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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.
Caregiving in Crisis: Fatherhood Refashioned by Sierra Leone’s Ebola Epidemic
In much of the literature on Sierra Leone, young men have been recognized for perpetrating violence or resisting authority. This characterization extended into the Ebola crisis, as young men were depicted as “resisting” public health measures. In contrast, little scholarship…
Caregivers’ perception of risk for malaria, helminth infection and malaria-helminth co-infection among children living in urban and rural settings of Senegal: A qualitative study.
The parasites causing malaria, soil-transmitted helminthiasis and schistosomiasis frequently co-exist in children living in low-and middle-income countries, where existing vertical control programmes for the control of these diseases are not operating at optimal levels. This gap necessitates the development and…
A History of Urban Planning and Infectious Diseases: Colonial Senegal in the Early Twentieth Century
This paper deals with the spatial implications of the French sanitary policies in early colonial urban Senegal. It focuses on the French politics of residential segregation following the outbreak of the bubonic plague in Dakar in 1914, and their precedents…
Report
Sudan: Update on the humanitarian situation with a focus on the impact on healthcare
This thematic report provides an update on the impact of conflict on Sudan’s healthcare system using a secondary data review of public sources.
Research paper
Knowledge and Perceptions on Menstrual Hygiene Management Among School-Going Adolescent Girls in South Sudan
This article draws on grounded theory and ethnographic fieldwork approaches and applies a political ecology of adolescent health (PEAH) framework to examine how school-going adolescent girls and their communities perceive sexual and reproductive health education (SRHE) and menstrual hygiene management…
Policy document
Plan Strategique National de Developpement des Services de Laboratoire de Sante 2021-25 fr
The national strategic plan for developing health laboratory services, from 2021 to 2025, focusing in particular on: improving the delivery of laboratory services, supporting the different pillars of laboratory services, and strengthening governance.
Policy document
Loi cadre sur l’Organisation de la Santé Publique fr
The legal basis for public health action in DRC, grounded in the right to health guaranteed by the DRC constitution.
Policy document
Republic of South Sudan National Health Policy 2016-2026
Written by the Ministry of Health of the Republic of South Sudan, the National Health Policy 2016-2026 puts forth new paradigms for health service delivery, health financing, strategic information, leadership and governance, human resources for health, and access to essential…
Research paper
How Seasonality and Weather affect Perinatal Health: Comparing the Experiences of indigenous and Non-Indigenous Mothers in Kanungu District, Uganda
Maternal and newborn health disparities and impacts of climate change present grand challenges for global health equity, and there remain knowledge gaps on how these challenges intersect. This study examines how mothers are affected by seasonal and meteorological factors in…
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
‘There Were Moments We Wished She Could Just Die’: The Highly Gendered Burden of Nodding Syndrome in Northern Uganda
Nodding Syndrome (NS) occurs within a wide spectrum of epilepsies seen in onchocerciasis endemic areas of sub-Saharan Africa. It has debilitating consequences on affected individuals and increases the socio-economic, physical and psychological burden on care-givers and their households, diminishing their…
Research paper
Whose voices matter? Using participatory, feminist and anthropological approaches to centre power and positionality in research on gender-based violence in emergencies
This article examines how applying participatory, feminist and anthropological methods in gender-based violence research can hold researchers accountable to both acknowledging and explicitly addressing power disparities.
Research paper
The social dimensions of community delivery of intermittent preventive treatment of malaria in pregnancy in Madagascar, Mozambique, Nigeria and the Democratic Republic of the Congo
Intermittent preventive treatment in pregnancy with is a key malaria prevention strategy. We conducted an anthropological study to understand the social context of a community based approach to delivering sulphadoxine pyrimethamine (C-IPTp) through community health workers (CHWs) in four countries…
Research paper
Human African trypanosomiasis (HAT) in the Republic of Congo: why the Congolese population is reluctant to screening?
Human African trypanosomiasis (HAT) is a neglected tropical infection, and surveillance of the disease relies on community participation in screening. This study aimed to identify the main factors associated with low community uptake of HAT screening in endemic districts in…
Research paper
The enduring consequences of conflict-related sexual violence: a qualitative study of women survivors in northern Uganda
One in three women in northern Uganda report having suffered from conflict-related sexual violence (CRSV), including forced marriage and rape. Understanding women’s perceptions of and experiences with CRSV, especially related to the persistent health and social challenges they continue to…
Research paper
Dramatic effects of COVID-19 public health measures and mass reverse migration on youth sexual and reproductive health in rural Uganda
Youth (aged 10 to 24 years) comprise nearly one-third of Uganda’s population and often face challenges accessing sexual and reproductive health (SRH) services, with a disproportionately high incidence of negative SRH outcomes. Responding to COVID-19, Uganda implemented strict public health…
Research paper
How social norms contribute to physical violence among ever-partnered women in Uganda: A qualitative study
This paper contributes to the literature that studies how social norms sustain undesirable behavior. It establishes how norms contribute to intimate partner physical violence against women. First, norms organize physical violence as a domestic and private matter. Second, they organize…
Research paper
Health Care Workers’ Experiences, Challenges of Obstetric Referral Processes and Self-Reported Solutions in South Western Uganda: Mixed Methods Study
This study described the profile of emergency obstetric referrals, challenges faced in implementation of obstetric referral processes and explored self-reported solutions by health workers.
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
Help-seeking and challenges faced by transwomen following exposure to gender-based violence; a qualitative study in the Greater Kampala Metropolitan Area, Uganda
The high prevalence of gender-based violence (GBV) among transwomen is a human rights and public health challenge. Nonetheless, there is limited evidence of sources of GBV support services and the challenges faced by transwomen while help-seeking, especially in transphobic settings…
Research paper
The impact of the COVID-19 pandemic on healthcare access and utilisation in South Sudan: a cross-sectional mixed methods study
Indirect effects of the COVID-19 pandemic on communities in fragile and conflict-affected settings may be severe due to reduced access and use of healthcare, as happened during the 2015 Ebola Virus Disease outbreak. Achieving a balance between short-term emergency response…
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
Becoming Secondary Survivors: Exploring the Effects of Conflict-Related Sexual Violence on the Health and Well-Being of Families in Northern Uganda
The enduring consequences of conflict-related sexual violence (CRSV) and its catastrophic effects on the health and well-being of survivors has been well documented. However, there is a dearth of evidence on the impact of CRSV on families of survivors who…
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
Reproductive materialism and justice for women with abortion care needs in Uganda.
While reproductive health justice is often assumed to be inherent in reproductive health interventions, the nature of injustices, and the reasons for and mechanisms of concealment, are often unclear. In this article, we draw on an ethnography of priority setting…
Research paper
Exploring the effects of COVID-19 on family planning: results from a qualitative study in rural Uganda following COVID-19 lockdown
The COVID-19 pandemic has likely affected the already high unmet need for family planning in low- and middle-income countries. This qualitative study used Andersen’s Behavioral Model of Health Service Use as a theoretical framework to explore the possible ways in…
Research paper
Mixed-methods findings from the Ngutulu Kagwero (agents of change) participatory comic pilot study on post-rape clinical care and sexual violence prevention with refugee youth in a humanitarian setting in Uganda
There is a dearth of evidence-based post-rape clinical care interventions tailored for refugee adolescents and youth in low-income humanitarian settings. Comics, a low-cost, low-literacy and youth-friendly method, integrate visual images with text to spark emotion and share health-promoting information.
Research paper
Why local concepts matter: Using cultural expressions of distress to explore the construct validity of research instruments to measure mental health problems among Congolese women in Nyarugusu refugee camp
This mixed-methods study presents an innovative additional method for assessing the local “cultural fit” of globally used tools for measuring mental health in cross-cultural research.
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
Psychosocial health in adolescent unmarried motherhood in rural Uganda: Implications for community-based collaborative mental health education, and empowerment strategies in the prevention of depression and suicide
Using co-produced Open Space and ethnographic methods, we examined the psychosocial impact of unmarried motherhood on girls and their communities, and explored problem-solving with key local stakeholders. Findings indicate that girls experience extreme stress, social exclusion and rejection by their…
Research paper
Sensing Sleeping Sickness: Local Symptom-Making in South Sudan
Programs for neglected tropical diseases (NTDs) such as sleeping sickness increasingly involve patients and community workers in syndromic case detection with little exploration of patient understandings of symptoms. Drawing on concepts from sensorial anthropology, I investigate peoples’ experiences of sleeping…
