Rebecca Hodes
Datos Biográficos
| ID | 174221 |
|---|---|
| NOMBRE | Rebecca Hodes |
| NOMBRES | Rebecca |
| APELLIDO | Hodes |
| FIRMA | HODES R |
| AFILIACIONES | University of Cape Town |
| ORCID | 0000-0002-2502-803X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 33 |
| TOTAL DE CITAS | 37 |
| TOTAL COMO AUTOR | 33 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2007 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Using the social ecological model to understand the factors that influence the attitudes women have towards the use of pre-exposure prophylaxis for the prevention of HIV in Uganda
The use of biomedical means of HIV prevention, such as pre-exposure prophylaxis (PrEP), is effective in reducing HIV infection in high-risk groups that include women. Regardless of the known efficacy of PrEP, the number of women using PrEP in Uganda is still low. People's decisions to engage in a health behaviour, in this case, PrEP, is influenced by the attitudes and perceptions they have towards it. This study explored the factors that influenc…
Shallow Prohibition
Against the Odds
This article explores the positions of young fathers living in contexts of unemployment and poverty in South Africa's Eastern Cape. We use two primary sources of data to explore young men's ideas about fatherhood, as articulated in letters written to their children as well as in ethnographic fieldnotes based on conversations with 11 young fathers. This article highlights the ambitions that young men have for themselves as providers for their chil…
Remember there is that thing called confidentiality’
Adolescents and men are two populations that perform poorly within the HIV cascade of care, having worse AIDS-related health outcomes, and experiencing higher levels of HIV-related stigma. This paper explores institutional health system discrimination as experienced by adolescent boys with perinatally-acquired HIV, situating them within the social and gendered contexts of the Eastern Cape Province, South Africa. Life history narratives (n = 36) a…
Sisonke
When South Africa’s Covid-19 pandemic emerged in March 2020, scientists mobilised quickly and effectively to parse and produce evidence to inform the state’s response. South Africa became a site for numerous Covid-19 vaccine trials. While many publications in scientific journals have explored the effects of Covid-19 vaccinations, in South Africa and globally, the social aspects of the vaccination rollout remain underexplored, particularly concern…
Traditional and biomedical health practices of adolescent boys and young men living with perinatally-acquired HIV in the Eastern Cape Province of South Africa
Men are less vulnerable to HIV acquisition than women, but have poorer HIV-related health outcomes. They access HIV services less, and are more likely to die on antiretroviral therapy. The adolescent epidemic presents further challenges, and AIDS-related illness is the leading cause of death among adolescents in sub-Saharan Africa. We explored the health practices of adolescent boys and young men (aged 13-22) living with perinatally-acquired HIV …
Foreign body’
This article explores the reception of the contraceptive implant, Implanon, by healthcare workers and patients in family planning units in South Africa's public health sector. Based on observations conducted at public health facilities in the Eastern Cape Province, and on interviews with nurses and patients in the same province, the study explored real-world experiences of the implant. This article examines the strategies used by nurses to promot…
Blood and Blood
Adolescents living with perinatally acquired HIV are among the first generation in South Africa to grow up with anti-retroviral therapy and democratic freedoms. In this article, we explore the biosocial lives of adolescent boys and young men living with HIV in the Eastern Cape Province of South Africa. We conducted qualitative research with 36 adolescent boys and young men in 2016-2018, including life history narratives, semi-structured interview…
Power to participants
Whilst the HIV response has made significant progress in increasing representation of adults affected by HIV, the meaningful inclusion of children and adolescents has lagged. But this may be a pivotal moment of change. We report on a decade of conducting adolescent advisory groups in South Africa, to reflect on youth advisory processes. Data was collected from 2008 to 2018 from adolescent advisors (n = 60) and researchers (n = 25), and included f…
If you are found taking medicine, you will be called names and considered less of a man
This paper explores how HIV-positive abakhwetha (young male initiates) undergoing ulwaluko (traditional Xhosa initiation and circumcision) engage with HIV-related biomedical care and treatment. Health-focused life history narratives (n = 36), semi-structured interviews (n = 32) and analysis of health facility files (n = 41) with adolescent boys and young men (ages 13–24) living with HIV, and semi-structured interviews with traditional and biomedi…
‘Kasi curriculum’
Sex education within the formal bounds of school curricula or clinic consultation is traditionally conceived as age-appropriate and accurate information, delivered by a sanctioned adult such as a nurse or teacher. This article explores another kind of curriculum – taught and learned among young men themselves in the kasi (township) in which they live. Findings are based on primary data gathered during interviews and research workshops with boys a…
Convenors’ Preface to Special Issue
Pharmatrash’ in South Africa
This study examines what happens to pharmaceutical products after they have been provided, purchased, consumed and discarded. Based on an archive of medical materials, constituted over three years of collecting waste in public sites around South Africa’s Eastern Cape, I analyse the uses of these products in relation to two key developments in post-apartheid history: new forms of healthcare provision and consumption; and the diversity of formal, a…
Yummy or crummy?’ The multisensory components of medicines-taking among HIV-positive youth
The global rollout of Antiretroviral Treatment (ART) has revealed an urgent need to understand the medicines-taking practices of HIV-positive adolescents. In the last decade, the literature on the social determinants of health has broadened the evidence-base on ART adherence. Interdisciplinary studies have expanded conceptions of medicines-taking beyond clinical or health systems frameworks, recognising the importance of socio-structural conditio…
Pesky metrics
The global rollout of antiretroviral treatment (ART) for HIV is one of the largest public health interventions ever undertaken. As the rollout expands, a growing body of research has focused on adherence to ART: how is it measured, what are the flaws of these metrics, and how may these be improved? We provide an overview of current, critical developments in adherence research among adolescents, and of how research on adherence to ART among adoles…
Pharmaceuticals and modern statecraft in South Africa
This article provides a history of three pharmaceuticals in the making of modern South Africa. Borrowing and adapting Arthur Daemmrich's term 'pharmacopolitics', we examine how forms of pharmaceutical governance became integral to the creation and institutional practices of this state. Through case studies of three medicaments: opium (late 19th to early 20th century), thalidomide (late 1950s to early 1960s) and contraception (1970s to 2010s), we …
Questioning ‘fees must fall
Journal Article Questioning 'Fees Must Fall' Get access Rebecca Hodes Rebecca Hodes Search for other works by this author on: Oxford Academic Google Scholar African Affairs, Volume 116, Issue 462, 1 January 2017, Pages 140–150, https://doi.org/10.1093/afraf/adw072 Published: 18 January 2017
Bureaucracies of Blood and Belonging
In response to its constitutional commitments and social welfare provisions in the era of democracy, the post-apartheid South African state is increasingly called upon to provide for the lives and livelihoods of its citizens. These demands have intensified amid escalating joblessness and the highest numbers of people living with HIV worldwide. Over the past decade, antiretroviral treatment (ART) has been incorporated into an ever-expanding welfar…
Negotiations of Blame and Care among HIV-positive Mothers and Daughters in South Africa's Eastern Cape
Research delineates two epidemiological categories among HIV-positive adolescents: those who contract the virus sexually and those who inherit it as infants. In this article, we are interested in how tacit inferences about adolescents' mode of infection contribute to their experiences of HIV-related blame, and their ability to achieve care, in their intimate, everyday settings. The analysis arises from ethnographic research with 23 HIV-positive a…
Achieving equity in HIV-treatment outcomes
Low ART-adherence amongst adolescents is associated with morbidity, mortality and onward HIV transmission. Reviews find no effective adolescent adherence-promoting interventions. Social protection has demonstrated benefits for adolescents, and could potentially improve ART-adherence. This study examines associations of 10 social protection provisions with adherence in a large community-based sample of HIV-positive adolescents. All 10-19-year-olds…
Changing Donor Funding and the Challenges of Integrated HIV Treatment
Donor financing for HIV prevention and treatment has shifted from supporting disease-specific ("vertical") programs to health systems strengthening ("horizontal") programs intended to integrate all aspects of care. We examine the consequences of shifting resources from three perspectives: first, through a broad analysis of the changing policy context of health care financing; second, through an account of changing priorities for HIV treatment in …
School, Supervision and Adolescent-Sensitive Clinic Care
Social protection can reduce HIV-risk behavior in general adolescent populations, but evidence among HIV-positive adolescents is limited. This study quantitatively tests whether social protection is associated with reduced unprotected sex among 1060 ART-eligible adolescents from 53 government facilities in South Africa. Potential social protection included nine 'cash/cash-in-kind' and 'care' provisions. Analyses tested interactive/additive effect…
Coming of age? Women's sexual and reproductive health after twentyone years of democracy in South Africa
This paper is a sequel to a 2004 article that reviewed South Africa's introduction of new sexual and reproductive health (SRH) and rights laws, policies and programmes, a decade into democracy. Similarly to the previous article, this paper focuses on key areas of women's SRH: contraception and fertility, abortion, maternal health, HIV, cervical and breast cancer and sexual violence. In the last decade, South Africa has retained and expanded its s…
The Culture of Illegal Abortion in South Africa
Abortion is a common medical experience, globally and in South Africa. Worldwide, approximately one in five pregnancies ends in abortion. But many societies understand abortion as a moral transgression, even if its benefits to public health are sanctioned legally. South Africa’s abortion culture reveals this paradox: abortion is often publicly condemned – by political authorities, healthcare workers, patients and their families – but privately sa…
Sex and secrecy
HIV-positive adolescents who engage in unsafe sex are at heightened risk for transmitting or re-acquiring HIV. Disclosure of HIV-status to sexual partners may impact on condom use, but no study has explored the effects of (i) adolescent knowledge of one's HIV-status, (ii) knowledge of partner status and (iii) disclosure to partners, on safer sex behaviour. This study aimed to identify whether knowledge of HIV-status by HIV-positive adolescents an…
Questioning ‘fees must fall
Journal Article Questioning 'Fees Must Fall' Get access Rebecca Hodes Rebecca Hodes Search for other works by this author on: Oxford Academic Google Scholar African Affairs, Volume 116, Issue 462, 1 January 2017, Pages 140–150, https://doi.org/10.1093/afraf/adw072 Published: 18 January 2017
The Medical History of Abortion in South Africa, c. 1970–2000
This article explores the medical history of abortion in South Africa during the last three decades of the twentieth century, focusing on the role played by doctors in their clinical encounters with abortion patients. It also examines doctors' views of the state's contested policies on abortion, while locating these policies within the wider global movement towards the legalisation of abortion. Many doctors and public health officials employed by…
HIV/Aids in South African Documentary Film, c. 1990–2000
Documentary film has historically been used as a medium of mass education on issues of social import. Although initially employed in South Africa for colonial propaganda, under apartheid the medium was used both to expose and resist state oppression. When the HIV/AIDS pandemic began in the 1980s, western film-makers harnessed the documentary format in order to foster awareness and challenge misinformation about the disease. This was also the case…
Bureaucracies of Blood and Belonging
In response to its constitutional commitments and social welfare provisions in the era of democracy, the post-apartheid South African state is increasingly called upon to provide for the lives and livelihoods of its citizens. These demands have intensified amid escalating joblessness and the highest numbers of people living with HIV worldwide. Over the past decade, antiretroviral treatment (ART) has been incorporated into an ever-expanding welfar…
Pharmaceuticals and modern statecraft in South Africa
This article provides a history of three pharmaceuticals in the making of modern South Africa. Borrowing and adapting Arthur Daemmrich's term 'pharmacopolitics', we examine how forms of pharmaceutical governance became integral to the creation and institutional practices of this state. Through case studies of three medicaments: opium (late 19th to early 20th century), thalidomide (late 1950s to early 1960s) and contraception (1970s to 2010s), we …
Negotiations of Blame and Care among HIV-positive Mothers and Daughters in South Africa's Eastern Cape
Research delineates two epidemiological categories among HIV-positive adolescents: those who contract the virus sexually and those who inherit it as infants. In this article, we are interested in how tacit inferences about adolescents' mode of infection contribute to their experiences of HIV-related blame, and their ability to achieve care, in their intimate, everyday settings. The analysis arises from ethnographic research with 23 HIV-positive a…
Coming of age? Women's sexual and reproductive health after twentyone years of democracy in South Africa
This paper is a sequel to a 2004 article that reviewed South Africa's introduction of new sexual and reproductive health (SRH) and rights laws, policies and programmes, a decade into democracy. Similarly to the previous article, this paper focuses on key areas of women's SRH: contraception and fertility, abortion, maternal health, HIV, cervical and breast cancer and sexual violence. In the last decade, South Africa has retained and expanded its s…
The Culture of Illegal Abortion in South Africa
Abortion is a common medical experience, globally and in South Africa. Worldwide, approximately one in five pregnancies ends in abortion. But many societies understand abortion as a moral transgression, even if its benefits to public health are sanctioned legally. South Africa’s abortion culture reveals this paradox: abortion is often publicly condemned – by political authorities, healthcare workers, patients and their families – but privately sa…
Televising Treatment
Siyayinqoba/Beat It! is an activist-aligned television programme first broadcast on South African national television in 1999. This article documents how Beat It! used the educative power of television to demystify HIV treatment and generate support for public access to antiretroviral medicines (ARVs). It seeks to address gaps in scholarship about the historical representation of HIV in the South African media, and explores how Beat It!'s earlies…
Against the Odds
This article explores the positions of young fathers living in contexts of unemployment and poverty in South Africa's Eastern Cape. We use two primary sources of data to explore young men's ideas about fatherhood, as articulated in letters written to their children as well as in ethnographic fieldnotes based on conversations with 11 young fathers. This article highlights the ambitions that young men have for themselves as providers for their chil…
Understanding Aids Conspiracies
HIV/Aids in South African Documentary Film, c. 1990–2000
Documentary film has historically been used as a medium of mass education on issues of social import. Although initially employed in South Africa for colonial propaganda, under apartheid the medium was used both to expose and resist state oppression. When the HIV/AIDS pandemic began in the 1980s, western film-makers harnessed the documentary format in order to foster awareness and challenge misinformation about the disease. This was also the case…
Televising Treatment
Siyayinqoba/Beat It! is an activist-aligned television programme first broadcast on South African national television in 1999. This article documents how Beat It! used the educative power of television to demystify HIV treatment and generate support for public access to antiretroviral medicines (ARVs). It seeks to address gaps in scholarship about the historical representation of HIV in the South African media, and explores how Beat It!'s earlies…
Piloting antiretroviral treatment in South Africa
In 1999, the government of the Western Cape Province, South Africa, entered into a partnership with Médecins Sans Frontières (MSF) to provide HIV treatment through public health clinics in the peri-urban settlement of Khayelitsha. From 2000 onwards, this partnership ran South Africa's first antiretroviral treatment (ART) programme. Due to the province's limited experience (as of 1999) in implementing and monitoring an ART programme, and the Natio…
Understanding Aids Conspiracies
The Medical History of Abortion in South Africa, c. 1970–2000
This article explores the medical history of abortion in South Africa during the last three decades of the twentieth century, focusing on the role played by doctors in their clinical encounters with abortion patients. It also examines doctors' views of the state's contested policies on abortion, while locating these policies within the wider global movement towards the legalisation of abortion. Many doctors and public health officials employed by…
Ancestors and Antiretrovirals
In the vast corpus of academic writing about HIV/AIDS in South Africa, now entering its fifth decade, generational shifts are perceptible. In the earliest texts, scholars in the global North grappled with the medical and social meanings of a new epidemic, emerging in a context of 1980s fiscal conservatism, the resurgence of the moral right in public life, and the backlash against the feminist and gay rights movements. In South Africa, the dismant…
Sex and secrecy
HIV-positive adolescents who engage in unsafe sex are at heightened risk for transmitting or re-acquiring HIV. Disclosure of HIV-status to sexual partners may impact on condom use, but no study has explored the effects of (i) adolescent knowledge of one's HIV-status, (ii) knowledge of partner status and (iii) disclosure to partners, on safer sex behaviour. This study aimed to identify whether knowledge of HIV-status by HIV-positive adolescents an…
Science and Scandal in South Africa
Kink and the Colony
From the late 19th century onwards, in keeping with the rise of modern medical specialisations, sex was established as a legitimate subject of scientific enquiry. Public interest in sexual health at the Cape was fuelled in part by the panic about epidemics of venereal disease in the wake of the South African War. Local doctors presented sex as a conduit for biological contagion and moral dissolution. Deviant sexuality, in its many manifestations,…
Achieving equity in HIV-treatment outcomes
Low ART-adherence amongst adolescents is associated with morbidity, mortality and onward HIV transmission. Reviews find no effective adolescent adherence-promoting interventions. Social protection has demonstrated benefits for adolescents, and could potentially improve ART-adherence. This study examines associations of 10 social protection provisions with adherence in a large community-based sample of HIV-positive adolescents. All 10-19-year-olds…
Changing Donor Funding and the Challenges of Integrated HIV Treatment
Donor financing for HIV prevention and treatment has shifted from supporting disease-specific ("vertical") programs to health systems strengthening ("horizontal") programs intended to integrate all aspects of care. We examine the consequences of shifting resources from three perspectives: first, through a broad analysis of the changing policy context of health care financing; second, through an account of changing priorities for HIV treatment in …
School, Supervision and Adolescent-Sensitive Clinic Care
Social protection can reduce HIV-risk behavior in general adolescent populations, but evidence among HIV-positive adolescents is limited. This study quantitatively tests whether social protection is associated with reduced unprotected sex among 1060 ART-eligible adolescents from 53 government facilities in South Africa. Potential social protection included nine 'cash/cash-in-kind' and 'care' provisions. Analyses tested interactive/additive effect…
Coming of age? Women's sexual and reproductive health after twentyone years of democracy in South Africa
This paper is a sequel to a 2004 article that reviewed South Africa's introduction of new sexual and reproductive health (SRH) and rights laws, policies and programmes, a decade into democracy. Similarly to the previous article, this paper focuses on key areas of women's SRH: contraception and fertility, abortion, maternal health, HIV, cervical and breast cancer and sexual violence. In the last decade, South Africa has retained and expanded its s…
The Culture of Illegal Abortion in South Africa
Abortion is a common medical experience, globally and in South Africa. Worldwide, approximately one in five pregnancies ends in abortion. But many societies understand abortion as a moral transgression, even if its benefits to public health are sanctioned legally. South Africa’s abortion culture reveals this paradox: abortion is often publicly condemned – by political authorities, healthcare workers, patients and their families – but privately sa…
Questioning ‘fees must fall
Journal Article Questioning 'Fees Must Fall' Get access Rebecca Hodes Rebecca Hodes Search for other works by this author on: Oxford Academic Google Scholar African Affairs, Volume 116, Issue 462, 1 January 2017, Pages 140–150, https://doi.org/10.1093/afraf/adw072 Published: 18 January 2017
Bureaucracies of Blood and Belonging
In response to its constitutional commitments and social welfare provisions in the era of democracy, the post-apartheid South African state is increasingly called upon to provide for the lives and livelihoods of its citizens. These demands have intensified amid escalating joblessness and the highest numbers of people living with HIV worldwide. Over the past decade, antiretroviral treatment (ART) has been incorporated into an ever-expanding welfar…
Negotiations of Blame and Care among HIV-positive Mothers and Daughters in South Africa's Eastern Cape
Research delineates two epidemiological categories among HIV-positive adolescents: those who contract the virus sexually and those who inherit it as infants. In this article, we are interested in how tacit inferences about adolescents' mode of infection contribute to their experiences of HIV-related blame, and their ability to achieve care, in their intimate, everyday settings. The analysis arises from ethnographic research with 23 HIV-positive a…
Yummy or crummy?’ The multisensory components of medicines-taking among HIV-positive youth
The global rollout of Antiretroviral Treatment (ART) has revealed an urgent need to understand the medicines-taking practices of HIV-positive adolescents. In the last decade, the literature on the social determinants of health has broadened the evidence-base on ART adherence. Interdisciplinary studies have expanded conceptions of medicines-taking beyond clinical or health systems frameworks, recognising the importance of socio-structural conditio…
Pesky metrics
The global rollout of antiretroviral treatment (ART) for HIV is one of the largest public health interventions ever undertaken. As the rollout expands, a growing body of research has focused on adherence to ART: how is it measured, what are the flaws of these metrics, and how may these be improved? We provide an overview of current, critical developments in adherence research among adolescents, and of how research on adherence to ART among adoles…
Pharmaceuticals and modern statecraft in South Africa
This article provides a history of three pharmaceuticals in the making of modern South Africa. Borrowing and adapting Arthur Daemmrich's term 'pharmacopolitics', we examine how forms of pharmaceutical governance became integral to the creation and institutional practices of this state. Through case studies of three medicaments: opium (late 19th to early 20th century), thalidomide (late 1950s to early 1960s) and contraception (1970s to 2010s), we …
‘Kasi curriculum’
Sex education within the formal bounds of school curricula or clinic consultation is traditionally conceived as age-appropriate and accurate information, delivered by a sanctioned adult such as a nurse or teacher. This article explores another kind of curriculum – taught and learned among young men themselves in the kasi (township) in which they live. Findings are based on primary data gathered during interviews and research workshops with boys a…
Convenors’ Preface to Special Issue
Pharmatrash’ in South Africa
This study examines what happens to pharmaceutical products after they have been provided, purchased, consumed and discarded. Based on an archive of medical materials, constituted over three years of collecting waste in public sites around South Africa’s Eastern Cape, I analyse the uses of these products in relation to two key developments in post-apartheid history: new forms of healthcare provision and consumption; and the diversity of formal, a…
Power to participants
Whilst the HIV response has made significant progress in increasing representation of adults affected by HIV, the meaningful inclusion of children and adolescents has lagged. But this may be a pivotal moment of change. We report on a decade of conducting adolescent advisory groups in South Africa, to reflect on youth advisory processes. Data was collected from 2008 to 2018 from adolescent advisors (n = 60) and researchers (n = 25), and included f…
If you are found taking medicine, you will be called names and considered less of a man
This paper explores how HIV-positive abakhwetha (young male initiates) undergoing ulwaluko (traditional Xhosa initiation and circumcision) engage with HIV-related biomedical care and treatment. Health-focused life history narratives (n = 36), semi-structured interviews (n = 32) and analysis of health facility files (n = 41) with adolescent boys and young men (ages 13–24) living with HIV, and semi-structured interviews with traditional and biomedi…
Medicine (22 obras) · Political science (22 obras) · Sociology (21 obras) · Adolescent Sexual and Reproductive Health (19 obras) · HIV/AIDS Research and Interventions (14 obras) · Law (11 obras) · Family medicine (10 obras) · Gender Studies (10 obras) · Psychology (10 obras) · Politics (9 obras)