholera epidemics, Mecca Gureba Hospital, Ottoman central-provincial relations, public health in the Ottoman Empire, waqf system
  • İstanbul Gelişim Üniversitesi Adresli: Evet

Özet

Originally founded through the waqf system to provide medical care for the poor, gureba hospitals gradually evolved into key institutions within the Ottoman modernization and social welfare policies. Focusing on the Mecca Gureba Hospital, this study argues that health institutions served as strategic instruments to sustain the Ottoman Empire’s social, administrative, and symbolic presence in the Hejaz. Located in Mecca—a city of profound religious and political significance—the hospital addressed the medical needs of both the local population and Muslim pilgrims. Drawing on Ottoman archival documents, this study examines the hospital’s financial resources, personnel structure, and daily operations, including its role during cholera outbreaks. It also analyzes the administrative organization, central oversight mechanisms, and procedures for appointing physicians and staff, illustrating processes of institutionalization within the Ottoman provincial health system. The study shows that gureba hospitals functioned both as charitable institutions rooted in waqf traditions and as instruments of modernization, enabling the central authority to project its legitimacy in the provinces amid Pan-Islamic policies.