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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…
Communicative Health Promotion for Refugee Children in Uganda
Uganda’s refugee policy framework seeks to cover health care needs of refugees within a dynamic social context. Focusing on the ecosystem of urban refugees, the authors examine refugee health care expectations, support networks, and how health communication traditions and perspectives…
Research paper
A qualitative study of the development and utilization of health facility-based immunization microplans in Uganda
In 2006, Uganda adopted the Reaching Every District strategy with the goal of attaining at least 80% coverage for routine immunizations in every district. The development and utilization of health facility/district immunization microplans is the key to the strategy. A…
Background report
Aid Seen from the Bottom: Community realities and representations of aid in Eastern DRC
This report investigates community perceptions of the actions carried out by NGOs working to address intersecting crises in Eastern DRC, in Kalehe and Uvira (Ruzizi Plain) territories. These two areas are characterized by a significant presence of humanitarian, development and…
Research paper
Identifying transferable lessons from cholera epidemic responses by Médecins Sans Frontières in Mozambique, Malawi and the Democratic Republic of Congo, 2015–2018: a scoping review
Cholera epidemics occur frequently in low-income countries affected by concurrent humanitarian crises. Evaluations of these epidemic responses remains largely unpublished and there is a need to generate evidence on response efforts to inform future programmes. This review of MSF cholera…
Research paper
‘The response is like a big ship’: community feedback as a case study of evidence uptake and use in the 2018–2020 Ebola epidemic in the Democratic Republic of the Congo
The 2018–2020 Ebola outbreak in the Democratic Republic of the Congo (DRC) took place in the highly complex protracted crisis regions of North Kivu and Ituri. The Red Cross developed a community feedback (CF) data collection process through the work…
Research paper
Contesting the crisis narrative: epidemic accounts in Sierra Leone, Tanzania, and Democratic Republic of the Congo
Scientists and global commentators watched African countries closely in the early months of the COVID-19 pandemic, predicting an impending disaster: the virus was projected to overwhelm already weak health systems. These expectations were informed by imaginaries of Africa as an…
Book chapter
Going home: Land, return and reintegration in Southern Sudan and the Three Areas
The end of the war between the Government of Sudan and the Sudan People’s Liberation Army/Movement in 2005 has generated the return of an estimated 2.4 million IDPs and refugees to Southern Sudan and the three transitional areas (Abyei, Southern…
Book chapter
Why humanitarian organizations need to tackle land issues
Humanitarian organizations need to consider land issues for three sets of reasons. First, land crises are central to why humanitarian crises happen, and why they take the form that they do. Second, humanitarian responses, both during the height of crisis…
Research paper
“If he could speak, he would be able to point out who does those things to him”: Experiences of violence and access to child protection among children with disabilities in Uganda and Malawi
While child protection mechanisms to prevent and respond to violence are slowly operationalised in low- and- middle-income countries, little is known about whether existing mechanisms are disability-inclusive. The aim of this study, which took place in Malawi and Kamuli district…
Research paper
“Eat and you will be eaten”: a qualitative study exploring costs and benefits of age-disparate sexual relationships in Tanzania and Uganda: implications for girls’ sexual and reproductive health interventions
Age-disparate sex is associated with increased HIV risk among adolescent girls and young women (AGYW) in sub-Saharan Africa. However, little has been done to understand the dynamics of such relationships from the perspectives of either AGYW or older men, and…
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
Sexual health of adolescent girls and young women in Central Uganda: exploring perceived coercive aspects of transactional sex
Adolescent girls and young women (AGYW) in Uganda are at risk of early sexual debut, unwanted pregnancy, violence, and disproportionally high HIV infection rates, driven in part by transactional sex. This paper examines the extent to which AGYW’s participation in…
Research paper
Community perspectives on the extent to which transactional sex is viewed as sexual exploitation in Central Uganda
Sexual exploitation violates children’s rights and exposes them to harm, but there exist differences in views of behaviour that is considered sexually exploitative, including transactional sex. This paper explores community perspectives on transactional sex and exploitation in two communities in…
Research paper
“We saw that jealousy can also bring violence”: A qualitative exploration of the intersections between jealousy, infidelity and intimate partner violence in Rwanda and Uganda
Efforts to prevent intimate partner violence (IPV) have been informed by emerging research on common triggers of IPV and the importance of engaging with couple dynamics. This paper reports on secondary data analysis from the qualitative evaluations of the SASA!…
Research paper
A qualitative study exploring parent–daughter approaches for communicating about sex and transactional sex in Central Uganda: Implications for comprehensive sexuality education interventions
Ugandan adolescent girls and young women are disproportionately impacted by human immunodeficiency virus, and this is largely driven by their engagement in transactional sex. Globally, parent–daughter communication about sex is associated with increased contraceptive use and delayed/decreased sexual activity, but…
Research paper
Violence, abuse and exploitation among trafficked women and girls: a mixed-methods study in Nigeria and Uganda
Africa is the global region where modern-slavery is most prevalent, especially among women and girls. Despite the severe health consequences of human trafficking, evidence on the risks and experiences of trafficked adolescents and young women is scarce for the region.…
Briefing
Cross-Border Dynamics and Healthcare in West Nile, Uganda
Against the backdrop of on-going preparedness work in Uganda as related to the outbreak of Ebola in DRC, this brief summarises key considerations concerning cross-border dynamics and health structures and behaviours in the West Nile sub-region of north-west Uganda. It…
Research paper
Borders areas should be used, not feared, in pandemic responses
This article in African Arguments explores how Uganda’s pandemic experience shows how communities near borders come up with effective strategies for disease control, while resisting disruptive state ones.
Research paper
The Violence of Peace: Ethnojustice in Northern Uganda
Traditional justice, or what this article refers to as ‘ethnojustice’, claims to promote social reconstruction, peace and justice after episodes of war by rebuilding traditional order. Ethnojustice has become an increasingly prominent mode of transitional justice in northern Uganda. As…
Research paper
The Ebola outbreak in the Democratic Republic of the Congo: why there is no ‘silver bullet’
Following the outbreak of Ebola in the Democratic Republic of the Congo (DRC) which started in August 2018, there were a number of extraordinary firsts and successes. But why, despite these, was the outbreak still ongoing after 20 months? This…
Background report
Crise foncière et réponses des acteurs en République Démocratique du Congo fr
À l’Est de la République démocratique du Congo, le foncier est un réceptacle de violence, participant structurellement à la fragilité de la cohésion sociale. Bien que l’État congolais, les acteurs non étatiques et les bailleurs de fonds se soient engagés…
Background report
Aid Seen from the Bottom: Community realities and representations of aid in Eastern DRC
Africa’s Great Lakes region has been plagued by deadly armed conflicts for almost three decades, resulting in internal and international displacement. Marked by issues of governance, natural resource management, land grab- bing, and food insecurity, Eastern DRC is at the…
Briefing
From Biolegitimacy to Antihumanitarianism: Understanding People’s Resistance to Ebola Responses in the Democratic Republic of the Congo
Despite the devastating impact of the Ebola pandemic which emerged in eastern DRC’s North Kivu in 2018, local populations seemed skeptical about its existence. This led to significant local resistance to the medical response, including armed attacks and violence, which…
A summons to the magistrates’ courts in South Africa and Uganda
The expansive literature on law and justice across Africa emphasizes why people do not use lower state courts. Consequently, a striking lack of attention is paid to how and why people do engage with lower state courts. Drawing on a…
Research paper
Transitional Justice and Political Economies of Survival in Post-conflict Northern Uganda
This article explores the interplay between transitional justice and ‘everyday’ political economies of survival in post-conflict Acholiland, northern Uganda. It advances two main arguments. First, that transitional justice — as part and parcel of conventional liberal peacebuilding packages — promotes…
Research paper
“Maybe we should take the legal ways”: Citizen engagement with lower state courts in post-war northern Uganda
Lower state courts are the focus of both international and national access to justice policies and programs but remain understudied in Uganda. Drawing on 3 years of ethnographically informed research on citizen engagement with a busy magistrates’ court in post-war northern…
Research paper
‘Somehow This Whole Process Became so Artificial’: Exploring the Transitional Justice Implementation Gap in Uganda
This article explores a key challenge in contemporary international efforts to promote transitional justice (TJ) in nontransitioning, conflict-affected states: the ‘implementation gap,’ in which policies are designed and funded but neither enacted nor implemented. Findings based on long-term qualitative fieldwork…
Research paper
The Trial of Thomas Kwoyelo: Opportunity or Spectre? Reflections from the Ground on the First LRA Prosecution
The article considers the trial of Thomas Kwoyelo: the first war crimes prosecution of a former LRA fighter, and only domestic war crimes prosecution in Uganda at time of writing. It considers what Kwoyelo’s trial meant for those most affected…
Research paper
COVID-19 information dissemination in Uganda: Perspectives from sub-national health workers
In this study, an electronic survey was implemented to provide insights about the dissemination and utilisation of information and evidence related to the coronavirus (COVID-19) pandemic by health workers engaged at sub-national levels of the Ugandan health system. The use…
Research paper
Covid-19 Riskscapes: Viral Risk Perceptions in the African Great Lakes
In this article we explore Covid-19 riskscapes across the African Great Lakes region. Drawing on fieldwork across Uganda and Malawi, our analysis centers around how two mobile, trans-border figures – truck drivers and migrant traders – came to be understood…
Working paper
Figurations of displacement in the DRC: empirical findings and reflections on protracted displacement and translocal connections of Congolese IDPs
This working paper is based on empirical research on translocal figurations of displacement in the DRC, and reports findings from eastern DRC, where many internally displaced persons (IDPs) seek refuge in host communities. It explores the central question: “How are…
