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Research paper
Structural drivers of vulnerability to zoonotic disease in Africa
This paper analyses three case studies—trypanosomiasis in Zimbabwe, Ebola and Lassa fever in Sierra Leone and Rift Valley fever in Kenya — to argue that addressing the underlying structural drivers of disease vulnerability is essential for a ‘One Health’ approach…
Research paper
Responsibility, repair and care in Sierra Leone’s health system.
Central to the workings of a hospital are the technical and bureaucratic systems that ensure the effective coordination of information and biological materials of patients across time and space. In this paper, which is based on ethnographic research in a…
Policy response to COVID-19 in Senegal: power, politics, and the choice of policy instruments
The objective of the paper is to understand how Senegal formulated its policy response to the COVID-19 pandemic. The response was rapid, comprising conventional policy instruments used previously for containing Ebola.
Past horrors, present struggles: the role of stigma in the association between war experiences and psychosocial adjustment among former child soldiers in Sierra Leone.
We examined the role of stigma (manifest in discrimination as well as lower levels of community and family acceptance) in the relationship between war-related experiences and psychosocial adjustment (depression, anxiety, hostility and adaptive behaviors).
Negotiating Intersecting Precarities: COVID-19, Pandemic Preparedness and Response in Africa
This article shares findings on COVID-19 in Africa across 2020 to examine concepts and practices of epidemic preparedness and response. Amidst uncertainties about the trajectory of COVID-19, the stages of emergency response emerge in practice as interconnected.
Men’s experiences of pregnancy and childbirth in Sierra Leone: Reexamining definitions of “male partner involvement”.
In recent decades, global health researchers and policy makers have advocated for men’s increased involvement in pregnancy and childbirth with the goal of improving maternal health outcomes. However, such approaches often fail to account for the culturally valid and gendered…
Local disease-ecosystem-livelihood dynamics: reflections from comparative case studies in Africa
This article explores the implications for human health of local interactions between disease, ecosystems and livelihoods. Five interdisciplinary case studies addressed zoonotic diseases in African settings: Rift Valley fever (RVF) in Kenya, human African trypanosomiasis in Zambia and Zimbabwe, Lassa…
Exceptional suffering? Enumeration and vernacular accounting in the HIV-positive experience.
Drawing on 17 months of ethnographic fieldwork in Freetown, Sierra Leone, I highlight the recursive relationship between Sierra Leone as an exemplary setting and HIV as an exceptional disease. Through this relationship, I examine how HIV-positive individuals rely on both…
Engaging ‘communities’: anthropological insights from the West African Ebola epidemic
This article reflects on the nature of community engagement during the Ebola epidemic and demonstrates a disjuncture between local realities and what is being imagined in post-Ebola reports about the lessons that need to be learned for the future.
Ebola-Myths, Realities, and Structural Violence
This briefing examines responses to the Ebola outbreak and offers a different set of explanations, rooted in the history of the region and the political economy of global health and development.
Accepted monitoring or endured quarantine? Ebola contacts’ perceptions in Senegal
During the 2014-2016 West Africa Ebola epidemic, transmission chains were controlled through contact tracing, i.e., identification and follow-up of people exposed to Ebola cases. WHO recommendations for daily check-ups of physical symptoms with social distancing for 21 days were unevenly…
Briefing
Ebola in West Africa: Impact on Health
The current Ebola outbreak in West Africa is by far the largest ever recorded, and already numbers more cases than all past Ebola epidemics combined. This Briefing outlines the overall impact on health.
