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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…
Background report
Do Local Agreements Forge Peace? The Case of Eastern DRC
The end of the 1998-2003 Congolese war was symbolised by the signing of the ‘All-Inclusive Agreement’ in December 2002. However, due to the continued proliferation of national and foreign armed groups and unaddressed community grievances, this agreement did not bring…
Background report
« Ils sont rentrés chez eux »: the political dimensions of displacement and ‘spontaneous return’ in Faradje, northeast DRC
This paper aims to contribute to the emerging debate on the political dimensions of return by focusing on the sudden ‘spontaneous’ return of 11,6001 Congolese refugees who were forced back from exile in South Sudan to their home areas in…
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
Une perspective de paix pour le Soudan en 2002 ? fr
This article analyses the extent to which the international situation immediately following September 11, 2001 created the basis for an end to the civil war in Sudan. The author argues that the situation is handicapped by certain weaknesses: the internal…
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
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…
Research paper
Foreign Aid In Post-Conflict Countries: The Case Of South Sudan
This paper examines the approach to foreign aid being used in South Sudan, and reflects new thinking in providing assistance to post-conflict countries.
Research paper
More than mere survival: violence, humanitarian governance, and practical material politics in a Kenyan refugee camp
This paper frames the political import of refugees’ material practices in Kakuma Refugee Camp through critical reflection on Eyal Weizman’s notion of the humanitarian present. To begin, I explore how the production of the refugee camp as a space of…
Research paper
Barriers to Institutional Childbirth in Rumbek North County, South Sudan: A Qualitative Study
South Sudan has one of the world’s poorest health indicators due to a fragile health system and a combination of socio-cultural, economic and political factors. This paper reports on a study conducted to identify barriers to utilisation of institutional childbirth…
Research paper
“We need good nutrition but we have no money to buy food”: sociocultural context, care experiences, and newborn health in two UNHCR-supported camps in South Sudan
Determinants of newborn health and survival exist across the reproductive life cycle, with many sociocultural and contextual factors influencing outcomes beyond the availability of, and access to, quality health services. To better understand key needs and opportunities to improve newborn…
Research paper
Social norms and family planning decisions in South Sudan
With a maternal mortality ratio of 789 per 100,000 live births, and a contraceptive prevalence rate of 4.7%, South Sudan has one of the worst reproductive health situations in the world. Understanding the social norms around sexuality and reproduction, across…
Research paper
Too afraid to go: fears of dignity violations as reasons for non-use of maternal health services in South Sudan
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
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.
Report
“Our Hearts Have Gone Dark”: The Mental Health Impact of South Sudan’s Conflict
This report by Amnesty International describes the serious and significant mental health impact of South Sudan’s conflict to highlight the urgency for more attention and resources to improve the availability, accessibility, and quality of mental health services in the country.…
Research paper
When kleptocracy becomes insolvent: Brute causes of the civil war in South Sudan
South Sudan obtained independence in July 2011 as a kleptocracy – a militarized, corrupt neo-patrimonial system of governance. By the time of independence, the South Sudanese “political marketplace” was so expensive that the country’s comparatively copious revenue was consumed by…
Research paper
Interrupting the balance: reconsidering the complexities of conflict in South Sudan
By the start of 2014, violent conflict had erupted across much of South Sudan following initial violence in Juba on 15 December 2013. The speed with which the fighting has spread raises questions regarding the impact of national-level politics on…
Research paper
When community reintegration is not the best option: interethnic violence and the trauma of parental loss in South Sudan
Challenging the received wisdom that community reintegration is always better than institutional provision, this case study argues that institutional care of orphans should not always be considered only as a last resort but may offer greater care and protection than…
Research paper
It takes a village to raise a militia: local politics, the Nuer White Army, and South Sudan’s civil wars
Why does South Sudan continue to experience endemic, low intensity conflicts punctuated by catastrophic civil wars? Reporters and analysts often mischaracterise conflicts in the young country of South Sudan as products of divisive ‘tribal’ or ‘ethnic’ rivalries and political competition…
Research paper
Invisible Labour: The Political Economy of Reintegration in South Sudan
This article considers the 2005–12 Disarmament, Demobilization and Reintegration (DDR) programme in South Sudan. Current DDR practice centres on ex-combatants’ reintegration through encouraging entrepreneurship and self-employment and thereby their willingness to take risks and responsibility. However, South Sudan’s DDR programme…
Research paper
How the politics of fear generated chaos in South Sudan
Soon after South Sudan achieved independence in 2011, its political landscape grew increasingly volatile. It became almost impossible for international and regional actors to address one crisis before another more serious one erupted. This article combines cultural, political, economic and…
Research paper
Gendered (in)security in South Sudan: masculinities and hybrid governance in Imatong state
Despite the end of civil war in 2005, many people in South Sudan continued to experience deep insecurity and forms of violent conflict. This sense of insecurity was exacerbated by the lack of state protection and perceived injustice in power…
Research paper
Dr Livingstone, I Presume? Evangelicals, Africa and Faith-Based Humanitarianism
Humanitarianism is a principal means through which Northern-based Christian groups intervene into sub-Saharan African states. However, current scholarship neglects the agentive roles played by religious actors in the delivery of mainstream aid. This secularises humanitarian governance, “others” religious actors and…
Research paper
Context Matters: The Conventional DDR Template is Challenged in South Sudan
The disarmament, demobilization and reintegration (DDR) programme as implemented in South Sudan provides a perfect entry point to study the interaction between an international intervention and local contexts. The article describes and analyses the DDR programme in South Sudan as…
