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Research paper
Beyond solidarity and mutual aid: Tension and conflict in burial groups in rural Uganda
Drawing from ethnographic data collected between 2012 and 2014 and January and June 2018 in Luwero district, Uganda, this article questions the romanticised depiction of burial groups as a means of enhancing social support, a sense of solidarity and mutual…
Research paper
National policy development for cotrimoxazole prophylaxis in Malawi, Uganda and Zambia: the relationship between Context, Evidence and Links
Several frameworks exist to analyse factors which influence the uptake of evidence into policy processes in resource poor settings, yet empirical analyses of health policy making in these settings are relatively rare. National policy making for cotrimoxazole preventive therapy in…
Research paper
Introducing rapid diagnostic tests for malaria into registered drug shops in Uganda: lessons learned and policy implications
Malaria is a major public health problem in Uganda. Current policy recommends introduction of rapid diagnostic tests (RDTs) to facilitate effective case management. However, provision of RDTs in drug shops raises new issues, such as adherence to RDTs results, management…
Research paper
Data value and care value in the practice of health systems: A case study in Uganda
In anthropology, interest in how values are created, maintained and changed has been reinvigorated. We interrogate concerns about relationships between data collection and patient care by following a pilot study in Kayunga, Uganda aimed at improving the collection of health…
Research paper
Unsafe “crossover-use” of chloramphenicol in Uganda: importance of a One Health approach in antimicrobial resistance policy and regulatory action
Since the introduction of antibiotics into mainstream health care, resistance to these drugs has become increasingly widespread. Policy decisions to mitigate the development of antimicrobial resistance (AMR) are hampered by a lack of surveillance data on antibiotic availability and use…
Research paper
Life in the buffer zone: Social relations and surplus health workers in Uganda’s medicines retail sector
Despite their critical role, medicine sellers are often excluded from health systems and policy research. In this paper, we ask ‘what happens to the conceptualisations of a health system when medicine sellers and their practices are foregrounded in research?’ We…
Research paper
Participating in Development? Refugee protection, politics and developmental approaches to refugee management in Uganda
This article examines an attempt by the government of Uganda and UNHCR to implement a developmental ‘Self Reliance Strategy’ in response to the needs of 188 ,000 long-term Sudanese refugees and their hosts in Uganda, and analyses some of the conceptual,…
Research paper
Dispersal, division and diversification: durable solutions and Sudanese refugees in Uganda
Questions over durable solutions in the social, political and security terrain of southern Sudan and northern Uganda invite recognition that simple delineations between “home” and “exile” are inadequate to understanding displacement and refugee status. Contrary to existing policies assuming an…
Research paper
Between a camp and a hard place: rights, livelihood and experiences of the local settlement system for long-term refugees in Uganda
Drawing on qualitative research with refugees in and outside formal settlements, this article challenges characterisations of Uganda’s UNHCR-supported refugee settlement system as un-problematically successful. It shows that by denying refugees freedom of movement, the settlement system undermines their socio-economic and…
Book chapter
Comparing peace processes: Sudan
This chapter examines how contests over military control were played out during peace negotiations and in the implementation of agreements in Sudan between 2002 and 2011.
Thesis
Lugbara “Religion” Revisited: A Study of Social Repair in West Nile, North-West Uganda
This thesis explores processes of transitional justice as post-war social repair. It interrogates the multifarious quests through which Lugbara people of north-west Uganda seek to rebuild their intimate relationships and social lives, with recourse to explanations and therapies for suffering…
Research paper
Geographies of Unease: Witchcraft, Mobility and Insecurity in an African Borderland
This thesis explores processes of transitional justice as post-war social repair. It interrogates the multifarious quests through which Lugbara people of north-west Uganda seek to rebuild their intimate relationships and social lives, with recourse to explanations and therapies for suffering…
Research paper
From crisis to context: Reviewing the future of sustainable charcoal in Africa
Is charcoal a sustainable energy source in Africa? This is a crucial question, given charcoal’s key importance to urban energy. In today’s dominant policy narrative – the charcoal-crisis narrative – charcoal is deemed incompatible with sustainable and modern energy, blamed…
Background report
‘Drought as War’ in Northern Uganda: Exploring the Complex Relationship Between Climate Change, Scarcity, and Conflict
That climate change will increase the incidence of violent conflict is a common claim made by both policymakers and climate change activists. I aim to question and critique the simplistic assertion that climate change will cause increased violent conflict, showing…
Book chapter
From violent conflict to slow violence: climate change and post-conflict recovery in Karamoja, Uganda
In literature examining climate change as a potential factor in violent conflict, violence is generally conceived as a readily-apparent, time-bound event. Conversely, the ontologies of slow violence emphasize the insidious ways in which environmental change can, itself, impart violence. This…
Research paper
Charcoal power: The political violence of non-fossil fuel in Uganda
Charcoal is important in Africa due to its centrality to urbanization. Despite this, the politics of charcoal remain largely unexplored. This article asks how political power shapes charcoal production and how charcoal as an energy source shapes political power through…
Research paper
From disaster to devastation: drought as war in northern Uganda
This paper proposes a shift from the concept of disaster to one of devastation when dealing with the destructive consequences of climate change. It argues that today, a discourse of climate-change disaster has become dominant, in which present disasters are…
Book chapter
Legacies of Violence: The Communicability of Spirits and Trauma in Northern Uganda
How may the spread of the biomedical concept ‘trauma’ as well as cen spirits in Northern Uganda be understood as part of syndemic processes of situated concerned responses to violence? In this chapter, we examine legacies of mass violence for…
Research paper
Use of Services among Female Sex Workers Receiving a Comprehensive HIV Enhanced Prevention Intervention in Kampala, Uganda: A Cross-sectional Study
We estimated the prevalence and factors associated with the use of a dedicated HIV prevention, care, and treatment service for female sex workers (FSWs) in Kampala, Uganda. Between October 2017 to January 2018, we conducted a cross-sectional study among FSWs…
Research paper
The Ambiguity Imperative: “Success” in a Maternal Health Program in Uganda
Global health programs are compelled to demonstrate impact on their target populations. We study an example of social franchising – a popular healthcare delivery model in low/middle-income countries – in the Ugandan private maternal health sector. The discrepancies between the…
Research paper
Introducing malaria rapid diagnostic tests at registered drug shops in Uganda: Limitations of diagnostic testing in the reality of diagnosis
In Uganda, around two thirds of medicines are procured from the private sector, mostly from drug shops. The introduction of malaria rapid diagnostic tests (RDTs) at drug shops therefore has the potential to make a significant contribution to targeting antimalarial…
Research paper
Aspirations for quality health care in Uganda: How do we get there?
Despite significant investments and reforms, health care remains poor for many in Africa. To design an intervention to improve access and quality of health care at health facilities in eastern Uganda, we aimed to understand local priorities for qualities in…
Research paper
‘It puts life in us and we feel big’: shifts in the local health care system during the introduction of rapid diagnostic tests for malaria into drug shops in Uganda
This paper is an analysis of the social interaction between drug sellers, their clients and local health care workers within a medical trial that introduced rapid diagnostic tests for malaria into private sector drug shops in Mukono District, Uganda. It…
Research paper
Challenging logics of complex intervention trials: community perspectives of a health care improvement intervention in rural Uganda
Health systems in many African countries are failing to provide populations with access to good quality health care. The PRIME trial in Tororo, rural Uganda, designed and tested an intervention to improve care at health centres, with the aim of…
Research paper
Histories of Antibiotics: A One Health account of the arrival of antimicrobial drugs to Zimbabwe, Malawi and Uganda. Report for the Improving Human Health Flagship Initiative, Agriculture for Nutrition and Health research programme, CGIAR
The overall aim of this short project is to uncover some of the socio-historical roots of antibiotic use in humans and non-humans outside of the European and American histories that are now well understood. We provide an historical account of…
Research paper
Antibiotic ‘entanglements’: health, labour and everyday life in an urban informal settlement in Kampala, Uganda
Our ethnographic research documents the ways that antibiotics have become a key part of everyday life for precariously employed urban day-wage workers living in a large informal settlement in Kampala, Uganda. We found that for many people, their daily work…
Research paper
Antibiotic stories: a mixed-methods, multi-country analysis of household antibiotic use in Malawi, Uganda and Zimbabwe
As concerns about the prevalence of infections that are resistant to available antibiotics increase, attention has turned toward the use of these medicines both within and outside of formal healthcare settings. This article analyses findings from mixed-methods anthropological studies of…
Research paper
Antibiotic Arrivals in Africa: A Case Study of Yaws and Syphilis in Malawi, Zimbabwe and Uganda
The significance of the ways in which antibiotics co-constituted colonial regimes has not been systematically described. Through a case study of yaws and syphilis, this article traces arrivals of antibiotics in Malawi, Zimbabwe, and Uganda. We draw attention to the…
Research paper
Taking Opportunities, Taking Medicines: Antibiotic Use in Rural Eastern Uganda
The ways in which dimensions of health and healthcare intersect with economics and politics in particular contexts requires close attention. In this article we connect concerns about antibiotic overuse in Uganda to the social milieu created through policies that follow…
Research paper
Reconciling imperatives: Clinical guidelines, antibiotic prescribing and the enactment of good care in lower-level health facilities in Tororo, Uganda.
Faced with the threat of antimicrobial resistance, health workers are urged to reduce unnecessary prescription of antimicrobials. Clinical guidelines are expected to form the basis of prescribing. Emerging through evaluations of best practice, guidelines also create benchmarks to assess practice…
Thesis
Antibiotics in Society: a multi-sited ethnography in rural and urban Uganda
This thesis employed a multi-sited ethnographic approach in urban and rural settings in Uganda to study the social and economic factors that shape antibiotic use. It found that these included everyday insecurities, availability of resources, and professional and patient expectations…
Research paper
“One Man’s Meat Is Another Man’s Poison”: Marungi and Realities of Resilience in North West Uganda
Approaches to resilience in post-war contexts prioritise systems-based thinking above everyday realities. This paper explores reconstruction through marungi (khat) in North-West Uganda. Presenting ethnographic evidence, we chart connections between marungi and resilience among growers, traders and “eaters”. Firstly, we argue…
Research paper
The Implications of Sugarcane Contract Farming on Land Rights, Labor, and Food Security in the Bunyoro Sub-Region, Uganda
The Ugandan government has long promoted agricultural commercialization as key to Uganda’s economic future. Sugarcane commercialization, in the form of contract farming (CF), has been a preferred instrument, leading to the emergence of large and medium sugar corporations in Uganda’s…
Research paper
Traditional healers for HIV/AIDS prevention and family planning, Kiboga District, Uganda: evaluation of a program to improve practices
South Sudan has one of the worst health and maternal health situations in the world. While maternal health services at primary care level are not well developed, even where they exist, many women do not use them. Developing location specific…
Research paper
Resistant Resilience: Agency and Resilience Among Refugees Resisting Humanitarian Corruption in Uganda
Resilience is a dominant humanitarian-development theme. Nonetheless, some humanitarian-development programmes have demonstrably negative impacts which encourage vulnerable people to actively resist these programmes. Based on 12 months ethnographic fieldwork in a Ugandan refugee settlement during 2017–18, this paper argues refugee residents…
Report
Mobile Livelihoods: Borderland dynamics between Uganda and South Sudan
This report from the Rift Valley Institute explores the dynamics of transnational movement and networks of kin of South Sudanese and South Sudanese refugees in Uganda.
