Health interventions move across spaces and geographies that they themselves help to produce. I argue that health interventions organize relationships among places and people. They define where expertise is presumed to reside, who is expected to teach, and who is expected to learn. In doing so, they reproduce an imagined distinction between places even when everyday practice continually blurs those boundaries. This post contends that health interventions designed in Guatemala City do more than travel to communities across the country. They also produce an imagined geography in which urban spaces become associated with expertise, innovation, and authority, while predominantly Indigenous Maya communities are positioned as recipients of external knowledge. Drawing on ethnographic fieldwork with nutrition and health interventions, I show that this distinction, between the urban spaces of Guatemala City and rural spaces of Indigenous Maya Communities, repeatedly breaks down in practice as communities and fieldworkers, those directly responsible for carrying out the interventions in the communities, reshape interventions and generate knowledge of their own. Yet the interventions themselves continue to reproduce the very rural/urban divide that everyday experience disproves. (read more...)