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212 results found
Background report
Your Pocket Is What Cures You: The Politics of Health in Senegal
In the wake of structural adjustment programs in the 1980s and health reforms in the 1990s, the majority of sub-Saharan African governments spend less than ten dollars per capita on health annually, and many Africans have limited access to basic…
Research paper
“You have to find a caring man, like your father!” Gendering sickle cell and refashioning women’s moral boundaries in Sierra Leone
This qualitative study undertaken in 2018, explores if and how sickle cell disorders become gendered in Sierra Leone through the analytical framework of a feminist ethics of care.
Research paper
‘With the kanyaleng and the help of god, you don’t feel ashamed’: women experiencing infertility in Casamance, Senegal
While the precarious situation of women with infertility in Sub-Saharan Africa is well documented, little is known about the ways in which such women show agency despite the challenges that infertility brings to their lives. This study provided a holistic…
Research paper
Why didn’t you write this in your diary? Or how nurses (mis)used clinic diaries to (re)claim shared reflexive spaces in Senegal
At the intersection between writings and silences, this paper explores the role played by the clinic diaries to mediate ethnographic encounters, and the iterative nature of ‘doing fieldwork’ to produce knowledge in hierarchical health systems. This paper also reflects on…
Research paper
What post-abortion care indicators don’t measure: Global abortion politics and obstetric practice in Senegal
This article draws on an ethnography of Senegal’s post-abortion care (PAC) program, conducted between 2010 and 2011, to illustrate how PAC indicators obscure the professional and technological complexities of treating abortion complications in contexts where abortion is illegal. The author…
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
Traditional healers in Nigeria: perception of cause, treatment and referral practices for severe malaria.
Malaria remains one of the main causes of mortality among young children in sub-Saharan Africa. In Nigeria traditional healers play an important role in health care delivery and the majority of the population depend on them for most of their…
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.
Research paper
The anti-politics of health reform: household power relations and child health in rural Senegal
This article employs ethnographic evidence from rural Senegal to explore two dimensions of health sector reform. First, it makes the case that health reforms intersect with and exacerbate existing social, political, and economic inequalities. Second, the article explores how liberal…
Research paper
Taking chances, making choices: the tactical dimensions of “reproductive strategies” in southwestern Nigeria
Reproductive outcomes may be less a result of consciously pursued “reproductive strategies” than of other choices, and are subject to the influence not only of other individuals, but also of caprice and circumstance. Drawing on ethnographic research in southwestern Nigeria,…
Research paper
Subversive Epidemiology in Abortion Care: Reproductive Governance from the Global to the Local in Argentina and Senegal
Drawing on ethnographic fieldwork in Argentina and Senegal, this paper explores how health workers have adapted the global postabortion care model in ways that simultaneously challenge and reinforce national prohibitions on abortion. Although the global postabortion care model aimed to…
Research paper
Social learning, influence, and ethnomedicine: Individual, neighborhood and social network influences on attachment to an ethnomedical cultural model in rural Senegal
In this paper, the authors examine the association between individual, neighborhood, and social network characteristics and the likelihood of attachment to an ethnomedical cultural model encompassing beliefs about etiology of disease, appropriate therapeutic and preventative measures, and more general beliefs…
Research paper
Right tool, wrong “job”: Manual vacuum aspiration, post-abortion care and transnational population politics in Senegal
The “rightness” of a technology for completing a particular task is negotiated by medical professionals, patients, state institutions, manufacturing companies, and non-governmental organizations. This paper shows how certain technologies may challenge the meaning of the “job” they are designed to…
Research paper
Rewriting abortion: deploying medical records in jurisdictional negotiation over a forbidden practice in Senegal
This study explores how medical providers deploy medical records in boundary work over the treatment of complications of spontaneous and induced abortion in Senegal, where induced abortion is prohibited under any circumstance.
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…
Research paper
Progress in the face of cuts: a qualitative Nigerian case study of maintaining progress towards universal health coverage after losing donor assistance
In the coming years, about a dozen middle-income countries are excepted to transition out of development assistance for health (DAH) based on their economic growth. This anticipated loss of external funds at a time when there is a need for…
Preserving the pot and water: a traditional concept of reproductive health in a Yoruba community, Nigeria
Within the background of the outcome of the 1994 Cairo Conference, this paper describes a traditional conceptualization of prenatal care in a Nigerian community and draws their implication for effective delivery of reproductive health services in the area.
Perspectives on polio and immunization in Northern Nigeria
Through the efforts of the global campaign to eradicate poliomyelitis, polio cases have declined worldwide, from 35,251 cases in 1988, to 1449 cases as of 28 October 2005. However, confirmed cases of wild polio virus continue to be reported from…
Patronage, per diems and the “workshop mentality”: the practice of family planning programs in southeastern Nigeria
This article examines the ways in which family planning program personnel in Nigeria appropriate population program resources and models of social change to suit local priorities.
Patronage, partnership, voluntarism: Community-based health insurance and the improvisation of universal health coverage in Senegal
The turn towards Universal Health Coverage (UHC) in the past decade raises the question of the role of the state, following years of state withdrawal and a fragmented approach to public health. Senegal introduced its version of UHC, Couverture Maladie…
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).
Overlaps and Disconnects in Reproductive Health Care: Global Policies, National Programs, and the Micropolitics of Reproduction in Northern Senegal
This article explores three arenas of contemporary discourse about reproductive health and family planning. Using Senegal as a case study, it highlights the significant overlaps and disconnects among global reproductive health policy, national priorities and programs, and the biopolitics of…
Non-use of modern contraceptives among women in humanitarian contexts: evidence from a qualitative study in Akwa Ibom State, Nigeria.
The continuing conflict situation in Nigeria have created over 2 million displaced persons. In 2019, women and children accounted for about 80% of the internally displaced population in the country. Displacement increases the need for reproductive health services. This study…
Neoliberal Reform and Health Dilemmas
In this article, the author traces the links among neoliberalism, regional ecological decline, and the dynamics of therapeutic processes in rural Senegal. By focusing on illness management in a small rural community, the article explores how economic reform is mediated…
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…
Metrics of Survival: Post-Abortion Care and Reproductive Rights in Senegal.
Drawing on ethnographic fieldwork conducted in Senegal between 2010 and 2011, the author demonstrates how health professionals have deployed indicators such as number of women and abortion type treated in government hospitals to demonstrate commitment to global mandates on reproductive…
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…
Malevolent ogbanje: recurrent reincarnation or sickle cell disease?.
The Igbo of Nigeria believe that everyone is ogbanje (reincarnates) but malevolent ogbanje differ from others in being revenge-driven, chronically ill and engaging in repeated cycles of birth, death and reincarnation. This study examined culturally defined symptoms of 100 children…
‘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…
Interembodiment, Inheritance, and Intergenerational Health
This article introduces the concept of interembodiment, animated bodily entanglements between people, to illustrate the shared sense of illness that transgresses discrete biological bodies.
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.
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…
Envisioning, Evaluating and Co-Enacting Performance in Global Health Interventions: Ethnographic Insights from Senegal
The notion of performance has become dominant in health programming, whether being embodied through pay-for-performance schemes or through other incentive-based interventions. In this article, we seek to unpack the idea of performance and performing in a dialogical fashion between field-based…
Doing gender, doing alcohol: The paradox of gendered drinking practices among young Nigerians.
In traditional Nigeria, consumption norms prohibited women’s and young people’s alcohol use. Nowadays, young men and women use alcohol, and many enact identities with heavy drinking. This study uses gender performance theory and interviews/focus group data from 72 young Nigerian…
Discriminate biopower and everyday biopolitics: views on sickle cell testing in Dakar
Many physicians in Senegal and France, where most Senegalese sickle cell specialists are partially trained, assume that genetic testing that could imply selective abortion for people with sickle cell would run counter to the religious and cultural ethics of people…
Diagnosing Diabetes, Diagnosing Colonialism: An Ethnography of the Classification and Counting of a Senegalese Metabolic Disease
This article explores the top-down production of the statistics frequently circulated in global health. These data must first originate in a place like the public hospital in Saint-Louis, Senegal, in doctor’s offices and laboratories and medical archives.
