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Background report
Strategic Review of DFID support to the Health and Population Sector in Pakistan and Recommendations for Future Support
The objective of this strategic review is to produce evidence-based options and recommendations for DFID’s strategy for engagement in Pakistan’s health and population sector over the next 3-5 years.The report suggests approaches that will work with- rather than just through–…
Background report
Governing Epidemics in an Age of Complexity: Narratives, Politics and Pathways to Sustainability
This paper elaborates a ‘pathways approach’ to addressing the governance challenges posed by the dynamics of complex, coupled, multi-scale systems, while incorporating explicit concern for equity, social justice and the wellbeing of poor and marginalised groups. It illustrates the approach…
Background report
Infection Control During Filoviral Hemorrhagic Fever Outbreaks: Preferences of Community Members and Health Workers in Masindi, Uganda
Interviews were conducted with health workers and community members in Masindi, Uganda on improving the acceptability of infection control measures used during an Ebola outbreak. Measures that promote cultural sensitivity and transparency of control activities were preferred and should be…
Does Mass Drug Administration for the Integrated Treatment of Neglected Tropical Diseases really work? Assessing Evidence for the Control of Schistosomiasis and Soil-Transmitted Helminths in Uganda
Less is known about mass drug administration [MDA] for neglected tropical diseases [NTDs] than is suggested by those so vigorously promoting expansion of the approach. This paper fills an important gap: it draws upon local level research to examine the…
Research paper
Silencing Distressed Children in the Context of War in Northern Uganda: An Analysis of its Dynamics and its Health Consequences
Children in northern Uganda who are the focus of this article were born and raised in the context of war. The research presented here is based on a one-year ethnographic study (2004–2005) with children aged 9–16 years.
Research paper
Health Sector Recovery in Early Post-Conflict Environments: Experience from Southern Sudan
Health sector recovery in post-conflict settings presents an opportunity for reform: analysis of policy processes can provide useful lessons. The case of southern Sudan is assessed through interviews, literature review, and by drawing on experiences of former technical advisers to…
Research paper
Dispersal, division and diversification: durable solutions and Sudanese refugees in Uganda
Questions over durable solutions in the social, political and security terrain of southern Sudan and northern Uganda invite recognition that simple delineations between “home” and “exile” are inadequate to understanding displacement and refugee status. Contrary to existing policies assuming an…
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…
Corruption, NGOs, and development in Nigeria
This article examines corruption in Nigeria’s development sector, particularly in the vastly growing arena of local non-governmental organisations (NGOs). Grounded in ethnographic case studies, the analysis explores why local NGOs in Nigeria have proliferated so widely, what they do in…
Courting success in HIV/AIDS prevention: the challenges of addressing a concentrated epidemic in Senegal
This article presents findings from a study of HIV/AIDS programmes for urban sex workers in Dakar, Senegal. The objective of the research was to assess HIV prevention and treatment efforts to date, and to identify challenges that must be overcome…
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).
Evidence review
Non-State Providers of Health Services in Fragile and Conflict-Affected States
There appears to be very little literature on the effectiveness of non-state providers (NSPs) of health services in fragile states. There is some useful case study material, particularly from Afghanistan and Cambodia although this tends to focus on the effectiveness…
