J Pfeiffer
Biographic Data
| ID | 8602 |
|---|---|
| NAME | J Pfeiffer |
| GIVEN NAMES | J |
| FAMILY NAME | Pfeiffer |
| SIGNATURE | PFEIFFER J |
| AFFILIATIONS | University of Washington |
| ORCID | 0000-0002-7985-9437 |
| VERIFIED | Yes |
| TOTAL WORKS | 31 |
| TOTAL CITATIONS | 364 |
| AUTHOR COUNT | 31 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 9 |
Newly emerged resistance healthcare systems in northwest Myanmar’s Sagaing Region post-military coup
INTRODUCTION: The 2021 military coup and the accompanying armed conflicts in Myanmar have disrupted the country's health systems, particularly in conflict-affected rural areas. Anti-junta healthcare providers innovated alternative systems to address the needs. This study aims to provide insights into the experiences and perspectives of the anti-junta healthcare providers and community members regarding the prevailing health issues in conflict set…
Indigenous women and obstetric care in Hospital San Antonio de Mitú, Vaupés
The Amazonian region of Vaupés holds some of the worst health indicators in Colombia. Despite being a primarily indigenous area, its decontextualized, biomedical public health system often neglects indigenous realities, contributing to poor access to services, culturally incongruent hospitals, and alarming maternal-child indicators. We study indigenous ideas and practices of obstetric health, and indigenous women’s decision-making and experiences…
Exploring supportive roles for global north investigators in global health research
Many academics are increasingly pushing for solutions to address inequitable partnership dynamics in global health research and practice. Efforts to improve equity in collaborations have prompted academic institutions to grapple with promotion and tenure criteria (usually Global North institutions), as these criteria often require leadership on grants, publications, and conference presentations for advancement. From inequitable funding opportunit…
Commentary on “Social protection and the International Monetary Fund
BACKGROUND: The Covid pandemic and its aftermath have triggered new alarm and social unrest across the Global South over the deepening international debt crisis that now threatens to derail Universal Health Coverage (UHC), other Sustainable Development Goals (SDGs), future pandemic preparedness, and global warming mitigation. The recent Globalization and Health article by Alex Kentikelenis and Thomas Stubbs (May 2024), "Social protection and the …
Preventing Health Disparities during Covid through Perinatal Home Screening as Black Authoritative Knowledge
Effects of pole dance on mental wellbeing and the sexual self-concept—a pilot randomized-controlled trial
Pole dancing may have broad psychological effects on both overall mental wellbeing and important domains of the sexual self-concept
“I was afraid my baby would be upset with me” – women living with HIV’s accounts going through non-breastfeeding in São Paulo, Brazil
In Brazil prevention of mother to child HIV transmission guidelines recommend formula feeding. This qualitative study, carried out in a public clinic (CEADIPE/UNIFESP), aimed at exploring experiences of breastfeeding avoidance of women living with HIV living in São Paulo. Individual interviews were carried out with the support of a semi-structured questionnaire. Data was analyzed in a thematic approach with the support of AtlasTi®. During the mon…
NGOs, austerity, and universal health coverage in Mozambique
In many African countries, hundreds of health-related NGOs are fed by a chaotic tangle of donor funding streams. The case of Mozambique illustrates how this NGO model impedes Universal Health Coverage. In the 1990s, NGOs multiplied across post-war Mozambique: the country’s structural adjustment program constrained public and foreign aid expenditures on the public health system, while donors favored private contractors and NGOs. In the 2000s, fund…
Adolescent access to and utilisation of health services in two regions of Côte d'Ivoire
Adolescence is a critical time for physical, cognitive, social and emotional development, yet adolescents are prone to unique barriers and unmet needs for receiving proper health care services and information. This study explored barriers and facilitators to adolescent (15-19 years) access to and utilisation of health services in two regions of Côte d'Ivoire. Focus group discussions were conducted with adolescent females and males, caregivers, an…
Austerity in Africa
Austerity across Africa has been operationalized through World Bank and IMF structural adjustment programs since the 1980s, later rebranded euphemistically as poverty reduction strategies in the late 1990s. Austerity's constraints on public spending led donors to a "civil society" focus in which NGOs would fill gaps in basic social services created by public sector contraction. One consequence was large-scale redirection of growing foreign aid fl…
Donor data vacuuming
In this essay, we seek to understand how the stunning rise of data vacuuming, necessitated by the pretense of 'partnership' within global health, has fundamentally altered how routine health data in poor countries is collected, analyzed, prioritized, and used to inform management and policy. Writing as a team of authors with experiences on multiple sides of global health partnerships in the United States, Mozambique, Nepal, Lesotho, Kenya, and Co…
Risky Business
Limited research exists about condom failure as experienced by female sex workers. We conducted a qualitative study to examine how female sex workers in Mombasa, Kenya contextualise and explain the occurrence of condom failure. In-depth, semi-structured interviews were conducted with thirty female sex workers to ascertain their condom failure experiences. We qualitatively analysed interview transcripts to determine how the women mitigate risk and…
Austerity and the "sector-wide approach" to health
Wait and consult times for primary healthcare services in central Mozambique
BACKGROUND: We describe wait and consult times across public-sector clinics and identify health facility determinants of wait and consult times. DESIGN: We observed 8,102 patient arrivals and departures from clinical service areas across 12 public-sector clinics in Sofala and Manica Provinces between January and April 2011. Negative binomial generalized estimating equations were used to model associated health facility factors. RESULTS: Mean wait…
Loss to Follow-Up Among HIV-Exposed Children in an HIV Clinic in Beira, Mozambique
Loss to follow-up contributes to the low coverage of HIV care interventions among HIV-exposed infants in Beira, Mozambique. This qualitative study explores the perceptions of HIV-infected women and their health care providers regarding the main obstacles preventing women from attending follow-up visits for HIV care, and factors influencing women’s decisions about newborn care. Fifty-two in-depth interviews and two focus group discussions were con…
Health and Justice in a Time of Austerity
Health and Justice in a Time of Austerity Affiliation James Pfeiffer PhD, MPHDepartment of Global Health, University of Washington Seattle Health Alliance International, Seattle, WACopyRight https://doi.org/10.2105/AJPH.2015.302786 Published Online: July 09, 2015
Pentecostalism and Aids treatment in Mozambique
Pentecostal fervor has rapidly spread throughout central and southern Mozambique since the end of its protracted civil war in the early 1990s. In the peri-urban bairros and septic fringes of Mozambican cities African Independent Churches (AICs) with Pentecostal roots and mainstream Pentecostals can now claim over half the population as adherents. Over this same period another important phenomenon has coincided with this church expansion: the AIDS…
Anthropological Perspectives on Structural Adjustment and Public Health
Thirty years since its first public use in 1980, the phrase structural adjustment remains obscure for many anthropologists and public health workers. However, structural adjustment programs (SAPs) are the practical tools used by international financial institutions (IFIs) such as the International Monetary Fund (IMF) and the World Bank to promote the market fundamentalism that constitutes the core of neoliberalism. A robust debate continues on th…
Treatment partners and adherence to Haart in Central Mozambique
Adherence to highly active antiretroviral treatment (HAART) has been associated with increased survival rates and decreased drug resistance in various settings. There is growing concern that loss to follow-up will increase and adherence rates will decrease as HAART programs are expanded in resource-limited settings. In Central Mozambique, an innovative program was implemented, using community-based (trained community activists) and self-selected …
One Year After ART Initiation
Strengthening Health Systems in Poor Countries
The challenges facing efforts in Africa to increase access to antiretroviral HIV treatment underscore the urgent need to strengthen national health systems across the continent. However, donor aid to developing countries continues to be disproportionately channeled to international nongovernmental organizations (NGOs) rather than to ministries of health. The rapid proliferation of NGOs has provoked “brain drain” from the public sector by luring w…
What Can Critical Medical Anthropology Contribute to Global Health
The Holy Spirit in the Household
The recent expansion of Pentecostalism and independent churches in Africa has generated growing interest among social scientists. This attention parallels a renewed interest among Africanists on witchcraft and occult activities, also believed by many to be increasing. Some suggest the two trends may be related, but it remains unclear how and why. Drawing on a study of Pentecostalism and health in the city of Chimoio, Mozambique, in 2002-03 that f…
Commodity Fetichismo The Holy Spirit, and the turn to Pentecostal and African Independent Churches in Central Mozambique
Civil Society, NGOs, and the Holy Spirit in Mozambique
The concept of “civil society” has been used by major donors in the world of international development to justify the rechanneling of aid resources away from public sector services to nongovernmental organizations (NGOs) in an era of structural adjustment. Mozambique provides an especially valuable case study of the civil society experiment in Africa, given its dramatic conversion from state-centered development to civil society and free markets …
Anthropological Perspectives on Structural Adjustment and Public Health
Thirty years since its first public use in 1980, the phrase structural adjustment remains obscure for many anthropologists and public health workers. However, structural adjustment programs (SAPs) are the practical tools used by international financial institutions (IFIs) such as the International Monetary Fund (IMF) and the World Bank to promote the market fundamentalism that constitutes the core of neoliberalism. A robust debate continues on th…
International NGOs and primary health care in Mozambique
What Can Critical Medical Anthropology Contribute to Global Health
African Independent Churches in Mozambique
The recent explosive proliferation of African Independent Churches (AICs) in central Mozambique coincided with rapid growth of economic disparity in the 1990s produced by privatization, cuts in government services, and arrival of foreign aid promoted by Mozambique's World Bank/International Monetary Fund Structural Adjustment Program. Drawing on ethnographic research in the city of Chimoio, this article argues that growing inequality has led to d…
Condom Social Marketing, Pentecostalism, and Structural Adjustment in Mozambique
Despite significant debate about the efficacy, ideology, and ethics of the method, condom social marketing (CSM) has become the dominant approach to AIDS education in many sub-Saharan African countries. However, critics have charged that social marketing (SM) distracts from the structural determinants of health-related behavior and excludes genuine community participation. This article argues that the diffusion of SM techniques in Africa is not d…
The Holy Spirit in the Household
The recent expansion of Pentecostalism and independent churches in Africa has generated growing interest among social scientists. This attention parallels a renewed interest among Africanists on witchcraft and occult activities, also believed by many to be increasing. Some suggest the two trends may be related, but it remains unclear how and why. Drawing on a study of Pentecostalism and health in the city of Chimoio, Mozambique, in 2002-03 that f…
Strengthening Health Systems in Poor Countries
The challenges facing efforts in Africa to increase access to antiretroviral HIV treatment underscore the urgent need to strengthen national health systems across the continent. However, donor aid to developing countries continues to be disproportionately channeled to international nongovernmental organizations (NGOs) rather than to ministries of health. The rapid proliferation of NGOs has provoked “brain drain” from the public sector by luring w…
Intrahousehold resource allocation and child growth in Mozambique
Austerity and the "sector-wide approach" to health
Austerity in Africa
Austerity across Africa has been operationalized through World Bank and IMF structural adjustment programs since the 1980s, later rebranded euphemistically as poverty reduction strategies in the late 1990s. Austerity's constraints on public spending led donors to a "civil society" focus in which NGOs would fill gaps in basic social services created by public sector contraction. One consequence was large-scale redirection of growing foreign aid fl…
Cash income, intrahousehold cooperative conflict, and child health in central mozambique
This study presents qualitative data on individual cash income generation and intrahousehold bargaining in a sample of 100 households in central Mozambique. It is now recognized that intrahousehold resource allocation patterns can be critical determinants of children's health in the developing world. Recently developed "bargaining-power" models suggest that individual incomes are often not pooled in households and that decisions are the result of…
Preventing Health Disparities during Covid through Perinatal Home Screening as Black Authoritative Knowledge
Donor data vacuuming
In this essay, we seek to understand how the stunning rise of data vacuuming, necessitated by the pretense of 'partnership' within global health, has fundamentally altered how routine health data in poor countries is collected, analyzed, prioritized, and used to inform management and policy. Writing as a team of authors with experiences on multiple sides of global health partnerships in the United States, Mozambique, Nepal, Lesotho, Kenya, and Co…
Bananeras
Soon afta the triumph over the Somoza dictatorship in 1979, the Sandinista government expropriated many of Nicaragua's export industries, mostly owned by Somoza and his associates, and turned diem into state-managed enterprises. By collectivizing and statizing many export industries (such as sugar, coffee, cotton, and banana production), it was hoped that worker participation in man agement decisions and in the administration of life on the plant…
Intrahousehold resource allocation and child growth in Mozambique
African Independent Churches in Mozambique
The recent explosive proliferation of African Independent Churches (AICs) in central Mozambique coincided with rapid growth of economic disparity in the 1990s produced by privatization, cuts in government services, and arrival of foreign aid promoted by Mozambique's World Bank/International Monetary Fund Structural Adjustment Program. Drawing on ethnographic research in the city of Chimoio, this article argues that growing inequality has led to d…
International NGOs and primary health care in Mozambique
Cash income, intrahousehold cooperative conflict, and child health in central mozambique
This study presents qualitative data on individual cash income generation and intrahousehold bargaining in a sample of 100 households in central Mozambique. It is now recognized that intrahousehold resource allocation patterns can be critical determinants of children's health in the developing world. Recently developed "bargaining-power" models suggest that individual incomes are often not pooled in households and that decisions are the result of…
Civil Society, NGOs, and the Holy Spirit in Mozambique
The concept of “civil society” has been used by major donors in the world of international development to justify the rechanneling of aid resources away from public sector services to nongovernmental organizations (NGOs) in an era of structural adjustment. Mozambique provides an especially valuable case study of the civil society experiment in Africa, given its dramatic conversion from state-centered development to civil society and free markets …
Condom Social Marketing, Pentecostalism, and Structural Adjustment in Mozambique
Despite significant debate about the efficacy, ideology, and ethics of the method, condom social marketing (CSM) has become the dominant approach to AIDS education in many sub-Saharan African countries. However, critics have charged that social marketing (SM) distracts from the structural determinants of health-related behavior and excludes genuine community participation. This article argues that the diffusion of SM techniques in Africa is not d…
Commodity Fetichismo The Holy Spirit, and the turn to Pentecostal and African Independent Churches in Central Mozambique
The Holy Spirit in the Household
The recent expansion of Pentecostalism and independent churches in Africa has generated growing interest among social scientists. This attention parallels a renewed interest among Africanists on witchcraft and occult activities, also believed by many to be increasing. Some suggest the two trends may be related, but it remains unclear how and why. Drawing on a study of Pentecostalism and health in the city of Chimoio, Mozambique, in 2002-03 that f…
Strengthening Health Systems in Poor Countries
The challenges facing efforts in Africa to increase access to antiretroviral HIV treatment underscore the urgent need to strengthen national health systems across the continent. However, donor aid to developing countries continues to be disproportionately channeled to international nongovernmental organizations (NGOs) rather than to ministries of health. The rapid proliferation of NGOs has provoked “brain drain” from the public sector by luring w…
What Can Critical Medical Anthropology Contribute to Global Health
Treatment partners and adherence to Haart in Central Mozambique
Adherence to highly active antiretroviral treatment (HAART) has been associated with increased survival rates and decreased drug resistance in various settings. There is growing concern that loss to follow-up will increase and adherence rates will decrease as HAART programs are expanded in resource-limited settings. In Central Mozambique, an innovative program was implemented, using community-based (trained community activists) and self-selected …
One Year After ART Initiation
Anthropological Perspectives on Structural Adjustment and Public Health
Thirty years since its first public use in 1980, the phrase structural adjustment remains obscure for many anthropologists and public health workers. However, structural adjustment programs (SAPs) are the practical tools used by international financial institutions (IFIs) such as the International Monetary Fund (IMF) and the World Bank to promote the market fundamentalism that constitutes the core of neoliberalism. A robust debate continues on th…
Pentecostalism and Aids treatment in Mozambique
Pentecostal fervor has rapidly spread throughout central and southern Mozambique since the end of its protracted civil war in the early 1990s. In the peri-urban bairros and septic fringes of Mozambican cities African Independent Churches (AICs) with Pentecostal roots and mainstream Pentecostals can now claim over half the population as adherents. Over this same period another important phenomenon has coincided with this church expansion: the AIDS…
Loss to Follow-Up Among HIV-Exposed Children in an HIV Clinic in Beira, Mozambique
Loss to follow-up contributes to the low coverage of HIV care interventions among HIV-exposed infants in Beira, Mozambique. This qualitative study explores the perceptions of HIV-infected women and their health care providers regarding the main obstacles preventing women from attending follow-up visits for HIV care, and factors influencing women’s decisions about newborn care. Fifty-two in-depth interviews and two focus group discussions were con…
Health and Justice in a Time of Austerity
Health and Justice in a Time of Austerity Affiliation James Pfeiffer PhD, MPHDepartment of Global Health, University of Washington Seattle Health Alliance International, Seattle, WACopyRight https://doi.org/10.2105/AJPH.2015.302786 Published Online: July 09, 2015
Wait and consult times for primary healthcare services in central Mozambique
BACKGROUND: We describe wait and consult times across public-sector clinics and identify health facility determinants of wait and consult times. DESIGN: We observed 8,102 patient arrivals and departures from clinical service areas across 12 public-sector clinics in Sofala and Manica Provinces between January and April 2011. Negative binomial generalized estimating equations were used to model associated health facility factors. RESULTS: Mean wait…
Risky Business
Limited research exists about condom failure as experienced by female sex workers. We conducted a qualitative study to examine how female sex workers in Mombasa, Kenya contextualise and explain the occurrence of condom failure. In-depth, semi-structured interviews were conducted with thirty female sex workers to ascertain their condom failure experiences. We qualitatively analysed interview transcripts to determine how the women mitigate risk and…
Austerity and the "sector-wide approach" to health
Donor data vacuuming
In this essay, we seek to understand how the stunning rise of data vacuuming, necessitated by the pretense of 'partnership' within global health, has fundamentally altered how routine health data in poor countries is collected, analyzed, prioritized, and used to inform management and policy. Writing as a team of authors with experiences on multiple sides of global health partnerships in the United States, Mozambique, Nepal, Lesotho, Kenya, and Co…
NGOs, austerity, and universal health coverage in Mozambique
In many African countries, hundreds of health-related NGOs are fed by a chaotic tangle of donor funding streams. The case of Mozambique illustrates how this NGO model impedes Universal Health Coverage. In the 1990s, NGOs multiplied across post-war Mozambique: the country’s structural adjustment program constrained public and foreign aid expenditures on the public health system, while donors favored private contractors and NGOs. In the 2000s, fund…
Adolescent access to and utilisation of health services in two regions of Côte d'Ivoire
Adolescence is a critical time for physical, cognitive, social and emotional development, yet adolescents are prone to unique barriers and unmet needs for receiving proper health care services and information. This study explored barriers and facilitators to adolescent (15-19 years) access to and utilisation of health services in two regions of Côte d'Ivoire. Focus group discussions were conducted with adolescent females and males, caregivers, an…
Austerity in Africa
Austerity across Africa has been operationalized through World Bank and IMF structural adjustment programs since the 1980s, later rebranded euphemistically as poverty reduction strategies in the late 1990s. Austerity's constraints on public spending led donors to a "civil society" focus in which NGOs would fill gaps in basic social services created by public sector contraction. One consequence was large-scale redirection of growing foreign aid fl…
“I was afraid my baby would be upset with me” – women living with HIV’s accounts going through non-breastfeeding in São Paulo, Brazil
In Brazil prevention of mother to child HIV transmission guidelines recommend formula feeding. This qualitative study, carried out in a public clinic (CEADIPE/UNIFESP), aimed at exploring experiences of breastfeeding avoidance of women living with HIV living in São Paulo. Individual interviews were carried out with the support of a semi-structured questionnaire. Data was analyzed in a thematic approach with the support of AtlasTi®. During the mon…
Medicine (18 works) · Political science (18 works) · Economics (17 works) · Economic growth (16 works) · Sociology (14 works) · Health care (11 works) · Nursing (10 works) · Politics (10 works) · Family medicine (9 works) · Law (9 works)