Umberto Pellecchia
Biographic Data
| ID | 150994 |
|---|---|
| NAME | Umberto Pellecchia |
| GIVEN NAMES | Umberto |
| FAMILY NAME | Pellecchia |
| SIGNATURE | PELLECCHIA U |
| AFFILIATIONS | Médecins Sans Frontières |
| ORCID | 0000-0003-1224-8698 |
| VERIFIED | Yes |
| TOTAL WORKS | 11 |
| TOTAL CITATIONS | 10 |
| AUTHOR COUNT | 11 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2017 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
‘I can change my life’
Introduction The Médecins Sans Frontières (MSF) Kiambu People Who Use Drugs (PWUD) project, which started in September 2019, had enrolled 590 PWUD in its Medically Assisted Therapy (MAT) program by April 2022. This project provides a one-stop-shop model, offering a comprehensive range of medical and psychosocial services. This study aimed to explore how PWUD navigate from heroin use to MAT enrolment.Methods The study involved individual, paired a…
The silence of reason
Secrets are managed hierarchically based on trust and social context • Youth develop secrecy strategies as agency against stigma and social harm • Young women face double stigma and adopt stricter concealment strategies. • Adherence to treatment helps protect identity and avoid suspicion • Photovoice reveals hidden tensions missed by conventional approaches
Patient experiences and preferences for advanced HIV disease testing services
The decline in HIV/AIDS deaths has been slower than expected, and advanced HIV disease (AHD) remains common. Despite expanded diagnostic services, patient preferences around AHD testing are understudied. This qualitative study explored the experiences and preferences of people living with HIV and healthcare workers to inform patient-centred approaches. In February 2024, purposive sampling identified people living with HIV who underwent testing at…
Health conditions of older adults in complex humanitarian settings in low- and middle-income countries
BACKGROUND: Inpatient admissions of older adults in humanitarian settings in low-income and middle-income countries remain poorly documented, likely leading to gaps in the delivery of age-appropriate health services. This analysis aims to contribute to age-adapted and gender-adapted healthcare strategies in humanitarian settings. METHODS: This multicountry study includes adults who were admitted at Médecins Sans Frontières-supported inpatient dep…
Mental health of older adults in humanitarian settings in low- and middle-income countries
BACKGROUND: More complex humanitarian emergencies have a profound impact on a rapidly growing ageing population. There are few data available on the mental health conditions of older people in humanitarian settings. This study describes mental health symptoms among older adults to inform the development of age-adapted and gender-adapted mental health services in humanitarian contexts. METHODS: This multicountry study includes data from adults age…
Differences in mental health between younger and older adults in complex humanitarian settings in low-income and middle-income countries
BACKGROUND: Humanitarian emergencies increase the risk of development or exacerbation of mental health conditions. This study documents how mental health differs between younger and older adults to inform adapted mental health services in humanitarian settings. METHODS: This multicountry study includes adults who accessed Médecins Sans Frontières-supported mental health services in humanitarian settings across 20 low-income and middle-income coun…
Integrating research evidence in humanitarian health responses
People living in settings affected by conflicts face insecurity and live in fragmented social systems. Conducting research in these settings is essential, however integrating results into practices is complex. Implementation science tools are not used often in such environments. In this paper we explore how a convenience sample of interviewees experienced implementation in these settings, through the lens of the adapted Extended Normalization Pro…
Promoting and supporting breastfeeding in a protracted emergency setting—Caregivers' and health workers' perceptions from North-East Nigeria
Background: Breastfeeding (BF) should be protected, promoted, and supported for all infants in humanitarian settings. The re-establishment of exclusive BF is also a central part of the management of acutely malnourished infants under 6 months (<6 m). Médecins Sans Frontières (MSF) runs a nutrition project in Maiduguri, a protracted emergency setting in North-East Nigeria. This study aimed to explore caregivers' (CGs) and health workers' (HWs) per…
Elderly people in humanitarian crises, a forgotten population
The globally growing ageing population, an increasing number of natural disasters, and the ongoing effects of climate change will result in more complex humanitarian crises in the decades to come The proportion of the population aged 50 and over in fragile countries, where conflict and disasters are more likely to cause greatest harm, is expected to rise from 12.3 per cent (219.9 million) in 2020 to 19.2 per cent (586.3 million) in 2050 UNHCR war…
Quarantine and Its Malcontents
A bstract This article examines how populations affected by the Ebola epidemic in Liberia reacted to the implementation of mandatory, state-imposed quarantine as a way of curtailing transmission. The ethnography, based on in-depth fieldwork in both urban and rural areas, shows how mandatory quarantine caused severe social consequences for both people’s perceptions of epidemic control and their health-seeking behaviours. The authoritarian impositi…
Engaging Anthropology in an Ebola Outbreak
The articles in this special issue demonstrate, through ethnographic fieldwork and observations, how anthropologists and the methodological tools of their discipline became a means of understanding the Ebola outbreak in West Africa during 2014 and 2015. The examples, from Liberia, Guinea and Sierra Leone, show how anthropologists were involved in the Ebola outbreak at different points during the crisis and the contributions their work made. Discu…
Engaging Anthropology in an Ebola Outbreak
The articles in this special issue demonstrate, through ethnographic fieldwork and observations, how anthropologists and the methodological tools of their discipline became a means of understanding the Ebola outbreak in West Africa during 2014 and 2015. The examples, from Liberia, Guinea and Sierra Leone, show how anthropologists were involved in the Ebola outbreak at different points during the crisis and the contributions their work made. Discu…
Quarantine and Its Malcontents
A bstract This article examines how populations affected by the Ebola epidemic in Liberia reacted to the implementation of mandatory, state-imposed quarantine as a way of curtailing transmission. The ethnography, based on in-depth fieldwork in both urban and rural areas, shows how mandatory quarantine caused severe social consequences for both people’s perceptions of epidemic control and their health-seeking behaviours. The authoritarian impositi…
Quarantine and Its Malcontents
A bstract This article examines how populations affected by the Ebola epidemic in Liberia reacted to the implementation of mandatory, state-imposed quarantine as a way of curtailing transmission. The ethnography, based on in-depth fieldwork in both urban and rural areas, shows how mandatory quarantine caused severe social consequences for both people’s perceptions of epidemic control and their health-seeking behaviours. The authoritarian impositi…
Engaging Anthropology in an Ebola Outbreak
The articles in this special issue demonstrate, through ethnographic fieldwork and observations, how anthropologists and the methodological tools of their discipline became a means of understanding the Ebola outbreak in West Africa during 2014 and 2015. The examples, from Liberia, Guinea and Sierra Leone, show how anthropologists were involved in the Ebola outbreak at different points during the crisis and the contributions their work made. Discu…
Promoting and supporting breastfeeding in a protracted emergency setting—Caregivers' and health workers' perceptions from North-East Nigeria
Background: Breastfeeding (BF) should be protected, promoted, and supported for all infants in humanitarian settings. The re-establishment of exclusive BF is also a central part of the management of acutely malnourished infants under 6 months (<6 m). Médecins Sans Frontières (MSF) runs a nutrition project in Maiduguri, a protracted emergency setting in North-East Nigeria. This study aimed to explore caregivers' (CGs) and health workers' (HWs) per…
Elderly people in humanitarian crises, a forgotten population
The globally growing ageing population, an increasing number of natural disasters, and the ongoing effects of climate change will result in more complex humanitarian crises in the decades to come The proportion of the population aged 50 and over in fragile countries, where conflict and disasters are more likely to cause greatest harm, is expected to rise from 12.3 per cent (219.9 million) in 2020 to 19.2 per cent (586.3 million) in 2050 UNHCR war…
Integrating research evidence in humanitarian health responses
People living in settings affected by conflicts face insecurity and live in fragmented social systems. Conducting research in these settings is essential, however integrating results into practices is complex. Implementation science tools are not used often in such environments. In this paper we explore how a convenience sample of interviewees experienced implementation in these settings, through the lens of the adapted Extended Normalization Pro…
Health conditions of older adults in complex humanitarian settings in low- and middle-income countries
BACKGROUND: Inpatient admissions of older adults in humanitarian settings in low-income and middle-income countries remain poorly documented, likely leading to gaps in the delivery of age-appropriate health services. This analysis aims to contribute to age-adapted and gender-adapted healthcare strategies in humanitarian settings. METHODS: This multicountry study includes adults who were admitted at Médecins Sans Frontières-supported inpatient dep…
Mental health of older adults in humanitarian settings in low- and middle-income countries
BACKGROUND: More complex humanitarian emergencies have a profound impact on a rapidly growing ageing population. There are few data available on the mental health conditions of older people in humanitarian settings. This study describes mental health symptoms among older adults to inform the development of age-adapted and gender-adapted mental health services in humanitarian contexts. METHODS: This multicountry study includes data from adults age…
Differences in mental health between younger and older adults in complex humanitarian settings in low-income and middle-income countries
BACKGROUND: Humanitarian emergencies increase the risk of development or exacerbation of mental health conditions. This study documents how mental health differs between younger and older adults to inform adapted mental health services in humanitarian settings. METHODS: This multicountry study includes adults who accessed Médecins Sans Frontières-supported mental health services in humanitarian settings across 20 low-income and middle-income coun…
‘I can change my life’
Introduction The Médecins Sans Frontières (MSF) Kiambu People Who Use Drugs (PWUD) project, which started in September 2019, had enrolled 590 PWUD in its Medically Assisted Therapy (MAT) program by April 2022. This project provides a one-stop-shop model, offering a comprehensive range of medical and psychosocial services. This study aimed to explore how PWUD navigate from heroin use to MAT enrolment.Methods The study involved individual, paired a…
The silence of reason
Secrets are managed hierarchically based on trust and social context • Youth develop secrecy strategies as agency against stigma and social harm • Young women face double stigma and adopt stricter concealment strategies. • Adherence to treatment helps protect identity and avoid suspicion • Photovoice reveals hidden tensions missed by conventional approaches
Patient experiences and preferences for advanced HIV disease testing services
The decline in HIV/AIDS deaths has been slower than expected, and advanced HIV disease (AHD) remains common. Despite expanded diagnostic services, patient preferences around AHD testing are understudied. This qualitative study explored the experiences and preferences of people living with HIV and healthcare workers to inform patient-centred approaches. In February 2024, purposive sampling identified people living with HIV who underwent testing at…
Medicine (5 works) · Migration, Health and Trauma (4 works) · Political science (4 works) · Public health (4 works) · Sociology (4 works) · Demography (3 works) · HIV/AIDS Research and Interventions (3 works) · MEDLINE (3 works) · Population (3 works) · Engineering (2 works)