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Background report
Epidemic preparedness and response in Senegal fr
This report summarises a roundtable discussion which aimed to share strategic information from social science research, help actors in epidemic preparedness and response put in place targeted and appropriate interventions, and highlight the roles social science researchers can play in…
Briefing
Information Preparedness and Community Engagement for El Niño in the Eastern and Southern Africa Region frptes
El Niño can be viewed as a multi-hazard event, and considerations for information needs cut across different populations and risks, including direct weather-related hazards, reduced agricultural production, greater food insecurity and malnutrition, increased transmission of infectious diseases and effects on…
Imagining HIV/AIDS: morality and perceptions of personal risk in Nigeria
The disparity between people’s knowledge about HIV/AIDS and the extent to which they take measures to protect themselves is one of the most vexing issues for public health workers and social science analysts. This paper aims to explain some of…
Research paper
Youth, sin and sex in Nigeria: Christianity and HIV/AIDS-related beliefs and behaviour among rural-urban migrants
In Nigeria, popular understandings of HIV/AIDS and individual risk assessment and behaviour unfold within an interpretative grid that draws on a religious moral framework. This paper reports results from a two‐year study of HIV/AIDS‐related beliefs and behaviour among adolescent and…
Research paper
Treatment success or failure in children and adolescents born with HIV in rural Senegal: An anthropological perspective
The article presents the results of an anthropological study that aims to examine the modalities of medical and social care for CALHIV, identify the various structural and social determinants of treatment failure or success, and ascertain their respective influence. The…
Research paper
The Islamification of antiretroviral therapy: Reconciling HIV treatment and religion in northern Nigeria.
Access and adherence to antiretroviral therapy (ART) are essential to HIV treatment success and epidemic control. This article is about how HIV-positive Muslims and providers balance ART with religious tenets and obligations.
Modern marriage, men’s extramarital sex, and HIV risk in southeastern Nigeria
For women in Nigeria, as in many settings, simply being married can contribute to the risk of contracting HIV. This article considers men’s extramarital sexual behavior in the context of modern marriage in southeastern Nigeria. The results indicate that the…
Keeping People in Place: Political Factors of (Im)mobility and Climate Change
We delve into the socio-cultural and economic nature of (im)mobilities as they interact with political forces, specifically by exploring international bilateral agreements (Senegal) and a relocation program (Vietnam).
‘It’s raining stones’: stigma, violence and HIV vulnerability among men who have sex with men in Dakar, Senegal
In Dakar, Senegal, a study conducted by researchers from Cheikh Anta Diop University, the Senegal National Council Against AIDS, and the Horizons Program elicited quantitative and qualitative data about the needs, behaviours, knowledge, and attitudes of men who have sex…
Imagining HIV/AIDS: Morality and perceptions of personal risk in Nigeria
The disparity between people’s knowledge about HIV/AIDS and the extent to which they take measures to protect themselves is one of the most vexing issues for public health workers and social science analysts. This paper aims to explain some of…
HIV, embodied secrets, and intimate labour in northern Nigeria
This article explores how HIV-positive women manage secrets through the use of their bodies. Women conspicuously enhance their beauty in an attempt to defend themselves against the violence of social exclusion.
Exploring the cultural context of HIV/AIDS pandemic in a Nigerian community: Implication for culture specific prevention programmes
The new face of Human Immune Virus (HIV)/ Acquired Immune Deficiency Syndrome (AIDS) has earned its recognition as a social problem due to the associated devastating social and cultural consequences on the individual and the society at large. As such,…
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…
Courting success in HIV/AIDS prevention: the challenges of addressing a concentrated epidemic in Senegal
This article presents findings from a study of HIV/AIDS programmes for urban sex workers in Dakar, Senegal. The objective of the research was to assess HIV prevention and treatment efforts to date, and to identify challenges that must be overcome…
Research paper
Moral distress among Ugandan nurses providing HIV care: A critical ethnography
The phenomenon of moral distress among nurses has been described in a variety of high-income countries and practice settings. No research has been reported that addresses moral distress in severely resource-challenged regions such as sub-Saharan Africa. Through critical ethnography, this…
Research paper
Managing community engagement in research in Uganda: insights from practices in HIV/AIDS research
Community engagement (CE) in research is valuable for instrumental and intrinsic reasons. Despite existing guidance on how to ensure meaningful CE, much of what it takes to achieve this goal differs across settings. Considering the emerging trend towards mandating CE…
Research paper
Effect of COVID-19 on older adults 50 years and above living with HIV in a less-developed country
In Uganda, as soon as the first case of COVID-19 was identified, strict lockdown measures were enforced, including a ban on all public and private transport, night curfew, closure of schools, and suspension of religious and social gatherings and closure…
Research paper
Access to HIV/AIDS or TB care among refugees in Kampala, Uganda: exploring the enablers and barriers during the COVID-19 pandemic
The rapid spread of COVID-19 overwhelmed existing health care systems, finding it challenging to provide essential health services besides the COVID-19 response interventions. Refugees are disproportionately affected by the COVID-19 pandemic because of the barriers they face to access health…
Research paper
Addressing the Syndemics of HIV, Mental Health, and COVID-19 Using the Health and Human Rights Framework among Youth Living with HIV, in Uganda: an Interpretive Phenomenological Study
Stigma and discrimination negatively impact the prevention, treatment, and care of HIV. The COVID-19 pandemic increased this complexity and created a cluster of synergistic health contexts, wherein the physiological aspects of HIV and the social and environmental conditions increased the…
Research paper
Social networks, mobility, and HIV risk among women in the fishing communities of Lake Victoria
A cross-sectional qualitative methods study was conducted to understand mobility patterns among women resident and or working in fishing communities of Lake Victoria in Kenya, Tanzania, and Uganda. The study was conducted in six fishing communities from March 2018 to…
Research paper
After all, we are all sick: multi-stakeholder understanding of stigma associated with integrated management of HIV, diabetes and hypertension at selected government clinics in Uganda
Integrated care is increasingly used to manage chronic conditions. In Uganda, the integration of HIV, diabetes and hypertension care has been piloted, to leverage the advantages of well facilitated and established HIV health care provision structures. This qualitative study aimed…
Research paper
Challenges and commonly used countermeasures in the implementation of lifelong antiretroviral therapy for PMTCT in Central Uganda: Health providers’ perspective
Uganda has implemented lifelong antiretroviral therapy for the prevention of mother-to-child HIV transmission since September 2012. Implementation of this strategy has been met with health provider and client challenges which have persisted up to date. This study explored providers’ perspectives…
Research paper
Him Leaving Me – That is My Fear Now: A Mixed Methods Analysis of Relationship Dissolution Between Ugandan Pregnant and Postpartum Women Living with HIV and Their Male Partners
High rates of relationship dissolution among pregnant women living with HIV (PWLHIV) and their male partners might increase mothers’ and children’s vulnerability to financial hardship and poor health outcomes. This mixed methods analysis identified factors associated with separation between PWLHIV…
Research paper
Food Insecurity During the COVID-19 Pandemic: A Longitudinal Mixed-Methods Study from a Cohort of HIV Clients in Uganda.
The COVID-19 pandemic threatens the food security of people in low-income countries. This is important for people living with HIV (PLWH) because HIV medication should be taken with food to avoid side-effects. We used survey data (n = 314) and qualitative interviews…
Research paper
Relational Factors and HIV Testing Practices: Qualitative Insights from Urban Refugee Youth in Kampala, Uganda
This paper explores perspectives, experiences, and preferences for social support in HIV testing among refugee youth aged 16–24 in Kampala, Uganda.
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
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
Male partners of female sex workers: The intersectional risk environment of HIV/AIDS in a Kampala informal settlement
This study examined the context and drivers of HIV risk and vulnerability among male partners of female sex workers in Kampala, Uganda, using an “intersectional risk environment” framework.
Research paper
Provider love in an informal settlement: Men’s relationships with providing women and implications for HIV in Kampala, Uganda
This study reports on data from an ethnography (2016–2019) with low-income men in urban Uganda. This study uses gender and power theory to describe how men’s relationships with female sex workers in an informal settlement in urban Kampala, Uganda are…
Research paper
“Not Taking it Will Just be Like a Sin”: Young People Living with HIV and the Stigmatization of Less-Than-Perfect Adherence to Antiretroviral Therapy
Global health priorities are being set to address questions on adherence to HIV antiretroviral therapy in adolescence. Few studies have explored young people’s perspectives on the complex host of social and relational challenges they face in dealing with their treatment…
Research paper
Dynamics of Care, Situations of Choice: HIV Tests in Times of ART
In the 1990s, African AIDS programs followed a voluntary counseling and testing (VCT) approach to HIV testing. In the wake of large scale AIDS treatment programs, policymakers opted for routine provider-initiated testing (PITC) with less emphasis on counseling, which led…
Research paper
Routines, Hope, and Antiretroviral Treatment among Men and Women in Uganda
Antiretroviral treatment programs, despite biomedical emphases, require social understanding and transformations to be successful. In this article, the authors draw from a qualitative study of HIV treatment seeking to examine the drug-taking routines and health-related subjectivities of men and women…
Research paper
Challenging the Paradigm: Anthropological Perspectives on HIV as a Chronic Disease
Recently HIV has been framed as a ‘manageable’ chronic disease in contexts in which access to effective care is reliable. The chronic disease paradigm emphasizes self-care, biomedical disease management, social normalization, and uncertainty. Data from a longitudinal study of patients…
Research paper
Barriers of HIV treatment-seeking behavior among youths living with HIV in Uganda: a qualitative study
This study aimed to explore experienced barriers to seek human immunodeficiency virus (HIV) treatment and care among youth living with HIV and acquired immunodeficiency syndrome (AIDS) in Uganda. The study demonstrated that barriers to using HIV care included fear of…
Research paper
Examining diffusion to understand the how of SASA!, a violence against women and HIV prevention intervention in Uganda
A growing number of complex public health interventions combine mass media with community-based “change agents” and/or mobilisation efforts acting at multiple levels. While impact evaluations are important, there is a paucity of research into the more nuanced roles intervention and…
Research paper
Pandemics and soft power: HIV/AIDS and Uganda on the global stage
The COVID-19 outbreak of 2020 threatened years of effort by the Chinese authorities to extend its influence around the world. As with COVID-19, HIV/AIDS presented a fundamental threat not only to countries’ internal social stability and population health, but also…