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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
Building the nation’s body: The contested role of abortion and family planning in postwar south Sudan
This paper offers an ethnographic analysis of public health policies and interventions targeting unwanted pregnancy (family planning and abortion) in contemporary South Sudan as part of wider ‘nation-building’ after war, understood as a process of collective identity formation which projects…