ORCID Profile
0000-0002-7883-1790
Current Organisations
Monash University
,
University of the Witwatersrand
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Research Topics
In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Top 5 Research Topics
ANZSRC Field of Research (FoR)
Social and Cultural Anthropology | Anthropology | Gender Specific Studies | Studies In Human Society Not Elsewhere Classified | Other Studies in Human Society | Anthropology Not Elsewhere Classified | Public Health and Health Services not elsewhere classified | Social and Cultural Geography | Culture, Gender, Sexuality | Crop and Pasture Production | Health and Community Services | Plant Biochemistry And Physiology | Plant Nutrition | Sociology and Social Studies of Science and Technology | Law, Justice And Law Enforcement Not Elsewhere Classified | Studies of Asian Society | Studies of Pacific Peoples' Societies | Cell Metabolism | Anthropology not elsewhere classified | Political Science | Comparative Government And Politics | Human Geography | Sociology | Family And Household Studies | Social And Cultural Anthropology
ANZSRC Socio-Economic Objective (SEO)
Health status (e.g. indicators of “well-being”) | Understanding other countries | Gender | Studies in human society | Health Related to Ageing | Women's Health | Cultural Understanding not elsewhere classified | Ability and disability | International aid | Grain legumes | Field crops | Understanding political systems | Expanding Knowledge through Studies of Human Society | Specific Population Health (excl. Indigenous Health) not elsewhere classified | Social Structure and Health | Land and water management | Health related to specific ethnic groups | Socio-Cultural Issues in Tourism | Migrant development and welfare | Disability and Functional Capacity | Health Inequalities |
Related Links
Publications
The Social and Cultural Context of the Mental Health of Filipinas in Queensland
Publisher: SAGE Publications
Date: 10-2002
DOI: 10.1046/J.1440-1614.2002.01071.X
Abstract: Objective: To describe the social and cultural context of risk surrounding the mental health of Filipino women living in Queensland, Australia and elicit the meaning and experience of mental health and illness for these women. Methods: One hundred and thirty-nine in-depth interviews and 7 focus group discussions (FGDs) were nested within the baseline survey of the Filipina cohort of the Australian Longitudinal Study on Women's Health. Seventy-four in-depth interviews and 8 FGDs were conducted at follow-up. A semi-structured interview guide that included sections on emotional health, social support and changes guided these. A subset of responses was fully transcribed and analysed for ethnographic content and themes. Results: ‘Mental’ problems are highly stigmatized, in comparison to ‘emotional’ problems that are believed to result largely from the absence of close family ties. The loss of these ties and the transition from a collectivist to in idualist society are key themes related to emotional distress in Filipinas. Conclusions: This understanding of meaning and context of mental health and its risk factors in migrants is important for informing public health and clinical practice and for the improvement of quantitative research instruments.
“A good spot”: Health promotion discourse, healthy cities and heterogeneity in contemporary Denmark
Publisher: Elsevier BV
Date: 06-2009
DOI: 10.1016/J.HEALTHPLACE.2008.10.001
Abstract: Health promotion at a community level has gained popularity in recent decades within and outside academic environments. The health promotion discourse is part of a wider political discourse, aimed at empowering in iduals to take control of their own lives and enabling them to be engaged, responsible and active citizens in their own communities. Key values of the discourse, deriving from a democratic and in idualistic culture, are evident in how local authorities develop and implement policies aimed at promoting population health and wellbeing. In this article, we draw on data from a relatively poor multicultural Danish community incorporated in the WHO Healthy Cities Programme. We explore how key terms of the health promoting discourse are constructed, operationalized and resisted by different subgroups. The contradictions that emerge challenge how we comprehend communities in relation to safety and harmony, and how people within defined communities are involved in common community life.
“It's my secret”: Barriers to paediatric HIV treatment in a poor rural South African setting
Publisher: Informa UK Limited
Date: 08-05-2013
THESEUS: A key space mission concept for Multi-Messenger Astrophysics
Publisher: Elsevier BV
Date: 08-2018
Managing type 2 diabetes in Soweto—The South African Chronic Disease Outreach Program experience
Publisher: Elsevier BV
Date: 08-2009
DOI: 10.1016/J.PCD.2009.06.007
Abstract: Diabetes (DM) and its resultant complications are a problem worldwide, and especially in developing countries like South Africa (SA). Risk factors associated with DM are potentially modifiable, but DM control is poor. Problems in SA include high prevalence of morbidity from DM and hypertension (HTN), lack of recognition of the importance of chronic kidney disease (CKD), late presentation to health care services, lack of education of health providers and patients, and poor quality of care in primary health care settings (PHC). In response, there has been growing advocacy for prevention strategies and improved support and education for primary health care nurses (PHCNs). A Chronic Disease Outreach Program (CDOP), based on the chronic care model was used to follow patients with DM and HTN, support PHCN, and improve health systems for management in Soweto. A group of 257 DM patients and 186 PHCN were followed over 2 years, with the study including the evaluation of 'functional' and clinical outcomes, diary recordings outlining program challenges, and a questionnaire assessing PHCNs' knowledge and education support, and the value of CDOP. CDOP was successful in supporting PHCNs, detecting patients with advanced disease, and ensuring early referral to a specialist center. It improved early detection and referral of high risk, poorly controlled patients and had an impact on PHCNs' knowledge. Its weaknesses include poor follow up due to poor existing health systems and the programs' inability to integrate into existing chronic disease services. The study also revealed an overworked, poorly supported, poorly educated and frustrated primary health care team.
Ethical Problems in Planning for and Responses to Pandemic Influenza in Ghana and Malawi
Publisher: Informa UK Limited
Date: 02-02-2018
'Normal, but...': living with type 2 diabetes in Bangkok, Thailand
Publisher: SAGE Publications
Date: 09-2008
Abstract: Objectives: To explore how people in Bangkok, Thailand make sense of the challenges associated with living with type 2 diabetes. Methods: Ethnographic research was conducted for a period of 18 months, and included participant observation, documentary analysis, and interviews with health providers, family members and 33 adults with type 2 diabetes. Interviews and analyses were iterative, with longitudinal data drawing attention to shifts in meaning in relation to identity construction and the relevance of this to disease management. Results: People drew on cultural notions of social harmony and bodily imperfection, and ideas of the nature of diabetes as 'invisible' while blood sugar levels were controlled, to reconstruct their identity once diagnosed with diabetes. By maintaining their status as 'normal, but...', people could minimize disruptions in their everyday lives and in relation to others, due to both practices of management and their social effects. Their use of a qualification to their health status ( but) explicitly acknowledged certain behavioural and dietary modifications that were necessary to manage their diabetes, but also emphasized their role in self-management. Discussion: The diabetes qualification ('normal, but...') acted as a bridge between health and illness, enabling people to separate their physical health status, perceived as being particularly flawed by having diabetes, from their 'normal' social self. The sustained idea of the normality of the embodied and socially embedded self implied that the disease was under control, ensuring its minimal intrusion into social relationships and practical living.
Changes in mood after screening for antenatal anxiety and depression
Publisher: Informa UK Limited
Date: 30-03-2018
DOI: 10.1080/02646838.2018.1453601
Abstract: Screening programmes with referral are a valuable strategy for mitigating consequences of perinatal depression on mothers and their families. The effectiveness of these screening programmes needs to be measured. One potential problem in assessing outcomes is measurement reactivity where the actual measure results in changes in the people being measured. The aim of this article is to explain the mechanisms and circumstances by which measurement reactivity occurred in a s le of antenatal women who participated in a screening interview. Fifty-five women who participated in an antenatal screening interview in their second trimester were re-interviewed in their third trimester. These qualitative interviews were conducted between September 2015 and April 2016. The qualitative data suggested that measurement reactivity occurred through mechanisms such as the disclosure, gaining self-knowledge, validation of experiences, and personal agency which resulted in them seeking out support from others. Although the screening interview appeared to improve women's outcomes, this may have occurred through measurement reactivity. This needs to be considered when designing studies that aim to assess the effectiveness of screening with intervention for antenatal depression.
Costs and drivers of complementary and alternative medicine (CAM) use in people with type 2 diabetes or cardiovascular disease
Publisher: Elsevier BV
Date: 02-2013
Serious decisions: chronic conditions and choice of provider
Publisher: SAGE Publications
Date: 11-10-2013
Abstract: People with chronic health conditions combine conventional medical care with different complementary and alternative medicine (CAM) therapies for varying reasons. The data on which we drew to elucidate this derive from a large mixed-methods study utilizing participant observation, in-depth interviews with 69 people with type 2 diabetes mellitus and/or cardiovascular disease (CVD), and interviews with 20 health care providers. Although integrative practices are increasingly common, people make clear choices about and trade-offs between conventional medical care and CAM, often using CAM and prescribed pharmaceuticals in tandem for different conditions and distinct purposes and outcomes. As we illustrate, some people perceived type 2 diabetes and CVD as “too serious” for CAM treatment, but concurrently, many turned to CAM providers in appreciation of the serious attention these providers paid to their health-related concerns.
A 'medical' diagnosis in the trauma clinic
Publisher: BMJ
Date: 24-05-2013
Room for improvement: complementary therapy users and the Australian health system
Publisher: Wiley
Date: 28-08-2015
DOI: 10.1111/HEX.12125
Disability and Health
Publisher: Springer Netherlands
Date: 2014
Impact, distress and HRQoL among Malaysian men and women with a mobility impairment
Publisher: Springer Science and Business Media LLC
Date: 12-2006
Abstract: Although non-communicable and chronic disease now accounts for 47% of the global burden of disease, little is known of the everyday experiences and social aspects of disability and disablement in middle and low income countries. This article aims to address this gap by exploring the subjective experience of mobility impairment in Malaysia. Specifically, it examines health-related quality of life and the impact and distress related to impaired mobility, and investigates any gender differences in relation to the experience of disability. The data were collected as part of an interdisciplinary, multi-country study known as RESILIENCE (Research into Social Inclusion, Locomotive Impairment and Empowerment through Networking, Collaboration and Education). Cluster s ling was used to administer the EQ-5D and the Perceived Impact of Problems Profile (PIPP) to 210 adults from Selangor state, west coast Peninsular Malaysia. The participants consisted of 94 males and 116 females, aged between 18–90 years (mean 60 years), with the majority being Malay. The majority of participants were also married, from rural areas and had primary education only. Very few participants lived alone. In addition, males were more likely to attribute their impaired mobility to an accident. The majority of participants with mobility impairment experienced a moderate to high level of pain/discomfort (79%) and anxiety/depression (72%), and at least some problems with performing usual activities (71%), as measured by the EQ-5D. In addition, using the Perceived Impact of Problems Profile (PIPP), participants also reported high levels of impact and distress related to participation in community life. In general, males reported higher impact and distress across several items, most significantly in regard to participation in community activities, moving around the neighbourhood, ability to live independently, and ability to assist their family members. This paper provides preliminary data regarding the health-related quality of life among Malaysians with impaired mobility, and highlights the multifaceted impact of disability and the importance of acknowledging the erse cultural contexts in which disability can occur. It also raises questions regarding gender differences in the subjective experience of disability in Malaysia.
Family caregiving of individuals with traumatic brain injury in Botswana
Publisher: Informa UK Limited
Date: 13-03-2016
DOI: 10.3109/09638288.2016.1152605
Abstract: Background The impairments that affect survivors of TBI impact the person's independence, and family members frequently have to take on a caregiver role. This study examined the experience of caregiving for in iduals with TBI in Botswana and its impact on psychological distress in caregivers. Methods Using a mixed methods study design, qualitative data from semi-structured interviews were thematically analyzed and triangulated with data regarding functional status from the Structured Head Injury Outcome Questionnaire and the Hospital Anxiety and Depression Scale (HADS). Results The study included 26 participants with moderate to severe TBI, and a total of 18 caregivers were recruited. Caregivers commonly reported receiving limited information regarding their relatives' injuries and management methods. Heavy caregiving demands were placed on them, with little support from the healthcare system. A significant proportion of caregivers experienced anxiety and depression, which was associated with lower functional independence in their injured relative. Somewhat more spouses than parents reported clinically significant anxiety levels. Other consequences of caregiving included social isolation and limited support from the wider community as well as financial difficulties. Despite these stresses caregivers tended to accept their caregiving role. Cultural factors such devotion to their families and faith and belief in God moderated burden and distress. Conclusions Carers of in iduals with TBI in Botswana face significant challenges. Rehabilitation efforts need to take these into account. Specifically, more information and support needs to be provided to survivors and their families. Psychological, economic and health needs of the care providers also should be addressed in the planning of rehabilitation interventions. Implications for Rehabilitation Caregivers of in iduals with TBI in under-resourced countries carry much of the burden of care, face many challenges and experience significant stress. More information and support needs to be provided to survivors of TBI and their families in countries such as Botswana in a culturally sensitive manner. Psychological, economic and health needs also need to be addressed in the planning of rehabilitation interventions, which are currently non-existent in Botswana.
Control and adherence: Living with diabetes in Bangkok, Thailand
Publisher: Elsevier BV
Date: 09-2006
DOI: 10.1016/J.SOCSCIMED.2006.03.006
Abstract: Diabetes is managed via a regimen of control. Physicians advise adults living with type 2 diabetes to control blood sugar levels by controlling diet, maintaining regular exercise, and complying with medication. The extent to which in iduals are able to adhere to such recommendations varies. In this article, we explore lay perceptions of diabetes and its control, drawing on data from an ethnographic study conducted in Bangkok, Thailand. Between August 2001 and February 2003 the first author spent time with twelve man and women living with type 2 diabetes, their spouses, children and health providers. An additional 21 people were interviewed to extend the data and test for generalisibility. It was found that in idual explanations of control, and adherence or resistance to medical advice, are interpreted and adapted in ways consistent with Buddhist philosophy and Thai norms that govern everyday life. Notions of moderation and cultural values of being and behaving, and ideals of interaction, provide a philosophical basis and practical guidelines for control.
HEALTH ISSUES AMONG FILIPINO WOMEN IN REMOTE QUEENSLAND
Publisher: Wiley
Date: 08-2001
DOI: 10.1046/J.1038-5282.2001.00342.X
Abstract: This paper discusses health issues among Filipinas (women born in the Philippines) living in remote and rural environments in Queensland. The s le was recruited as part of the University of Queensland component of the Australian Longitudinal Study of Women's Health (ALSWH). Most of the women lived in an urban or semi-urban area (391), whereas 90 lived in rural or remote areas. Community perceptions had a much greater impact on health service utilisation in rural and remote areas than in urban areas. The transition between newcomer and old-timer is more difficult for Filipinas than for other rural women because they are visibly different from other members of the community and suffer from stigmatisation associated with perceptions of Filipinas as mail order brides. For these women, concerns about confidentiality and a reluctance to ask for support are major barriers to health service utilisation. The area of greatest concern is mental health, particularly in relation to parenting issues. Improving access may involve providing a greater awareness of what services are available and allowing women to access services in a way that does not require them to label themselves or be labelled by others.
Cultural beliefs about TBI in Botswana
Publisher: Informa UK Limited
Date: 23-09-2015
DOI: 10.1080/09602011.2015.1053946
Abstract: Cultural differences have been shown to have an influence on outcome following traumatic brain injury (TBI). This study examined illness representations and the nature of beliefs about TBI in Botswana, a small middle income country in southern Africa. Participants included 26 people who had sustained moderate to severe TBI, 18 caregivers (all significant others) and 27 healthcare workers. A mixed-methods approach was utilised. Illness representations were assessed using the revised Illness Perception Questionnaire (IPQ-R), and beliefs and perceptions about cause of injury were established through semi-structured qualitative interviews. Results indicated that participants considered TBI to be chronic in nature and accompanied by serious consequences. Participants held positive attitudes about the manageability of symptoms despite having little understanding about TBI and its consequences. People with TBI tended to report fewer symptoms than did their caregivers. In addition, although some participants held concrete beliefs about the causes of injury, many participants attributed the injury to supernatural causes. Religious interpretations were also commonly held. Although age appeared to be associated with beliefs, no significant relationships existed between demographic factors and beliefs about the injury. This study highlights the importance of understanding the cultural perspectives of patients and their families in order to provide effective care.
Neglected Diseases of Poverty
Publisher: Informa UK Limited
Date: 07-2012
THE LYMAN-CONTINUUM PHOTON PRODUCTION EFFICIENCYξIONOFz∼ 4–5 GALAXIES FROM IRAC-BASED HαMEASUREMENTS: IMPLICATIONS FOR THE ESCAPE FRACTION AND COSMIC REIONIZATION
Publisher: American Astronomical Society
Date: 04-11-2016
Probing Zinc–Protein–Chelant Interactions Using Gold Nanoparticles Functionalized with Zinc‐Responsive Polypeptides
Publisher: Wiley
Date: 17-07-2014
Reproductive materialism and justice for women with abortion care needs in Uganda
Publisher: Informa UK Limited
Date: 12-10-2022
DOI: 10.1080/17441692.2022.2129722
Abstract: 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 and healthcare practice in eastern Uganda to illuminate these injustices and the mechanisms of concealement. We focus on discursive practices as the mechanisms through which power is activated and navigated, such that health practitioners are able to evade state surveillance and retribution. While language discourses conceal and normalise reproductive health injustices, discursive practices of care and priority setting enable reproductive controls to be navigated in ways that lify these injustices and create new ones. In interventions, precarious conditions that impact women's reproductive health and living circumstances are often overlooked or concealed. We illustrate the convergence of biopower and necropolitical strategies to illuminate these conditions. Using the concept of reproductive materialism, we show how neoliberalism cultivates particular conditions of everyday life, in which populations are positioned as instruments for pecuniary motives, and normative controls are used to further financial gain.
Mental Health Needs Assessment in Australia’s Culturally Diverse Society
Publisher: SAGE Publications
Date: 09-2001
DOI: 10.1177/136346150103800304
Abstract: Despite widespread political support for recognizing and addressing the special mental health needs of culturally and linguistically distinct communities, relatively little has been documented about the specific needs of these groups. State government units, community organizations and services tasked with implementing broad policies have very little information on which to formulate strategies. A review of the literature on needs reveals a tension between the ‘top-down’ definitions of what has been termed ‘thin’ needs – such as evidence of higher rates of mental health problems or lower rates of utilization, and ‘thick’ needs as felt by consumers and carers as they face specific problems. Both perspectives are necessary to develop effective and acceptable transcultural mental health strategies. The remainder of this article describes the framework and application of a methodology for community organisations and services to assess needs from erse perspectives.
Optimising the detectability of H5N1 and H5N6 highly pathogenic avian influenza viruses in Vietnamese live-bird markets
Publisher: Springer Science and Business Media LLC
Date: 31-01-2019
DOI: 10.1038/S41598-018-37616-1
Abstract: Live bird markets (LBMs) are major targets for avian influenza virus (AIV) surveillance programmes. While s ling the LBM environment has become a widely used alternative to the labour-intensive s ling of live poultry, the design of surveillance programmes and the interpretation of their results are compromised by the lack of knowledge about the effectiveness of these s ling strategies. We used latent class models and a unique empirical dataset collated in Vietnamese LBMs to estimate the sensitivity and specificity of five different s le types for detecting AIVs subtypes H5N1 and H5N6: oropharyngeal duck s les, solid and liquid wastes, poultry drinking water and faeces. Results suggest that the sensitivity of environmental s les for detecting H5N1 viruses is equivalent to that of oropharyngeal duck s les however, taking oropharyngeal duck s les was estimated to be more effective in detecting H5N6 viruses than taking any of the four environmental s les. This study also stressed that the specificity of the current surveillance strategy in LBMs was not optimal leading to some false positive LBMs. Using simulations, we identified 42 s ling strategies more parsimonious than the current strategy and expected to be highly sensitive for both viruses at the LBM level. All of these strategies involved the collection of both environmental and oropharyngeal duck s les.
Understanding antibiotic use: practices, structures and networks
Publisher: Oxford University Press (OUP)
Date: 30-09-2021
Abstract: In this article, we consider how social sciences can help us to understand the rising use of antibiotics globally. Drawing on ethnography as a way to research how we are in the world, we explore scholarship that situates antibiotic use in relation to interactions of pathogens, humans, animals and the environment in the context of globalization, changes in agriculture and urbanization. We group this research into three areas: practices, structures and networks. Much of the public health and related social research concerning antimicrobial resistance has focused on antibiotic use as a practice, with research characterizing how antibiotics are used by patients, farmers, fishermen, drug sellers, clinicians and others. Researchers have also positioned antibiotic use as emergent of political-economic structures, shedding light on how working and living conditions, quality of care, hygiene and sanitation foster reliance on antibiotics. A growing body of research sees antibiotics as embedded in networks that, in addition to social and institutional networks, comprise physical, technical and historical connections such as guidelines, supply chains and reporting systems. Taken together, this research emphasizes the multiple ways that antibiotics have become built into daily life. Wider issues, which may be invisible without explication through ethnographic approaches, need to be considered when addressing antibiotic use. Adopting the complementary vantage points of practices, networks and structures can support the ersification of our responses to AMR.
Community and School-Based Health Education for Dengue Control in Rural Cambodia: A Process Evaluation
Publisher: Public Library of Science (PLoS)
Date: 05-12-2007
Circuit Breaking: Pathways of Treatment Seeking for Women With Endometriosis in Australia
Publisher: SAGE Publications
Date: 04-2008
Abstract: Pain resulting from endometriosis is experienced as both a chronic, ongoing condition and an acute episode at time of menstruation, often occurring in association with diarrhea, vomiting, nausea, heavy bleeding, and other reactions. Women expect pain with menstruation, however, and even if they experience major disruptions as a result, they find it difficult to distinguish normal from pathological discomfort. Drawing on qualitative research conducted from 2004 to 2006, we describe the “circuit breakers” that lead Australian women to seek medical advice. These include outside intercession, major disruptions to everyday life, changes in embodied experience, and difficulties in conception and pregnancy. Women's ideas of menstrual pain as “normal” are shared by doctors, resulting in further delays before a definitive diagnosis of endometriosis is made. During this time, women move between doctors and in and out of medical care, which they described through particular narrative styles to highlight the complexity of help seeking. We explore the ways in which ideas of gender, informed by women's embodiment but also the quality of their reporting of symptoms, influence their interactions with health professionals.
Exploring doctor-patient communication in immigrant Australians with type 2 diabetes: A qualitative study
Publisher: Springer Science and Business Media LLC
Date: 10-02-2007
Making the Invisible Visible: Disability Inclusive Development in Solomon Islands
Publisher: Informa UK Limited
Date: 05-02-2016
Complementary therapy use among Australians with type 2 diabetes or cardiovascular disease
Publisher: Mary Ann Liebert Inc
Date: 02-2013
Discipline in Chaos: Foucault, Dementia and Aging in India
Publisher: Springer Science and Business Media LLC
Date: 05-09-2008
DOI: 10.1007/S11013-008-9111-5
Abstract: In India, care work for people in late-stage dementia is primarily conducted in the home. Using source material from urban India and drawing on Foucauldian theory, we illustrate the significance of three power/knowledge scripts in this context: social and cultural notions of acceptable, public bodies medicalized forms of care and the cultural contexts of the in idual caregivers. The caregiver is the embodiment of these discourses and is charged with the task of mapping discipline onto inherently undisciplinable bodies. A tension exists between the caregiver's struggle to contain the unruliness of the person with dementia and, simultaneously, to act as a broker between the world of the care-recipient and the social world. We conclude that although the caregiver is the starting point for the exercise of discipline, the three power/knowledge scripts that inform care work are as much about surveying, routinizing and mobilizing caregivers' bodies as they are about disciplining the bodies of people with dementia.
Complementary medicine use by Australian women with gynaecological cancer
Publisher: Wiley
Date: 2006
DOI: 10.1002/PON.936
Abstract: Social and cultural factors are identified that impact on complementary therapy use among Australia-born and immigrant women diagnosed with gynaecological cancer. A qualitative study design including in-depth interviews with women diagnosed with gynaecological cancer (N=53) and participant observation was conducted. Approximately one-third of women utilized complementary and alternative medicine, with this being determined by current health concerns and health beliefs related to the efficacy of different modalities. Four types of complementary therapy users emerged: consequential, therapeutic, informed and exploratory. There was a relatively low uptake of complementary treatments. Choice was influenced by women's socio-demographic background, clinical and personal history, lack of personal experiences of gynaecological cancer among study participants' kin and friends, and lack of popular alternative literature on such cancer.
The impact of educational videotapes on water contact behaviour of primary school students in the Dongting Lakes region, China
Publisher: Wiley
Date: 08-2000
DOI: 10.1046/J.1365-3156.2000.00602.X
Abstract: Multimedia has become increasingly important in educational programmes in schools in all societies, and has potential value for health education. We developed a video and a comic book on the transmission and prevention of schistosomiasis for use in primary schools in endemic areas of China. The material was designed to increase children's knowledge of schistosomiasis as an environmental disease and to encourage them to reduce their contact with unsafe water sources. To test the effectiveness of the video and booklet, a quasi-experimental study was conducted among 1,739 children in 50 primary schools in the Dongting Lake region. A self-administered questionnaire pre- and post-intervention showed a significant increase in knowledge about schistosomiasis in the intervention schools. Significantly, this change was associated with a decrease in contact with unsafe water sources, as established from water contact observations. This behavioural change suggests the value of short, targeted educational interventions to decrease risk of infection.
Talking about sex in pregnancy: reflections from the field in urban South Africa
Publisher: Informa UK Limited
Date: 30-01-2018
DOI: 10.1080/13691058.2017.1420233
Abstract: Qualitative research with close engagement in the field allows researchers and participants to build relationships and establish trust, enabling researchers to collect meaningful and sensitive information. Drawing on findings from a study conducted in an urban setting in South Africa, we discuss the challenges faced when interviewing pregnant women with HIV infection, retaining them in the study, and extending the study to include their partners. We discuss the dynamics of pregnancy and draw lessons from interviews concerned with personal, sensitive issues. The study on which we draw was conducted in Johannesburg, South Africa, and was nested in a larger prospective cohort study of women and their infants, which in turn was part of a case control study. Sensitive topics are difficult and complex, but to ignore these and stay in safe territory is to ignore some of the most pressing questions of our time. It is important that those who conduct interviews are well trained and able to engage empathetically with participants, and that some form of counselling is available for both participants and researchers.
Preparing for aging among older villagers in northeastern Thailand
Publisher: Wiley
Date: 11-07-2012
DOI: 10.1111/J.1442-2018.2012.00698.X
Abstract: In the present study, we examined how older people prepared themselves in older age, by drawing on data from a qualitative study conducted in an urban area in Khon Kaen province, Thailand. Data were collected using observations, natural interviews, and in-depth interviews with 35 older people, concurrently analyzed using thematic analysis. Preparation for aging, from their perspectives, consisted of attending to their physical health, spiritual well-being, and preparing for death. The degree and quality of aging preparation was influenced by life events, personal health status, and family economic status. People actively prepare themselves for aging, and this appears to help them as they encounter life difficulties during their old age. Lifelong preparation strategies need to be studied further, so that locally-appropriate strategies of health care can be implemented for older people.
Treatment seeking for malaria in Morong, Bataan, The Philippines
Publisher: Elsevier BV
Date: 05-2000
DOI: 10.1016/S0277-9536(99)00379-2
Abstract: Early diagnosis and treatment for malaria has a significant impact on the severity of the disease and contributes to the interruption of its transmission. Fourteen high-risk families and nine locality-matched families, with no recent history of malaria, participated in an ethnographic study which aimed to document malaria episodes and to examine treatment paths for fevers locally termed malaria and perceived to be malaria. The study, conducted in Morong, Bataan, a low malaria endemic area in the Philippines, used a combination of qualitative and quantitative methods over a period of 12 months. Six treatment categories were identified self-treatment with Western medicines and clinic consultations had almost equal frequencies. Twenty-six treatment paths were recognised which consisted of the six categories singly or in combination. More than 80% of the undiagnosed malarya illnesses were treated with antimalarials of inappropriate dosages. More adult men than women self-treated, but there was no significant difference by gender in terms of clinic consultation for illness. The majority of clinic consultations were made for young children. The implications for control are discussed.
On Secrecy, Disclosure, the Public, and the Private in Anthropology
Publisher: University of Chicago Press
Date: 12-2015
DOI: 10.1086/683302
The health of immigrant women: Queensland women from the former Yugoslavia
Publisher: Springer Science and Business Media LLC
Date: 2002
Building capacity for public and population health research in Africa: the consortium for advanced research training in Africa (CARTA) model
Publisher: Informa UK Limited
Date: 12-11-2010
Demographic factors associated with alcohol use among young men in rural areas of Sarawak
Publisher: Informa UK Limited
Date: 22-10-2013
Brahma Kumaris: Purity and the Globalization of Faith
Publisher: Springer Netherlands
Date: 2012
Beliefs Beyond Borders and Communities of Faith
Publisher: Springer Netherlands
Date: 2012
The strength to cope: spirituality and faith in chronic disease
Publisher: Springer Science and Business Media LLC
Date: 16-11-2013
DOI: 10.1007/S10943-011-9554-9
Abstract: The lifelong management of a chronic condition requires considerable mental fortitude and commitment in social adjustment and adherence to medical advice. In examining strategies of adaptation, we draw on ethnographic research, including interviews with 69 people with type 2 diabetes and/or cardiovascular disease. We explore how they incorporate spirituality into their self-management routines, with positive impact on their health and wellbeing, and highlight the role of spiritual practices in supporting people with chronic conditions mentally, physically and socially, so encouraging personal responsibility for one's health and wellbeing.
Worried all the time'': distress and the circumstances of everyday life among immigrant Australians with type 2 diabetes.
Publisher: SAGE Publications
Date: 03-2009
Abstract: People with diabetes commonly experience emotional distress and are often diagnosed with depression. To explore lay accounts of the conditions and social aspects of their co-occurrence, we draw on qualitative research conducted in metropolitan Melbourne, Australia. Data derive from in-depth interviews with men and women from Greek, Chinese, Indian and Pacific Island communities, all of which have a higher than average incidence of type 2 diabetes mellitus. Participants generally saw stress as a precursor to diabetes, influencing their ability to control symptoms. Yet they also emphasized that life adversities, trauma, disruption, and multiple losses caused distress and depression. Participants regarded diabetes as an illness that interrupted their ability to carry out everyday living tasks. This contributed to their social isolation and unsettled self-identity, resulting in feelings of personal inadequacy, loss and further distress. These themes were common across immigrant groups.
Constructing Hope
Publisher: SAGE Publications
Date: 04-02-2008
Abstract: Hope and recovery are focal narratives within rehabilitation discourse, which is characterized by its goal of returning physical functioning to in iduals in a way reminiscent of their pre-impairment ways of life. Rehabilitation is concerned with coming to terms with often devastating bodily disruption and learning strategies to minimize it. Rehabilitation provides in iduals with skills and tools designed to enable them to return to their former life. This discourse of “return to normal” is problematic for elderly or seriously ill patients, whose bodily disruption often occurs toward the end of a phase characterized by an extended period of ill-health and/or disease, and whose embodied experiences directly challenge the rehabilitative discourse. For these patients, the projected future is usually short-term and features decreasing levels of function and participation because of their health status. We explore the disjuncture between rehabilitative discourse constructed by and within the multidisciplinary clinical team and lived experiences for elderly people who have undergone utation.
Poverty, user fees and ability to pay for health care for children with suspected dengue in rural Cambodia
Publisher: Springer Science and Business Media LLC
Date: 25-04-2008
Movement and contact patterns of long-distance free-grazing ducks and avian influenza persistence in Vietnam
Publisher: Public Library of Science (PLoS)
Date: 20-06-2017
Abate distribution and dengue control in rural Cambodia
Publisher: Elsevier BV
Date: 02-2007
DOI: 10.1016/J.ACTATROPICA.2007.01.002
Abstract: Sustainable public health and community collaboration and partnerships are essential for the effective elimination of vector breeding sites to prevent dengue fever. A prerequisite is that community members appreciate the importance of the infection, understand its transmission and preventive activities, and are able to translate such knowledge to action. In this paper, we draw on an ethnographic study of two villages in the eastern province of K ong Cham, using data collected from qualitative research methods and entomological surveys to describe community knowledge of the vector, practices related to the reduction of breeding sources, and the effectiveness of temephos to control larvae. During the study period, temephos (distributed as Abate) was applied in water containers only in the rainy season, although these containers were also positive with larvae in the dry season. Discarded containers, ignored in terms of control activities, had twice the number of larvae as water storage containers. The continued reliance on Abate creates financial and technical problems, while its inappropriate distribution raises the possibility of larvicide resistance. Based on research findings, we argue that control strategies emphasizing the use of Abate should be reconsidered.
Personal support and expressions of care for pregnant women in Soweto, South Africa
Publisher: Informa UK Limited
Date: 2017
Maternal Identity Change as a Consequence of Antenatal Hospitalization
Publisher: Informa UK Limited
Date: 10-2006
DOI: 10.1080/07399330600880319
Abstract: Despite low fertility rates in Western countries, maternity remains one of the major goals of women from various socioeconomic backgrounds. While most women will have low-risk pregnancies, common serious disorders of pregnancy, such as preecl sia, premature rupture of the membranes, placenta previa, or fetal growth restriction, may compromise maternal and infant outcomes. The experiences of urban and rural women in Australia who have had difficulties in maintaining their pregnancies are analyzed in this article. We study the impact of in idual and social factors that facilitate or impede women's adjustment to the risks associated with these disorders. The analysis of in-depth interviews with 27 women hospitalized antenatally indicates that most women were unfamiliar with the diagnoses and acted as passive "decision takers," complying with medical advice to remain in the hospital. Admission to a tertiary hospital ward that provided care to women with pregnancy disorders promoted the formation of a new identity, that of a woman whose pregnancy did not follow the expected path. Further, hospitalization offered women the opportunity to interact with others in similar difficult situations and, hence, feel less isolated.
âYou opened our eyesâ: care-giving after learning a childâs positive HIV status in rural South Africa
Publisher: Hindawi Limited
Date: 12-2009
DOI: 10.1111/J.1365-2524.2009.00891.X
Abstract: Caregivers of young children identified as HIV positive, residing in Agincourt, rural South Africa were advised of their child's status. How was this knowledge received, and how did it influence care-giving and support? Interviews were conducted in May to June 2008 with caregivers of HIV positive children aged 1-5 years, 1 year following the child's HIV test and disclosure of status. Drawing on data from 31 semi-structured questionnaires and 21 in-depth interviews, we describe caregivers' attitudes, reactions, fears and aspirations after learning a child's HIV status, the perceived usefulness of the knowledge, barriers to care-giving and support received. Sociodemographic data collected through the questionnaire were analysed using Stata. Qualitative data were coded in NVIVO 8 and analysed inductively to identify themes and their repetitions and variations. Although almost half of the caregivers responded negatively initially, 1 year later, almost all had accepted and valued knowing their child's HIV status as this had enhanced their competency in care-giving. Counselling from health providers and personal spirituality helped caregivers to accept the child's status and cope with its implications. Most caregivers had high aspirations for the child's future, despite some expressed difficulties associated with care-giving, including financial constraints, information gaps and barriers to healthcare. The results indicate an opportunity for paediatric HIV screening in communities with high HIV prevalence. This would facilitate early uptake of available interventions, so enhancing the survival of HIV positive children.
“Living from Day to Day”: Food Insecurity, Complexity, and Coping in Mutare, Zimbabwe
Publisher: Informa UK Limited
Date: 03-2012
DOI: 10.1080/03670244.2012.661328
Abstract: In Zimbabwe, unpredictable conditions associated with structural and institutional factors exacerbated the combined effects of structural violence, economic and political instability, and climate change in the mid 2000s, contributing to widespread food insecurity. Drought, food shortages, and government settlement policy affecting both rural and urban populations has yielded a national human rights crisis. Drawing on ethnographic research conducted in Mutare, southeast Zimbabwe, in 2005-2006, the authors illustrate the flow-on effects of drought and government policy on the livelihoods of households already suffering as a result of the social impacts of AIDS, and how people in a regional city responded to these factors, defining and meeting their basic food needs in erse ways.
Regionalizing Immigration, Health and Inequality: Iraqi Refugees in Australia
Publisher: MDPI AG
Date: 16-01-2012
Comparative Epidemiology of Highly Pathogenic Avian Influenza Virus H5N1 and H5N6 in Vietnamese Live Bird Markets: Spatiotemporal Patterns of Distribution and Risk Factors
Publisher: Frontiers Media SA
Date: 05-04-2018
Humans on show: performance, race and representation
Publisher: Informa UK Limited
Date: 02-09-2018
The Ashley Treatment: Furthering the Anthropology of/on Disability
Publisher: Informa UK Limited
Date: 08-2008
DOI: 10.1080/01459740802222690
Abstract: Questions regarding access to and the use of medical and surgical treatment for people with disabilities revisit themes central to medical anthropology. The "Ashley Treatment" is named after a nine-year-old girl, Ashley, who has extreme physical and cognitive disabilities. The Treatment refers to extensive medical and surgical procedures that are claimed to improve quality of life and prevent future medical problems. The Treatment has stimulated lively public debate on disability, medicalization, and caregiving. We illustrate how the Ashley Treatment emphasizes the importance of medical anthropological research on the construction of personhood and childhood disability, agency and autonomy, and the rights of representation and control, as well as the ethics of invasive procedures, hormone therapy, and body modification surgery.
From state care to self-care: cancer screening behaviours among Russian-speaking Australian women
Publisher: CSIRO Publishing
Date: 2013
DOI: 10.1071/PY11158
Abstract: In this article, we report on a small qualitative scale study with immigrant Russian-speaking Australian women, carers of dependent family members. Drawing on in-depth interviews, we explore women’s health-related behaviours, in particular their participation in breast and cervical cancer screening. Differences in preventive health care policies in country of origin and Australia explain their poor participation in cancer screening. Our participants had grown up in the former Soviet Union, where health checks were compulsory but where advice about frequency and timing was the responsibility of doctors. Following migration, women continued to believe that the responsibility for checks was their doctor’s, and they maintained that, compared with their experience of preventive medicine in the former Soviet Union, Australian practice was poor. Women argued that if reproductive health screening were important in cancer prevention, then health care providers would take a lead role to ensure that all women participated. Data suggest how women’s participation in screening may be improved.
Reframing Disability and Quality of Life: Contextual Nuances
Publisher: Springer Netherlands
Date: 2013
Uncertainty, Vulnerability, and Isolation: Factors Framing Quality of Life with Aphasia in a South African Township
Publisher: Springer Netherlands
Date: 2013
Changing a Mountain into a Mustard Seed: Spiritual Practices and Responses to Disaster among New York Brahma Kumaris
Publisher: Informa UK Limited
Date: 09-12-2009
Social and public health effects of climate change in the ‘40 South’
Publisher: Wiley
Date: 17-08-2011
DOI: 10.1002/WCC.138
Abstract: This work provides an overview of the literature on the current and projected social and health effects of climate change in countries affected by sub‐Antarctic atmospheric circulation, including Argentina, Australia, Chile, New Zealand, and South Africa. These countries, which for convenience we gloss as ‘40 South’, are already experiencing considerable impact. Climate change particularly impacts on water and food security, extreme weather events and migration. Projections indicate that the continuing impact of climate change may precipitate political and socioeconomic crises, including increased local, regional, and international migration. We highlight the similarity of the countries in terms of geography, current, and projected climate change impacts, adopted mitigation and adaptation strategies, and vulnerable population groups. While the health and social consequences of climate change draw attention to the differences in the social, political, and economic differences between the countries, we argue the strategic and scientific value of comparisons between them. WIREs Clim Change 2011, 2:902–918. doi: 10.1002/wcc.138 This article is categorized under: Vulnerability and Adaptation to Climate Change Values‐Based Approach to Vulnerability and Adaptation Trans‐Disciplinary Perspectives Regional Reviews
Measuring the impact of health problems among adults with limited mobility in Thailand: further validation of the Perceived Impact of Problem Profile
Publisher: Springer Science and Business Media LLC
Date: 21-01-2008
Abstract: The Perceived Impact of Problem Profile (PIPP) was developed to provide a tool for measuring the impact of a health condition from the in idual's perspective, using the ICF model as a framework. One of the aims of the ICF is to enable the comparison of data across countries, however, relatively little is known about the subjective experience of disability in middle and low-income countries. The aim of this study was to assess the validity of the Perceived Impact of Problem Profile (PIPP) for use among adults with a disability in Thailand using Rasch analysis. A total of 210 adults with mobility impairment from the urban, rural and remote areas of northeast Thailand completed the PIPP, which contains 23 items assessing both impact and distress across five key domains (Self-care, Mobility, Participation, Relationships, and Psychological Well-being). Rasch analysis, using RUMM2020, was conducted to assess the internal validity and psychometric properties of the PIPP Impact subscales. Validation of the PIPP Impact scales was conducted by comparing scores across the different response levels of the EQ5D items. Rasch analysis indicated that participants did not clearly differentiate between 'impact' and 'distress,' the two aspects assessed by the PIPP. Further analyses were therefore limited to the PIPP Impact subscales. These showed adequate psychometric properties, demonstrating fit to the Rasch model and good person separation reliability. Preliminary validity testing using the EQ5D items provided support for the PIPP Impact subscales. The results provide further support for the psychometric properties of the PIPP Impact scales and indicate that it is a suitable tool for use among adults with a locomotor disability in Thailand. Further research is needed to validate the PIPP across different cultural contexts and health conditions and to assess the usefulness of separate Impact and Distress subscales.
Pity and pragmatism: understandings of disability in northeast Thailand
Publisher: Informa UK Limited
Date: 20-05-2009
“Just One Thing after Another”: Recursive Cascades and Chronic Conditions
Publisher: Wiley
Date: 30-06-2016
DOI: 10.1111/MAQ.12277
Abstract: Chronic conditions and their resultant difficulties in daily living frequently occur with other health problems, sometimes due to interactions or complications at a biological level, or as a result of common pathogens or risk factors. On other occasions, they develop independently. Drawing on research conducted with Australian women that began in the mid-2000s and is still ongoing, we highlight how chronic structural factors shape the risk factors of "chronic" conditions, influencing health seeking, continuity of care, and health outcomes. Institutional, economic, and other circumstantial factors pertain and impact health trajectories as much in highly industrialized as in resource poor settings. In illustrating how poverty and social exclusion create the preconditions of multiple chronic health problems, and how chronic health problems increase such disadvantages for in iduals and their households, we introduce the idea of "recursive cascades" to capture the often inevitable trajectory of increasing ill health and growing empoverishment.
Transmission of highly pathogenic avian influenza in the nomadic free-grazing duck production system in Viet Nam
Publisher: Springer Science and Business Media LLC
Date: 21-05-2020
DOI: 10.1038/S41598-020-65413-2
Abstract: The presence of free-grazing ducks (FGD) has consistently been shown to be associated with highly pathogenic avian influenza virus (HPAIV) H5N1 outbreaks in South-East Asia. However, the lack of knowledge about the transmission pathways limits the effectiveness of control efforts. To address this gap, we developed a probabilistic transmission model of HPAIV H5N1 in the nomadic FGD production system in Viet Nam, assuming different scenarios to address parameter uncertainty. Results suggested that HPAIV H5N1 could spread within the nomadic FGD production system, with an estimated flock-level effective reproduction number ( r e ) ranging from 2.16 (95% confidence interval (CI): 1.39-3.49) to 6.10 (95%CI: 3.93-9.85) depending on the scenario. Indirect transmission via boats and trucks was shown to be the main transmission route in all scenarios. Results suggest that r e could be reduced below one with 95% confidence if 86% of FGD flocks were vaccinated in the best-case scenario or 95% in the worst-case scenario. If vaccination was combined with cleaning and disinfection of transport vehicles twice a week, vaccination coverage could be lowered to 60% in the best-case scenario. These findings are of particular relevance for prioritising interventions for effective control of HPAIV in nomadic free-grazing duck production systems.
About you: Empathy, objectivity and authority
Publisher: Elsevier BV
Date: 05-2011
Perceptions of benefit of complementary therapy use among people with diabetes and cardiovascular disease
Publisher: S. Karger AG
Date: 2014
DOI: 10.1159/000358725
Abstract: b i Background: /i /b Little is known about why and how people with type 2 diabetes and cardiovascular disease (CVD) use CAM, or of the perceived benefits of CAM use. The CAMELOT study explored care-seeking, self-management, costs, barriers and benefits of CAM use among this population. We report here on CAM used for treatment of diabetes and CVD, and non-clinical outcomes of CAM use. b i Methods: /i /b Data were collected in 2009-2010 via in-depth interviews (n = 69) and a self-report questionnaire (n = 2,915) among people with diabetes and/or CVD, throughout an Australian state. Analysis included contingency tables, chi-square analysis and thematic coding of interview and long answer survey data. b i Results: /i /b CAM use was generally part of a multi-component approach to chronic condition management. Choice of CAM practitioners and products varied and included CAM not usually associated with diabetes or CVD treatment, such as massage or manipulative therapies (44%). Most survey respondents perceived that CAM consultations resulted in symptom relief, improved general health and increased knowledge, understanding and confidence in condition management. Few people reported that they experienced any side effects from CAM. Economic barriers were significant in limiting access to CAM. b i Conclusion: /i /b More research is required to understand how the appropriate use and perceived benefits of CAM can be reinforced by stronger interaction or integration with mainstream health service delivery for chronic condition management and illness prevention.
Social innovation in health: concepts and practice
Publisher: BMJ
Date: 08-06-2022
Just a Joke: young Australian understandings of racism
Publisher: Elsevier BV
Date: 07-2015
Reframing Disability and Quality of Life
Publisher: Springer Netherlands
Date: 2013
Health promotion in local churches in Victoria: an exploratory study
Publisher: Hindawi Limited
Date: 18-06-2015
DOI: 10.1111/HSC.12258
Abstract: Church-based health promotion has increasingly gained attention in strategies to address health disparities. In Australia, we have limited understanding of the role of local churches in health promotion and without this, how they might be involved in meaningful partnerships to tackle public health challenges. The objective of this qualitative study was to explore how churches are involved in health promotion in the state of Victoria. The research involved in-depth interviews with ministers from 30 churches in urban and rural Victoria, and case studies with 10 of these churches to enable further exploration. These case studies, conducted in 2010, included interviews with church staff, focus groups with volunteers, participant observation and document analysis. Analysis was iterative, utilising open, axial and thematic coding. Three different expressions of church - traditional, new modern and emerging - were identified and found to differentiate the levels and types of health promotion activity. Case studies illustrate the different expressions of how church mission influences health promotion activity. The traditional churches were involved particularly in disease screening and health education activities with their own, predominantly older congregation members. The new modern churches tended to have the material and human resources to be harnessed in health promotion activities involving congregation members and others. Emerging churches, in contrast, engaged in broad health-promoting activities, including disease prevention, lifestyle activities and socio-ecological approaches at a community level. These research findings highlight the opportunities and challenges of engaging with local churches in health promotion efforts and public health programmes to address health inequities.
Quantitative Assessment of the Risk of Release of Foot‐and‐Mouth Disease Virus via Export of Bull Semen from Israel
Publisher: Wiley
Date: 23-03-2017
DOI: 10.1111/RISA.12799
Abstract: Various foot-and-mouth disease (FMD) virus strains circulate in the Middle East, causing frequent episodes of FMD outbreaks among Israeli livestock. Since the virus is highly resistant in semen, artificial insemination with contaminated bull semen may lead to the infection of the receiver cow. As a non-FMD-free country with vaccination, Israel is currently engaged in trading bull semen only with countries of the same status. The purpose of this study was to assess the risk of release of FMD virus through export of bull semen in order to estimate the risk for FMD-free countries considering purchasing Israeli bull semen. A stochastic risk assessment model was used to estimate this risk, defined as the annual likelihood of exporting at least one ejaculate of bull semen contaminated with viable FMD virus. A total of 45 scenarios were assessed to account for uncertainty and variability around specific parameter estimates and to evaluate the effect of various mitigation measures, such as performing a preexport test on semen ejaculates. Under the most plausible scenario, the annual likelihood of exporting bull semen contaminated with FMD virus had a median of 1.3 * 10
The social and economic context and determinants of schistosomiasis japonica
Publisher: Elsevier BV
Date: 11-2005
DOI: 10.1016/J.ACTATROPICA.2005.07.015
Abstract: A variety of biological and social factors govern schistosomiasis japonica in China. Social factors include those at a national and regional level, such as policies and patterns of development, which impact on local economic activities, and affect community, household and personal risk factors of infection. Drawing on research conducted in China, we illustrate how social structural and related factors influence in idual risk and prevalence of infection. At a macro-level, political changes have occurred resulting in the shift from collective to family-based production, leading to clustering of infection in families. Industrialization and urbanization, and associated increased population mobility, have also influenced patterns of transmission and infection. Types of activities and local production patterns determine the exposure of in iduals to schistosome-infested water sources. Fishermen have the most frequent water contact, aquatic workers the second and farmers the third the relative risk of Schistosoma japonicum infection follows the same order. Among farmers, human infection is significantly related to agricultural production in rice fields infested with the intermediate host snail, and to rates of the infection in livestock. Risk of S. japonicum infection is also influenced by the domestic environment, including both the location of the house in relation to snail-colonized water sources, access to safe water, and improved sanitation. Household wealth and income determine family ability to provide and maintain safe water and sanitation, while determining or interacting with other variables. At an in idual level, sex, age, educational level and ethnicity are all associated with different patterns of water use and water contact behaviour thereby affecting infection rates. Schistosomiasis impairs the growth and nutrition of children and the physical work capacity of adults, and so affects economic development. Given this, we note the importance of further research and social and contextual aspects of schistosomiasis infection in order to develop and sustain sound control strategies.
Social innovation for health: engaging communities to address infectious diseases
Publisher: Springer Science and Business Media LLC
Date: 18-07-2020
DOI: 10.1186/S40249-020-00721-3
Abstract: Universal health coverage emphasises the value of the community-based delivery of health services to ensure that underserved populations have access to care. In areas where infectious diseases are endemic, there are often few resources and limited capacity, and the introduction of effective and accessible strategies require innovation. In this special issue, the contributing authors emphasise the power of local responses to the circumstances that underpin diseases of poverty, and highlight the methodological and programme innovations necessary to support and sustain these responses. Through case studies, the authors illustrate how social innovations can address health inequities, and they identify the role of academics in the Social Innovation in Health Initiative to support this approach.
Quality of life, perceptions of health and IIIness, and complementary therapy use among people with type 2 diabetes and cardiovascular disease
Publisher: Mary Ann Liebert Inc
Date: 11-2013
Trade patterns facilitating highly pathogenic avian influenza virus dissemination in the free-grazing layer duck system in Vietnam
Publisher: Hindawi Limited
Date: 16-08-2017
DOI: 10.1111/TBED.12697
Abstract: Highly pathogenic avian influenza (HPAI) viruses continue to threaten smallholder poultry producers in several South-east Asian countries, including Vietnam. In particular, the free-grazing duck system has been repeatedly highlighted as a major risk factor for HPAI outbreaks. Free-grazing ducks, which scavenge on rice paddies after the harvest, account for a large proportion of the duck population in Vietnam and the wider South-east Asian region. However, the structure and dynamics of the free-grazing duck production from farm to consumption has not been described for Vietnam. In this study, we used a value chain approach to provide a complete picture of the actors involved in the production and marketing of free-grazing duck eggs and spent layer ducks, as well as to investigate the governance structure of this food system. Group interviews and key informant interviews were conducted in two provinces located in the Mekong River Delta (MRD) and the Red River Delta (RRD). The results presented here highlight similarities and differences in farming and trade practices between the two provinces. The trade of spent layer ducks involved large volumes of live ducks being sent to China and Cambodia for consumption, generating a substantial risk of transboundary spread of pathogens, including HPAI viruses. We describe the major role of "duck yards", which act as hubs in the northbound trade of spent layer ducks. These yards should be considered as essential links in the value chain of spent layer ducks when considering HPAI surveillance and control. The veterinary authorities are only marginally involved in the value chain activities, and their influence could be strengthened by increasing surveillance activities for instance in duck yards. Last, we discuss the dynamics of the duck value chain and further implications for future HPAI management policies.
The Percussive Effects of Pandemics and Disaster
Publisher: Informa UK Limited
Date: 18-06-2020
Chronic Living in a Communicable World
Publisher: Informa UK Limited
Date: 15-05-2020
Prescribing, care and resistance: antibiotic use in urban South Africa
Publisher: Springer Science and Business Media LLC
Date: 09-2020
DOI: 10.1057/S41599-020-00564-1
Abstract: In South Africa, patients’ and providers’ expectations of transactions in health services converge in consultations for acute respiratory tract infections with the prescription of antibiotics. To explore this, a qualitative study was undertaken at community health centres and private general practice surgeries in four areas of metropolitan South Africa, selected purposively to allow for wide variability in terms of socioeconomic status and ethnicities/race of patient populations. With permission, clinic waiting rooms and patient rovider consultations were observed, and 65 in-depth interviews were undertaken with patients or parents or guardians presenting with children. These interviews were complemented by interviews with health providers (26) and key informants (12). All interviews were recorded, transcribed and imported into NVivo 12 for management. Data were open coded, with in idual interviews and observational data compared and contrasted to highlight understandings and practices of care, antibiotic precription and use. In this article, I illustrate how the social context of patient and provider interactions in primary care settings influenced treatment. Community health centres and clinics were (and are) stretched for resources, and there were long wait times before patients can be seen consultations were brief, with relatively little verbal exchange on the management of coughs and colds. Providers’ decisions of treatment were informed by clinical assessment, concern about the risks of bacterial infection, and perceptions of patient ability to seek further care and advice—a mix of clinical and social considerations. While patients did not always request antibiotics and were willing to discuss how to manage acute conditions without them, doctors in private practice still often provided a prescription, sometimes post-dated to discourage use but with the option for medication if needed. In the public sector, the provision of a prescription also reflected clinicans’ appreciation of economic constraint and vulnerability. As described, patients understood principles of the appropriate use and storage of antibiotics, in contrast to other medications, and they were largely open to discussions with their providers about whether or not to use an antibiotic. However, their own and their prescribing providers had varied understandings of the mechanisms of resistance to antibiotics and so the need for antibiotic stewardship.
Conflict and care in sexual and reproductive health services for young mothers in urban South Africa
Publisher: Informa UK Limited
Date: 30-04-2020
DOI: 10.1080/13691058.2019.1606282
Abstract: In South Africa, sexual and reproductive health services aim to facilitate access to and utilisation of care to young people. We draw on narrative interviews with 45 young mothers and six health care providers delivering sexual and reproductive health services at an urban health centre, to understand how young mothers experienced services in relation to ante- and post-natal care, including termination services. Although health care providers emphasised what they considered young women's 'ignorance' and 'irresponsibility' as central to early and unintended pregnancy they also expressed their sympathy and concern. In a resource-limited health care setting, with health system inefficiencies and lack of specialised training, there was little opportunity to deliver high-quality care to young women. We draw attention to the need to prioritise the training of health care providers to expand early pregnancy testing and termination services and to deliver patient-centred family planning services to young women.
“Like roulette”: Australian women's explanations of gynecological cancers
Publisher: Elsevier BV
Date: 07-2005
DOI: 10.1016/J.SOCSCIMED.2004.11.052
Abstract: Drawing on data from interviews and other ethnographic research, we examine how Australian women from different ethnic and cultural backgrounds make sense of having gynecological cancer. Alternative explanatory models often co-exist in a single narrative, but there is significant consistency in the etiology of cancer among Australian-born and immigrant women. In acknowledging the unpredictability of cancer and the prognosis of particular disease, women contextualize their own experience as a matter of luck, outside their control or influence. Most often women relate their own occurrence of cancer to their social setting and relational factors rather than personal behavior, but at the same time, they acknowledge the interaction of external forces and in idual factors, particularly in the case of diet and stress. Women can control diet to some extent, although many note the irony of having developed cancer even when they have eaten well. Stress, on the other hand, is largely considered as external to and beyond women's control. Women speak of stress as a characteristic of contemporary social life, as well as their own public and domestic, physical and emotional lives for these women stress in any of these areas can create physical vulnerability that may result in cancer. Since women associate cancer with loss of control, the idea of cancerous cells out-of-control within their bodies operates as a metonym of women's views of themselves interpersonally and socially.
Boundary breaches: the body, sex and sexuality after stoma surgery
Publisher: Elsevier BV
Date: 07-2005
DOI: 10.1016/J.SOCSCIMED.2004.11.051
Abstract: People with limited or no bladder or bowel control, who have had a stoma to manage elimination, have a particular awareness of the proximity of the sites of pleasure and excretion. Drawing on interviews and related ethnography conducted in Australia from 1998 to 2001, this paper explores how men and women with permanent continence problems negotiate their sexuality around their bodily unreliability. Pleasurable sex, idealized, involves losing control. People who are incontinent or rely on a stoma, however, must monitor their bladder and bowel, disguising the stoma and bag and controlling their body in sex as in other circumstances. The need to negotiate bodily boundaries with established partners, or to disclose to new sexual partners, results in self-consciousness and social unease, and people need to reconstruct notions of privacy and dignity so that breaches in bodily control do not undermine the sexual relationship. For many, the stoma undermines self-esteem and body image, while its management confuses the status of the in idual as "normal" and the partner as carer or lover.
Mobility Issues for People with Disabilities
Publisher: Springer Netherlands
Date: 2014
From Jollibee to BeeBee: “Lifestyle” and Chronic Illness in Southeast Asia
Publisher: SAGE Publications
Date: 21-06-2010
Abstract: Throughout Southeast Asia, the number of people living with chronic conditions and degenerative disease has increased proportionately and absolutely. Public health interventions and effective medical treatment and surgeries have increased life expectancy. Concurrently, social and economic conditions have led to the rapid escalation of lifelong illnesses, characterized as “lifestyle” conditions. Drawing on ethnographic and survey research conducted in Southeast Asia, the authors illustrate the multiple factors contributing to people’s health. Changes in food production the organization, nature, and conditions of work living conditions and other factors affecting contemporary living increase vulnerability to noncommunicable diseases. These factors are largely beyond the control of most people. Efforts to reduce chronic illnesses predominantly focus on in idual interventions, overlooking the lack of in idual capacity to address the structural and institutional factors that compromise people’s health.
Endurance and contest: women's narratives of endometriosis
Publisher: SAGE Publications
Date: 07-2008
Abstract: Endometriosis is an often painful medical condition in which, in response to hormones associated with the menstrual cycle, the uterine lining grows in the peritoneum and other organs, bleeding into the surrounding organs and tissues. Diagnosis is not always straightforward, and women and health professionals alike may have difficulties recognizing period pain as a sign of anomaly, considering it instead as an inevitable part of menstruation. This article describes the illness narratives of Australian women with endometriosis, drawing on data collected during a study conducted in Victoria in 2004—5. Thirty women (aged 20—78 years) from various socio-demographic backgrounds participated in in-depth interviews. We explore the influence of socio-demographic background and social and family norms on women's illness narratives of endurance and contest. Narratives of endurance are characterized by the normalization of period pain by young women, their families and health professionals, and, with diagnosis, long-term exposure to biomedical treatments. In contrast, narratives of contest are dominated by how women's subjective experience is challenged by doctors, their requirements for a patient-centered approach, and their desire to have access to complementary treatments.
Lay Explanations of Type 2 Diabetes in Bangkok, Thailand
Publisher: Informa UK Limited
Date: 21-02-2007
DOI: 10.1080/13648470601106418
Abstract: The increasing incidence of and mortality associated with type 2 diabetes in Thailand, and the lack of knowledge of lay understandings of diabetes, are the starting points of this paper. Ethnographic research was undertaken in an inner zone district of Bangkok, with participant observation, interviews and case studies conducted with in iduals who had lived with type 2 diabetes for at least three years. Culturally specific explanations exist for the aetiology, pathology and course of illness, and responses to biomedical treatment. The notion of kam -the negative effects of past behaviour-underpinned participants' explanations of the cause of diabetes. The presentation and development of the disease derive from Thai traditional medical theory, but its management, aimed at controlling blood glucose levels and preventing complications, involves both cosmopolitan and traditional medicines. This syncretic approach to cause, diagnosis and management suggests the value of a more comprehensive approach in health education, diagnosis and treatment.
Anticipation and response: pandemic influenza in Malawi, 2009
Publisher: Informa UK Limited
Date: 2017
What factors shape quality of life for women affected by gynaecological cancer in South, South East and East Asian countries? A critical review
Publisher: Springer Science and Business Media LLC
Date: 19-03-2022
DOI: 10.1186/S12978-022-01369-Y
Abstract: Gynaecological cancers are among the most prevalent cancers worldwide, with profound effects on the lives of women and their families. In this critical review, we explore the impacts of these cancers on quality of life (QOL) of women in Asian countries, and highlight areas for future inquiry. A systematic search of the literature was conducted in six electronic databases: Web of Science, Scopus, Global Health (CAB Direct), PsycINFO (Ovid), EBMR (Ovid), and Medline (Ovid). Screening resulted in the inclusion of 53 relevant articles reporting on 48 studies. Most studies were conducted in high and upper-middle income countries in East Asia and used quantitative approaches. Women had predominantly been diagnosed with cervical or ovarian cancer, and most had completed treatment. Four key interrelated domains emerged as most relevant in shaping QOL of women affected by gynaecological cancer: support, including identified needs, sources and forms mental health, covering psychological distress associated with cancer, risk and protective factors, and coping strategies sexual function and sexuality, focused on physiological, emotional and relational changes caused by gynaecological cancers and treatments, and the impacts of these on women’s identities and physical health, covering the physical conditions associated with gynaecological cancers and their impacts on women’s daily activities. QOL of women affected by gynaecological cancer is shaped by their mental and physical health, support, and changes in sexual function and sexuality. The limited number of studies from lower- and middle-income countries in South and Southeast Asia highlights important knowledge gaps requiring future research.
Developing the Australian Racism, Acceptance, and Cultural-Ethnocentrism Scale (RACES)
Publisher: Informa UK Limited
Date: 07-2015
DOI: 10.1017/EDP.2015.7
The Art of (Re)Learning to Walk: Trust on the Rehabilitation Ward
Publisher: SAGE Publications
Date: 16-06-2010
Abstract: Although trust has significant implications for health outcomes, the mechanisms by which its presence or absence influences these outcomes require elucidation. Drawing on ethnographic research conducted in southeast Australia, we explore the tasks of rehabilitation for people who lost a limb because of vascular disease, and the importance of trust in the relationships of patients with their health professionals. Trust underpins procedures and practices designed to minimize problems that might delay rehabilitation or result in the continuing need for medical support and surveillance. Patients develop trust in the rehabilitation team based on three factors: competence, agency, and caring. Our findings emphasize how social skills, as well as technical competence, enable health professionals to gain and maintain their patients’ trust.
Gold Nanoparticles: Probing Zinc–Protein–Chelant Interactions Using Gold Nanoparticles Functionalized with Zinc‐Responsive Polypeptides (Part. Part. Syst. Charact. 11/2014)
Publisher: Wiley
Date: 11-2014
Editorial Note
Publisher: Informa UK Limited
Date: 02-07-2019
The experience of traumatic brain injury in Botswana
Publisher: Informa UK Limited
Date: 06-01-2015
DOI: 10.1080/09602011.2014.999000
Abstract: Whilst the consequences of traumatic brain injury (TBI) are understood in Western countries, it is not known how cultural background and beliefs affect response and outcome following TBI in low and middle income countries. This study aimed to explore the experiences of TBI in Botswana. Participants included 21 in iduals with moderate to severe TBI (68% males, mean age 35.2 years), 18 caregivers and 25 healthcare workers. Qualitative semi-structured interviews were transcribed, translated and thematically coded. Thematic analysis indicated several themes: Injury-related changes, attributions and beliefs about the cause of the injury, family reactions, attitudes, and resources. Participants described the common injury-related effects of TBI. Many participants attributed their injury to supernatural causes. Immediate family members of participants with TBI expressed a sense of love and devotion towards the injured person. Communication was characterised by inadequate information given to those injured and their caregivers. Provision of care was impeded by insufficient staff, limited supplies and lack of training of nurses. The current healthcare system would therefore appear to be ill-equipped to meet the needs of TBI survivors in Botswana. This study will improve understanding of cultural responses and approaches to brain injuries in Botswana which may, in turn, inform improved practice.
Developing Qualitative Databases for Multiple Users
Publisher: SAGE Publications
Date: 03-2001
DOI: 10.1177/104973201129119019
Abstract: Conventionally, anthropological data are collected and analyzed by in iduals, and although researchers may use data managers to organize their information, there is little need to classify and code systems to be accessible to others. Recently, however, qualitative and quantitative data have been collected in projects with multiple researchers. Difficulties with the establishment, verification, and management of databases for multiple users, particularly in longitudinal studies, are considerable if the rules underlying coding schemes are difficult to identify or if the documentation is cumbersome. Drawing on the authors’ experiences in Australia, the use of computer packages for data management is discussed, and the importance of preserving the integrity of data and maintaining context while facilitating its continued and varied use is emphasized.
Taking control: complementary and alternative medicine in diabetes and cardiovascular disease management
Publisher: SAGE Publications
Date: 26-09-2013
Abstract: The chronicity of chronic disease, and its associated uncertainties and fluctuations in health status, pain and/or discomfort, often leaves those so diagnosed feeling that they have lost control. Treatment can exacerbate this sense of loss of control, as people surrender to the expertise of their biomedical providers and interventions. In principle, self-management aims to return control to the in idual, but its promotion is as much motivated by cost-containment as patient autonomy, and is advocated in an environment largely shaped by policy makers and biomedical providers. In this article, we examine how Australians with type 2 diabetes and/or cardiovascular disease supplement medical with complementary and alternative medical (CAM) care. Drawing on in-depth interviews with 69 participants collected in 2009–2010, we illustrate how people rely on medical providers and pharmaceuticals to manage their diabetes, but concurrently consulted with CAM practitioners and used non-biomedical therapies to enhance well-being. In explaining this, participants framed CAM use in the context of reclaiming relative personal and bodily control.
Rumble Filters: Sonic Environments and Points of Listening
Publisher: Informa UK Limited
Date: 04-05-2017
Researching Alternative and Complementary Therapies: Mapping the Field
Publisher: Informa UK Limited
Date: 2013
Community participation in the collaborative governance of primary health care facilities, Uasin Gishu County, Kenya
Publisher: Public Library of Science (PLoS)
Date: 31-03-2021
DOI: 10.1371/JOURNAL.PONE.0248914
Abstract: Community participation in the governance of health services is an important component in engaging stakeholders (patients, public and partners) in decision-making and related activities in health care. Community participation is assumed to contribute to quality improvement and goal attainment but remains elusive. We examined the implementation of community participation, through collaborative governance in primary health care facilities in Uasin Gishu County, Western Kenya, under the policy of devolved governance of 2013. Utilizing a multiple case study methodology, five primary health care facilities were purposively selected. Study participants were in iduals involved in the collaborative governance of primary health care facilities (from health service providers and community members), including in decision-making, management, oversight, service provision and problem solving. Data were collected through document review, key informant interviews and observations undertaken from 2017 to 2018. Audio recording, notetaking and a reflective journal aided data collection. Data were transcribed, cleaned, coded and analysed iteratively into emerging themes using a governance attributes framework. A total of 60 participants representing in idual service providers and community members participated in interviews and observations. The minutes of all meetings of five primary health care facilities were reviewed for three years (2014–2016) and eight health facility committee meetings were observed. Findings indicate that in some cases, structures for collaborative community engagement exist but functioning is ineffective for a number of reasons. Health facility committee meetings were most frequent when there were project funds, with discussions focusing mainly on construction projects as opposed to the day-to-day functioning of the facility. Committee members with the strongest influence and power had political connections or were retired government workers. There were no formal mechanisms for stakeholder forums and how these worked were unclear. Drug stock outs, funding delays and unclear operational guidelines affected collaborative governance performance. Implementing collaborative governance effectively requires that the scope of focus for collaboration include both specific projects and the routine functioning of the primary health care facility by the health facility committee. In the study area, structures are required to manage effective stakeholder engagement.
A “usual occurrence:” Stress incontinence among reproductive aged women in Sri Lanka
Publisher: Elsevier BV
Date: 11-2009
DOI: 10.1016/J.SOCSCIMED.2009.08.019
Abstract: Stress urinary incontinence (SUI) is a common condition among women of all ages, often with devastating consequences, such as depression, anxiety and reduced quality of life. Researchers have largely focused on its prevalence and clinical management, particularly in highly industrialized country settings. In this article, drawing on epidemiological, clinical and qualitative research undertaken in Sri Lanka, we discuss how stress incontinence affects women's lives and how they personally manage the problem. Quantitative data derive from a community-based descriptive cross-sectional study, conducted in 2006-2007 with 1718 ever-married women, aged 15-49, of whom 9.8% reported problems of stress incontinence. Six focus group discussions, eight key informant interviews and five case studies with women with SUI were also undertaken to gain insight and depth. Although incontinence affected outdoor activities, sexual life, and sense of wellbeing, women did not consider it a health problem, rarely discussed it with others, and rarely sought treatment. Barriers to help seeking included fear of vaginal examination, shame and embarrassment, and belief that SUI was a natural consequence of aging and childbirth. Women's reluctance to seek advice on their own initiative about managing incontinence indicates the importance for health providers to pay greater attention to the condition and introduce appropriate preventive measures for women. This might include creating greater public awareness of SUI as preventable and treatable, ensuring a clinical environment conducive to discussing problems related to bodily functions.
Editors response: how connections of kinship and care are made and embraced
Publisher: Informa UK Limited
Date: 02-01-2021
Exclusive breastfeeding policy, practice and influences in South Africa, 1980 to 2018: A mixed-methods systematic review
Publisher: Public Library of Science (PLoS)
Date: 18-10-2019
Appropriating malaria: local responses to malaria treatment and prevention in Abidjan, Cote d'lvoire
Publisher: Informa UK Limited
Date: 12-01-2011
DOI: 10.1080/01459740.2010.488664
Abstract: A continuing dilemma for medical and public health professionals is the apparent lack of fit between global and local knowledge systems and technologies. This is illustrated in relationship to malaria, with implications in the management of the disease. Ethnographic research was conducted from 2003-2005 in urban Abidjan, Cote d'Ivoire, on community understandings of malaria and the relationship of this to its prevention and control. Malaria is referred to locally as palu, reflecting the incorporation of malaria into a local illness taxonomy. Although the labeling of malaria-related symptoms as palu has wide currency, preventive measures such as bed nets, as advocated by public health authorities, have not been accepted readily or evenly. Drawing on theoretical understandings of the introduction, transfer, and appropriation of concepts and material objects, we examine the processes of localization in relation to malaria in Abidjan, and in doing so, highlight the challenges for health professionals seeking to scale-up public health interventions.
Is There a Relationship Between Psychopathic Traits and Racism?
Publisher: Springer Science and Business Media LLC
Date: 04-11-2014
How COVID-19 Reveals Structures of Vulnerability
Publisher: Informa UK Limited
Date: 27-10-2020
Appropriation and Dementia in India
Publisher: Springer Science and Business Media LLC
Date: 12-08-2011
DOI: 10.1007/S11013-011-9230-2
Abstract: Biomedical technologies like MRI scans offer a way for carers and people with dementia to 'see' pathology, as a means to reorient their perceptions of the body and functionality. Through interpretive and syncretic processes, the MRI and the diagnosis of dementia facilitate the incorporation of the clinical category 'dementia' into social understandings of illness and care in India. Complex shifts occur as families and providers move from socio-cultural explanations of disruption to bio-social etiologies of the disease 'dementia' and then to socio-ecological frameworks of causality. Both the biomedicalisation of illness and the localisation of illness occur as the clinical category 'dementia' is folded into local understandings of illness and care. Through elucidating how the dialectic between biomedical and local knowledge is operationalized, we offer insights into how dementia is absorbed and appropriated into Indian cultural contexts.
Anthropologists Respond to The Lancet EAT Commission
Publisher: Clinical Biotec
Date: 15-02-2020
Abstract: The Lancet Commissions are widely known as aspirational pieces, providing the mechanisms for consortia and networks of researchers to organize, collate, interrogate and publish around a range of subjects. Although the Commissions are predominantly led by biomedical scientists and cognate public health professionals, many address social science questions and involve social science expertise. Medical anthropologist David Napier was lead author of the Lancet Commission on Culture and Health (2014), for ex le, and all commissions on global health (lobal-health/commissions) address questions of social structure, everyday life, the social determinants of health, and global inequalities.
Health seeking and access to care for children with suspected dengue in Cambodia: An ethnographic study
Publisher: Springer Science and Business Media LLC
Date: 24-09-2007
At Moments of Transition. Editorial Note
Publisher: Informa UK Limited
Date: 16-11-2020
Feelings of Sadness: Migration and Subjective Assessment of Mental Health among Thai Women in Brisbane, Australia
Publisher: SAGE Publications
Date: 06-2001
DOI: 10.1177/136346150103800202
Abstract: This article reports the results of a descriptive study conducted in Brisbane, the administrative capital of Queensland, Australia. Between December 1996 and July 1997, 139 Thai women completed a structured questionnaire to collect information on their general physical and psychological health, current diseases, the impact of these on daily activities, their use of health services, changes in social, reproductive and physical health, and social and demographic characteristics. Of these women, 17 also participated in in-depth interviews with the first author, which provided further information regarding women’s own opinions and experiences of immigration and health. Mental health emerged as an important issue. Women described the feeling of sadness ( mai sa bai jai) when being interviewed. Inability to communicate effectively in English and inability to gain employment were identified as important factors influencing psychological wellbeing. Lack of support and limitations in their relationships with families and friends, and limited options for information through informal social networks, affected their ability to address psychological problems.
Family caregivers: Russian-speaking Australian women's access to welfare support
Publisher: No publisher found
Date: 2007
Experiences of depression in Yogyakarta, Indonesia
Publisher: Informa UK Limited
Date: 28-05-2018
Recovering In-validated Adulthood, Masculinity and Sexuality
Publisher: Springer Science and Business Media LLC
Date: 09-2005
Integration of complementary and alternative medicine information and advice in chronic disease management guidelines
Publisher: CSIRO Publishing
Date: 2011
DOI: 10.1071/PY10013
Abstract: The growing evidence on the benefits and risks of complementary and alternative medicine (CAM) and its high rate of use (69% of Australians) – particularly for chronic or recurrent conditions – means increasing attention on CAM. However, few people disclose CAM use to their GP, and health professionals tend to inadequately discuss CAM-related issues with their patients, partly due to insufficient knowledge. As clinical and non-clinical chronic condition management guidelines are a means to educate primary health care practitioners, we undertook a content analysis of guidelines relevant to two common chronic conditions – cardiovascular disease (CVD) and type 2 diabetes mellitus (T2DM) – to assess their provision of CAM-related information. Ten current Australian guidelines were reviewed, revealing scant CAM content. When available, the CAM-relevant information was brief, in some cases unclear, inconclusive and lacking in direction to the GP or health care provider. Although we focus on CVD and T2DM, we argue the value of all chronic condition management guidelines integrating relevant evidence-informed information and advice on CAM risks, benefits and referrals, to increase GP awareness and knowledge of appropriate CAM therapies, and potentially to facilitate doctor–client discussion about CAM.
Unsettled worlds
Publisher: Informa UK Limited
Date: 2012
Family caregivers: Russian-speaking Australian women's access to welfare support
Publisher: Hindawi Limited
Date: 25-04-2007
DOI: 10.1111/J.1365-2524.2007.00709.X
Abstract: In Australia, rapid population ageing, and government efforts to support people who are chronically ill, elderly or with disabilities to live in their own homes, has led to the primary responsibility of care being undertaken by families. Through its social policies, the Australian government provides income and other types of support to informal caregivers. This article explores how Australian social policy and women's understanding of their roles impact on their access to welfare support. Qualitative research was conducted in Melbourne between February and June 2006. In-depth interviews were undertaken with eight Russian-speaking women involved in caregiving, purposively recruited through ethnic associations, and with four community service providers. Women based their expectations of the gendered and private nature of their role on the social policies in countries of their origin and, hence, did not attempt to access welfare support unless they were referred by health and welfare professionals. In addition, poor referral by professionals, influenced by past societal attitudes that caregiving is a gendered role, contributed to women's limited access to welfare benefits. Changes in the implementation of social policy are proposed to increase caregivers' access to welfare support and efficient utilisation of existing resources.
Publics, technologies and interventions in reproduction and early life in South Africa
Publisher: Springer Science and Business Media LLC
Date: 17-07-2020
DOI: 10.1057/S41599-020-0531-3
Abstract: Despite successful clinical interventions and maternal and child health monitoring for over a century, low and middle-income countries, including South Africa, continue to experience the quadruple burden of disease of high maternal mortality rates and poor infant and child health, non-communicable diseases, infectious diseases, and violence and injury. In this article, we focus on how different kinds of technologies in South Africa are implemented in the ‘first 1000 days’ from conception to early childhood. Some of these interventions, as we discuss, are lifesaving others are conceptualised as preventing early and longer-term health problems, including cardiometabolic conditions into adulthood and in future generations. Here, we consider the use of routine and specialist technologies in reproduction and early life: scanning and monitoring in pregnancy, caesarean section, extracorporeal membrane oxygenation (ECMO) for very low birth weight infants, and the Road to Health Booklet. Through this focus, we illustrate how ‘publics’ are constituted such that foetal and infant health outcomes are privileged over women’s health, reproductive rights, and public health safety.
Cervical Cancer Services for Indigenous Women: Advocacy, Community-Based Research and Policy Change in Australia
Publisher: Informa UK Limited
Date: 24-10-2006
Kinematics, turbulence, and star formation of z ∼ 1 strongly lensed galaxies seen with MUSE
Publisher: Oxford University Press (OUP)
Date: 03-03-2018
DOI: 10.1093/MNRAS/STY555
Risk, lifestyle and non-communicable diseases of poverty
Publisher: Springer Science and Business Media LLC
Date: 02-03-2023
DOI: 10.1186/S12992-023-00914-Z
Abstract: Common discourse in public health and preventive medicine frames non-communicable diseases, including cardiovascular and metabolic diseases, as diseases of ‘lifestyle’ the choice of terminology implies that their prevention, control and management are amenable to in idual action. In drawing attention to global increases in the incidence and prevalence of non-communicable disease, however, we increasingly observe that these are non-communicable diseases of poverty. In this article, we call for the reframing of discourse to emphasize the underlying social and commercial determinants of health, including poverty and the manipulation of food markets. We demonstrate this by analysing trends in disease, which indicate that diabetes- and cardiovascular-related DALYS and deaths are increasing particularly in countries categorized as low-middle to middle levels of development. In contrast, countries with very low levels of development contribute least to diabetes and document low levels of CVDs. Although this might suggest that NCDs track increased national wealth, the metrics obscure the ways in which the populations most affected by these diseases are among the poorest in many countries, and hence, disease incidence is a marker of poverty not wealth. We also illustrate variations in five countries — Mexico, Brazil, South Africa, India and Nigeria — by gender, and argue that these differences are associated with gender norms that vary by context rather than sex-specific biological pathways. We tie these trends to shifts in food consumption from whole foods to ultra-processed foods, under colonialism and with continued globalization. Industrialization and the manipulation of global food markets influence food choice in the context of limited household income, time, and household and community resources. Other factors that constitute risk factors for NCDs are likewise constrained by low household income and the poverty of the environment for people with low income, including the capacity of in iduals in sedentary occupations to engage in physical activity. These contextual factors highlight extremely limited personal power over diet and exercise. In acknowledging the importance of poverty in shaping diet and activity, we argue the merit in using the term non-communicable diseases of poverty and the acronym NCDP. In doing so, we call for greater attention and interventions to address structural determinants of NCDs.
COVID-19 research and science infrastructure in South Africa
Publisher: Academy of Science of South Africa
Date: 08-08-2023
The effect of partners' ethnicity on the health of Filipinas in Australia
Publisher: Elsevier BV
Date: 10-2001
Proxemics, COVID-19, and the Ethics of Care in South Africa
Publisher: American Anthropological Association
Date: 17-08-2021
DOI: 10.14506/CA36.3.06
Abstract: In South Africa, lockdown and its excesses have opened up questions on the limits of an ethics of care, whose ethics are privileged, how care is delivered, and what care means. We show how an ethics of proxemics and its operationalization as distance highlight everyday inequalities and limit the provision of care. Constraints on physical distancing in line with public health measures intended to limit the spread of the coronavirus echo the controls enforced under apartheid, showing how inequality is both embodied and legally entrenched.
Typologies of Rural Lay-Health Advocacy Among Rural Women in Australia
Publisher: Informa UK Limited
Date: 24-10-2006
Public and/or private health care: Tuberculosis patients' perspectives in Myanmar
Publisher: Springer Science and Business Media LLC
Date: 28-07-2009
Revealing Strong Plasmon-Exciton Coupling between Nanogap Resonators and Two-Dimensional Semiconductors at Ambient Conditions
Publisher: American Physical Society (APS)
Date: 13-02-2020
Care arrangements, disability and family contingencies in Solomon Islands:
Publisher: Informa UK Limited
Date: 03-05-2016
Contextualizing post-traumatic stress disorder within culturally diverse groups: a comparison of Holocaust survivors and Sudanese refugees
Publisher: Informa UK Limited
Date: 11-10-2017
Understanding media publics and the antimicrobial resistance crisis
Publisher: Informa UK Limited
Date: 08-06-2017
DOI: 10.1080/17441692.2017.1336248
Abstract: Antimicrobial resistance (AMR) imperils health for people across the world. This enormous challenge is being met with the rationalisation of prescription, dispensing and consumption of antimicrobials in clinical settings and in the everyday lives of members of the general population. In iduals need to be reached outside clinical settings to prepare them for the necessary changes to the pharmaceutical management of infections efforts that depend on media and communications and, therefore, how the AMR message is mediated, received and applied. In 2016, the UK Review on Antimicrobial Resistance called on governments to support intense, worldwide media activity to promote public awareness and to further efforts to rationalise the use of antimicrobial pharmaceuticals. In this article, we consider this communications challenge in light of contemporary currents of thought on media publics, including: the tendency of health communications to cast experts and lay in iduals in opposition the blaming of in iduals who appear to 'resist' expert advice the challenges presented by negative stories of AMR and their circulation in public life, and the problems of public trust tied to the construction and mediation of expert knowledge on the effective management of AMR.
Ubuntu as a Framework for Ethical Decision Making in Africa: Responding to Epidemics
Publisher: Informa UK Limited
Date: 17-03-2019
2 - Enhancing Doctoral Supervision Practices in Africa: Reflection on the CARTA Approach
Publisher: CODESRIA - Council for the Development of Social Science Research in Africa
Date: 11-01-2022
Abstract: High quality research supervision is crucial for PhD training, yet it continues to pose challenges globally with important contextual factors impacting the quality of supervision. This article reports on responses to these challenges by a multi-institutional sub-Saharan Africa initiative (CARTA) at institutional, faculty and PhD fellow levels. The article describes the pedagogical approaches and structural mechanisms used to enhance supervision among supervisors of CARTA fellows. These include residential training for supervisors, and supervision contracts between primary supervisors and PhD fellows. The authors reflect on the processes and experiences of improving PhD supervision, and suggest research questions that CARTA and other training programmes could pursue in relation to PhD supervision in Africa and other lower- and middle-income countries.
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