Koen Peeters Grietens
Datos Biográficos
| ID | 353028 |
|---|---|
| NOMBRE | Koen Peeters Grietens |
| NOMBRES | Koen Peeters |
| APELLIDO | Grietens |
| FIRMA | GRIETENS K P |
| AFILIACIONES | Instituut voor Tropische Geneeskunde |
| ORCID | 0000-0001-6570-9887 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 38 |
| TOTAL DE CITAS | 5 |
| TOTAL COMO AUTOR | 37 |
| TOTAL COMO EDITOR | 1 |
| PRIMER AÑO DE PUBLICACIÓN | 2010 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
‘We can see a savage’
Theorizing the failures of computer vision algorithms requires shifting from detecting and fixing biases towards understanding how algorithms are shaped by social, historical, and political real-world precursors. To better understand the socially embedded and historically rooted representational harms of these algorithms, we analyze how AI image captioning depicts archival images of living ethnological exibitions (so-called 'human zoos'), mass st…
“Miss, I want itchy medicine”
Antibiotic use is shaped by access, knowledge, norms, and practices, yet remains poorly understood in many community settings worldwide. To address these gaps, we investigated community antibiotic use in six villages across Sukoharjo, Karanganyar, and Klaten districts of Central Java province in Indonesia. This study focused on three key questions: (i) which antibiotics are accessible in community settings; (ii) how do community members recognize…
Inadequate last-mile pharmaceutical waste management is a neglected threat to environmental and public health
BOX Last-mile pharmaceutical waste is generated at the level of the community, healthcare facilities, pharmaceutical outlets and markets, and animal husbandry
Navigating health system constraints and risks for childbirth care in rural Guinea
Women with reproductive desires and needs face various health system constraints in the Global South. Certain biomedical practices, such as C-section, are also perceived by women as risky. In this paper, we explore how women in one of the Susu villages in western Guinea use their agency to navigate health system-related constraints and risks. This was a twelve-month ethnography using focus group discussions, individual in-depth interviews, inform…
The elephant in the room
Assembling a global health image
Background Recently, global health has been confronting its visual culture, historically modulated by colonialism, racism and abusive representation. There have been international calls to promote ethicality of visual practices. However, despite this focus on the history and the institutional use of global health images, little is known about how in practice contemporary images are created in communities, and how consent to be in photographs is o…
Use of antimicrobials and other medical products in an ethnic minority context of South-Central Vietnam
Despite the global threat of antimicrobial resistance (AMR), evidence on the use and quality of medicines at community level is limited, particularly in impoverished, rural areas where prevalence of (bacterial) infections is high. To better understand the processes that drive vulnerability to AMR’ effects, this study aimed to assess social factors underpinning access to–and use of–medical products and healthcare, among people from the Raglai ethn…
Evidence uptake is only part of the process
Health policy processes should be evidence-informed, transparent and timely, but these processes are often unclear to stakeholders outside the immediate policymaking environment. We spoke to 36 international malaria stakeholders to gain insights on the processes involved in the World Health Organization’s Global Malaria Programme’s recommendations for their treatment guidelines of P . vivax malaria. Four key themes which drew on the 3i policy fra…
Global health photography behind the façade of empowerment and decolonisation
Global health photography has historically been commissioned and, therefore, dominated by the gaze of Western photographers on assignments in the Global South. This is changing as part of international calls to decolonise global health and stimulate 'empowerment', spawning a growing initiative to hire local photographers. This article, based on interviews with global health photographers, reflects on this paradigm shift. It highlights how behind …
From risk factors to disease situations
The goal of this qualitative research study, part of an interdisciplinary project, was to understand the overlapping geographical distribution of COVID-19 and tuberculosis burden in Lima. Using an ethnographic approach, we applied the concept of disease situations to explore how inhabitants' social and spatial situatedness affected their capacity to respond to the pandemic. Our results show that for some populations in Lima, the risk to develop C…
Vaccins imparfaits
Si aucun vaccin ne peut offrir une protection totale, un haut niveau de réglementation en matière de sécurité, d'efficacité et de qualité est fondamental pour la confiance du public et l'adoption des vaccins en tant qu'outils essentiels de la santé publique mondiale. Cet article traite d'une préoccupation croissante au sujet des vaccins sous-optimaux « imparfaits » qui menacent les interventions d'urgence en cas de pandémie, ainsi que les program…
Leaky Vaccines
While no vaccine can provide 100 percent protection, a high standard of regulatory safety, efficacy and quality is essential for public trust and the uptake of vaccines as essential global public health tools. This article addresses a growing concern that suboptimal "leaky" vaccines threaten emergency response to pandemics as well as routine public health programs. Agile regulatory standards now advance earlier approval of vaccines and therapeuti…
Embracing context
Dialogue with people who are vaccine hesitant has been recommended as a method to increase vaccination uptake. The process of cultivating dialogue is shaped by the context in which it occurs, yet the development of interventions addressing vaccine hesitancy with dialogue often overlooks the role of context and favors relatively fixed solutions. This reflexive paper shares three key lessons related to context for dialogue-based interventions. Thes…
Uncertainties about the quality of medical products globally
Why Communities Participate in Malaria Elimination Projects
The importance of community participation in malaria elimination efforts has been trumpeted in various studies; however, the reasons why communities participate are often under examined. We explored the underlying socio-cultural environment of marginalized communities in Vietnam, Laos, and Cambodia to ascertain why these groups participate in a malaria elimination project, through 12 months of ethnographic fieldwork, including in-depth interviews…
More than one crisis
The COVID-19 pandemic has disrupted societies globally. Public health institutions were tasked with responding to the pandemic in a dynamic and uncertain context. This paper sheds light on the experiences of COVID-19 response actors as they navigated multi-dimensional crises associated with the pandemic in general and vaccine hesitancy in particular. This research was conducted during the initial phase of the COVID-19 vaccine rollout in Flanders,…
Parallel vaccine discourses in Guinea
Misinformation has been identified as a major threat to public confidence in vaccines, particularly during epidemics. As a response, social listening has become a popular and heuristic public health tool for detecting misinformation and adapting vaccine communication. In this article, we take a critical stance on the normalised approach to social listening which solely relies on the analysis of online discourses. We highlight that the current soc…
Drawings as tools to (re)imagine space in interdisciplinary global health research
Understanding the role of space in infectious diseases' dynamics in urban contexts is key to developing effective mitigation strategies. Urbanism, a discipline that both studies and acts upon the city, commonly uses drawings to analyze spatial patterns and their variables. This paper revisits drawings as analytical and integrative tools for interdisciplinary research. We introduce the use of drawings in two interdisciplinary projects conducted in…
Misdirection – Magic, Psychology and its Application
The art of magic relies on deception and illusions to create human experiences that appear impossible. Misdirection lies at the heart of this deceptive art, and yet there is little consensus as to what this concept aims to describe. The concept of misdirection is not limited to magic, and its principles are applied to wide aspects of our lives (e.g., politics, public health, marketing). In recent years, scientists have started to examine the psyc…
Misdirection in Global Health
Beyond eves and cracks
During the past century, the global trend of reduced malaria transmission has been concurrent with increasing urbanization. Although urbanization has traditionally been considered beneficial for vector control, the adaptation of malaria vectors to urban environments has created concerns among scientific communities and national vector control programs. Since urbanization rates in Ethiopia are among the highest in the world, the Ethiopian governme…
Doing ‘reciprocity work’
In their roles as nurses, data collectors, or other, fieldworkers undertake myriad tasks working intimately with and on the bodies of others - a type of work called 'body work'. This work further includes the micro-political relations shaping these interactions, and studies have shown the importance of these relationships in the success of clinical trials, particularly in the Gambia. This study seeks to expand the concept of body work to understa…
There Were Moments We Wished She Could Just Die
Nodding Syndrome (NS) occurs within a wide spectrum of epilepsies seen in onchocerciasis endemic areas of sub-Saharan Africa. It has debilitating consequences on affected individuals and increases the socio-economic, physical and psychological burden on care-givers and their households, diminishing their standing within the community. Social science research on the disproportionate burden of the disease on females is limited. Based on ethnographi…
Intra-household Variation in Pathways to Care for Epilepsy and Mental Disorders in Eastern Uganda
Integrating mental, neurological, and substance use (MNS) health care into the public health system has become a global priority, with mental health, and well-being now being part of the Sustainable Development Goals. In the aim to provide good quality care for MNS disorders, understanding patients' pathways to care is key. This qualitative study explores the pathways to care of patients attending an outpatient mental health clinic of a district …
Understanding Malaria Persistence
Despite the scale-up of vector control, diagnosis and treatment, and health information campaigns, malaria persists in the forested areas of South-Central Vietnam, home to ethnic minority populations. A mixed-methods study using an exploratory sequential design was conducted in 10 Ra-glai villages in Bac Ai district of Ninh Thuan province to examine which social factors limited the effectiveness of the national malaria elimination strategy in the…
How to protect your new-born from neonatal death
Since the 1990s, the reduction of under-five child-mortality has been a priority for the WHO (Millennium Development Goal 4). In the last two decades, the greatest reduction has occurred in children older than 1 month, while neonatal mortality (the first 28 days of life) has declined more slowly. Neonatal deaths, estimated at approximately 4 million annually, now account for more than 40% of deaths worldwide. Bacterial infections are the leading …
Further evidence needed to change policy for the safe and effective radical cure of vivax malaria
New diagnostics and treatment options for the radical cure of Plasmodium vivax malaria are now available. At the 2019 annual meeting of the Vivax Working Group of the Asia Pacific Malaria Elimination Network, participants took part in a roundtable discussion to identify further evidence required to introduce these new tools into policy and practice. Key gaps identified were accuracy and reliability of glucose-6-phosphate-dehydrogenase deficiency …
Food Insecurity as a Barrier to Sustained Antiretroviral Therapy Adherence in Uganda
BACKGROUND: Food insecurity is emerging as an important barrier to antiretroviral (ARV) adherence in sub-Saharan Africa and elsewhere, but little is known about the mechanisms through which food insecurity leads to ARV non-adherence and treatment interruptions. METHODOLOGY: We conducted in-depth, open-ended interviews with 47 individuals (30 women, 17 men) living with HIV/AIDS recruited from AIDS treatment programs in Mbarara and Kampala, Uganda …
How to protect your new-born from neonatal death
Since the 1990s, the reduction of under-five child-mortality has been a priority for the WHO (Millennium Development Goal 4). In the last two decades, the greatest reduction has occurred in children older than 1 month, while neonatal mortality (the first 28 days of life) has declined more slowly. Neonatal deaths, estimated at approximately 4 million annually, now account for more than 40% of deaths worldwide. Bacterial infections are the leading …
Community sensitization and decision‐making for trial participation
Community sensitization is effective in providing first-hand, reliable information to communities as the information is cascaded to those who could not attend the sessions. However, further research is needed to assess how the informal spread of information further shapes people's expectations, how the process engages with existing social relations and hierarchies (e.g. local political power structures; permissions of heads of households) and how…
The Social Nature of Perceived Illness Representations of Perinatal Depression in Rural Uganda
While the global health community advocates for greater integration of mental health into maternal health agendas, a more robust understanding of perinatal mental health, and its role in providing integrated maternal health care and service delivery, is required. The present study uses the Illness Representation Model, a theoretical cognitive framework for understanding illness conceptualisations, to qualitatively explore multiple stakeholder per…
Conceptions within misconceptions
Ensuring that biomedical information about research procedures is adequately understood by participants and their communities is key for conducting ethical research. This article explores participants' understanding of trial procedures for an experimental vaccine against Ebola virus disease (EVD) in a West African context. We found that some trial participants believed there was a chance of contracting Ebola and other sicknesses from the vaccine,…
Misdirection in the margins of malaria elimination methods
This paper proposes the term misdirection as a process by which attention is diverted from certain scientific approaches in the malaria elimination paradigm to justify specific methodological, scientific and political decisions. Misdirection, as it applies in magic, creates a sort of tunnel vision in which attention is diverted away from any action occurring outside the frame of the current paradigm. A crucial component of this misdirection proce…
When ‘substandard’ is the standard, who decides what is appropriate? Exploring healthcare provision in Cambodia
Cambodia has experienced an impressive economic growth in the last two decades that has not been matched by equal investments in public health care. In combination with other historical and sociocultural factors, this has led to a set of private and public health care practices that divert from standards of clinical good practice. Based on qualitative data collected in malaria and (para)typhoid fever projects, we will describe falsified laborator…
Intra-household Variation in Pathways to Care for Epilepsy and Mental Disorders in Eastern Uganda
Integrating mental, neurological, and substance use (MNS) health care into the public health system has become a global priority, with mental health, and well-being now being part of the Sustainable Development Goals. In the aim to provide good quality care for MNS disorders, understanding patients' pathways to care is key. This qualitative study explores the pathways to care of patients attending an outpatient mental health clinic of a district …
Understanding Malaria Persistence
Despite the scale-up of vector control, diagnosis and treatment, and health information campaigns, malaria persists in the forested areas of South-Central Vietnam, home to ethnic minority populations. A mixed-methods study using an exploratory sequential design was conducted in 10 Ra-glai villages in Bac Ai district of Ninh Thuan province to examine which social factors limited the effectiveness of the national malaria elimination strategy in the…
Complexities in Defining the Unit of Intervention for Reactive Community-Based Malaria Treatment in the Gambia
With significant declines in malaria, infections are increasingly clustered in households, or groups of households where malaria transmission is higher than in surrounding household/villages. To decrease transmission in such cases, reactive interventions target household members of clinical malaria cases, with the intervention unit (e.g., the “household/s”) derived from an epidemiological and operational perspective. A lack of unanimity regarding…
The Community Lab of Ideas for Health
Background: Community participation in global health interventions may improve outcomes and solve complex health issues. Although numerous community participatory approaches have been developed and introduced, there has been little focus on “how” and “who” to involve in the implementation of community-based clinical trials where unequal distribution of power between implementers and communities pre-exists. Addressing how to achieve community-base…
Key social science priorities for long-term Covid-19 response
The COVID-19 response continues to be driven by epidemiological priorities, and yet, the epidemic and responses are situated within specific political and health system contexts. Social science brings an understanding of context and draws attention to politics, power and social difference. There are four critical social science priorities for COVID-19 research and policy in the long term. First, political-economic insights can support the design …
“No good man will ever want me”. How structural social inequality increases women’s vulnerability to HIV transmission
Understanding the pathways that expose women to HIV transmission are vital in improving HIV prevention, especially among a "hidden" group of women without pre-established known risk for HIV. We investigated the pathways which place certain women at greater risk for HIV in a qualitative exploratory study with theoretical sampling using an emergent theory study design in an urban setting in Indonesia. We conducted semi-structured interviews with 47…
Understanding how communities respond to Covid-19
The experiences of Orthodox Jewish communities in Antwerp demonstrate a valuable example of a feasible community-centered approach to health emergencies. Increasing the engagement of communities in local decision-making and governance structures remains a key strategy to respond to unmet information and prevention needs
Further evidence needed to change policy for the safe and effective radical cure of vivax malaria
New diagnostics and treatment options for the radical cure of Plasmodium vivax malaria are now available. At the 2019 annual meeting of the Vivax Working Group of the Asia Pacific Malaria Elimination Network, participants took part in a roundtable discussion to identify further evidence required to introduce these new tools into policy and practice. Key gaps identified were accuracy and reliability of glucose-6-phosphate-dehydrogenase deficiency …
Drawings as tools to (re)imagine space in interdisciplinary global health research
Understanding the role of space in infectious diseases' dynamics in urban contexts is key to developing effective mitigation strategies. Urbanism, a discipline that both studies and acts upon the city, commonly uses drawings to analyze spatial patterns and their variables. This paper revisits drawings as analytical and integrative tools for interdisciplinary research. We introduce the use of drawings in two interdisciplinary projects conducted in…
Misdirection – Magic, Psychology and its Application
The art of magic relies on deception and illusions to create human experiences that appear impossible. Misdirection lies at the heart of this deceptive art, and yet there is little consensus as to what this concept aims to describe. The concept of misdirection is not limited to magic, and its principles are applied to wide aspects of our lives (e.g., politics, public health, marketing). In recent years, scientists have started to examine the psyc…
Misdirection in Global Health
Beyond eves and cracks
During the past century, the global trend of reduced malaria transmission has been concurrent with increasing urbanization. Although urbanization has traditionally been considered beneficial for vector control, the adaptation of malaria vectors to urban environments has created concerns among scientific communities and national vector control programs. Since urbanization rates in Ethiopia are among the highest in the world, the Ethiopian governme…
Doing ‘reciprocity work’
In their roles as nurses, data collectors, or other, fieldworkers undertake myriad tasks working intimately with and on the bodies of others - a type of work called 'body work'. This work further includes the micro-political relations shaping these interactions, and studies have shown the importance of these relationships in the success of clinical trials, particularly in the Gambia. This study seeks to expand the concept of body work to understa…
There Were Moments We Wished She Could Just Die
Nodding Syndrome (NS) occurs within a wide spectrum of epilepsies seen in onchocerciasis endemic areas of sub-Saharan Africa. It has debilitating consequences on affected individuals and increases the socio-economic, physical and psychological burden on care-givers and their households, diminishing their standing within the community. Social science research on the disproportionate burden of the disease on females is limited. Based on ethnographi…
Embracing context
Dialogue with people who are vaccine hesitant has been recommended as a method to increase vaccination uptake. The process of cultivating dialogue is shaped by the context in which it occurs, yet the development of interventions addressing vaccine hesitancy with dialogue often overlooks the role of context and favors relatively fixed solutions. This reflexive paper shares three key lessons related to context for dialogue-based interventions. Thes…
Uncertainties about the quality of medical products globally
Why Communities Participate in Malaria Elimination Projects
The importance of community participation in malaria elimination efforts has been trumpeted in various studies; however, the reasons why communities participate are often under examined. We explored the underlying socio-cultural environment of marginalized communities in Vietnam, Laos, and Cambodia to ascertain why these groups participate in a malaria elimination project, through 12 months of ethnographic fieldwork, including in-depth interviews…
More than one crisis
The COVID-19 pandemic has disrupted societies globally. Public health institutions were tasked with responding to the pandemic in a dynamic and uncertain context. This paper sheds light on the experiences of COVID-19 response actors as they navigated multi-dimensional crises associated with the pandemic in general and vaccine hesitancy in particular. This research was conducted during the initial phase of the COVID-19 vaccine rollout in Flanders,…
Medicine (30 obras) · Sociology (17 obras) · Political science (15 obras) · Environmental health (12 obras) · Geography (12 obras) · Public health (12 obras) · Nursing (11 obras) · Psychology (11 obras) · Malaria (8 obras) · Public relations (8 obras)