Margaret S Winchester
Datos Biográficos
| ID | 91383 |
|---|---|
| NOMBRE | Margaret S Winchester |
| NOMBRES | Margaret S |
| APELLIDO | Winchester |
| FIRMA | WINCHESTER M S |
| AFILIACIONES | Pennsylvania State University |
| ORCID | 0000-0002-9273-3206 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 15 |
| TOTAL DE CITAS | 38 |
| TOTAL COMO AUTOR | 15 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2013 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2023 |
| ÍNDICE H | 3 |
HIV Management Within Changing Social-Ecological Systems
A Frigid Hope
It's not enough
South Africa has received international recognition for taking an active role in addressing extreme poverty by establishing a national social grant program. Lauded as one example to alleviate poverty, the operating assumption is that these strategies provide alternatives to mainstream development assistance. Notwithstanding their potential effects, the pathways generating livelihood change and their long-term implications for processes of citizen…
The Migration Experience and Differential Risks to Sexual and Reproductive Health in Ghana
Background. Though internal migration in Ghana has become increasingly common in recent years, research has not focused on the gendered experiences and perceptions of migration and the association with sexual and reproductive health risks for male and female migrants. Method. A qualitative study using semistructured interviews among migrant market workers and market leaders working in Agbogbloshie in Accra, Ghana, was completed in April 2018. Int…
Therapeutic landscapes
Decentralization, healthcare access, and inequality in Mpumalanga, South Africa
HIV as social and ecological experience
HIV Citizenship in Uneven Landscapes
The HIV/AIDS epidemic has taken on a new course in recent years with expanded access to antiretroviral therapy in the Global South. Although this transition is extending the lives of individuals for years or even decades, it is also creating new relationships between citizens and the state that are driven by resource needs specific to HIV management. This article details findings from an ongoing research project in northeast South Africa that is …
Constructing landscapes
The concept of therapeutic landscapes has been adopted from geography by anthropologists with a similar commitment to addressing the intersections between the construction of place and the multifaceted and symbolic dimensions of health. Drawing from health geography and medical anthropology, we take up the challenge from these fields to approach health broadly in order to understand how health decision making is connected to intersecting politica…
Routines, Hope, and Antiretroviral Treatment among Men and Women in Uganda
Antiretroviral treatment programs, despite biomedical emphases, require social understanding and transformations to be successful. In this article, we draw from a qualitative study of HIV treatment seeking to examine the drug-taking routines and health-related subjectivities of men and women on antiretroviral treatment (ART) at two sites in Uganda. We show that while not all participants in ART programs understand clinical protocols in biomedical…
The Pan-University Network for Global Health
In the current United Nations efforts to plan for post 2015-Millennium Development Goals, global partnership to address non-communicable diseases (NCDs) has become a critical goal to effectively respond to the complex global challenges of which inequity in health remains a persistent challenge. Building capacity in terms of well-equipped local researchers and service providers is a key to bridging the inequity in global health. Launched by Penn S…
Marriage, violence and HIV
The policy environment for vulnerable women in Uganda is rapidly changing, with the aim of introducing more punitive measures for violent offenders and more options for women seeking help. This paper examines HIV-positive women who experienced intimate partner violence in two regions of Uganda prior to the enactment of the Domestic Violence Act of 2010. Based on in-depth interviews and observations, it reports on women's views of marriage and rel…
Synergistic vulnerabilities
Despite being an early success story in the reduction of HIV infection rates, Uganda faces myriad challenges in the recent era of accelerated antiretroviral treatment (ARV) scale-up. For those able to access treatment, ongoing vulnerabilities of poverty and violence compound treatment-related costs and concerns. This paper explores experiences of one particularly vulnerable population - women on ARVs who have also experienced intimate partner vio…
Challenging the Paradigm
Recently HIV has been framed as a 'manageable' chronic disease in contexts in which access to effective care is reliable. The chronic disease paradigm emphasizes self-care, biomedical disease management, social normalization, and uncertainty. Data from a longitudinal study of patients (N = 949) in HIV care at two sites in Uganda, collected through semistructured interviews and ethnographic data, permit examination of the salience of this model in…
Early HIV disclosure and nondisclosure among men and women on antiretroviral treatment in Uganda
Efforts to expand access to HIV care and treatment often stress the importance of disclosure of HIV status to aid adherence, social support, and continued resource mobilization. We argue that an examination of disclosure processes early in the process of seeking testing and treatment can illuminate individual decisions and motivations, offering insight into potentially improving engagement in care and adherence. We report on baseline data of earl…
Challenging the Paradigm
Recently HIV has been framed as a 'manageable' chronic disease in contexts in which access to effective care is reliable. The chronic disease paradigm emphasizes self-care, biomedical disease management, social normalization, and uncertainty. Data from a longitudinal study of patients (N = 949) in HIV care at two sites in Uganda, collected through semistructured interviews and ethnographic data, permit examination of the salience of this model in…
HIV as social and ecological experience
Therapeutic landscapes
HIV Citizenship in Uneven Landscapes
The HIV/AIDS epidemic has taken on a new course in recent years with expanded access to antiretroviral therapy in the Global South. Although this transition is extending the lives of individuals for years or even decades, it is also creating new relationships between citizens and the state that are driven by resource needs specific to HIV management. This article details findings from an ongoing research project in northeast South Africa that is …
Constructing landscapes
The concept of therapeutic landscapes has been adopted from geography by anthropologists with a similar commitment to addressing the intersections between the construction of place and the multifaceted and symbolic dimensions of health. Drawing from health geography and medical anthropology, we take up the challenge from these fields to approach health broadly in order to understand how health decision making is connected to intersecting politica…
Routines, Hope, and Antiretroviral Treatment among Men and Women in Uganda
Antiretroviral treatment programs, despite biomedical emphases, require social understanding and transformations to be successful. In this article, we draw from a qualitative study of HIV treatment seeking to examine the drug-taking routines and health-related subjectivities of men and women on antiretroviral treatment (ART) at two sites in Uganda. We show that while not all participants in ART programs understand clinical protocols in biomedical…
Decentralization, healthcare access, and inequality in Mpumalanga, South Africa
Early HIV disclosure and nondisclosure among men and women on antiretroviral treatment in Uganda
Efforts to expand access to HIV care and treatment often stress the importance of disclosure of HIV status to aid adherence, social support, and continued resource mobilization. We argue that an examination of disclosure processes early in the process of seeking testing and treatment can illuminate individual decisions and motivations, offering insight into potentially improving engagement in care and adherence. We report on baseline data of earl…
Challenging the Paradigm
Recently HIV has been framed as a 'manageable' chronic disease in contexts in which access to effective care is reliable. The chronic disease paradigm emphasizes self-care, biomedical disease management, social normalization, and uncertainty. Data from a longitudinal study of patients (N = 949) in HIV care at two sites in Uganda, collected through semistructured interviews and ethnographic data, permit examination of the salience of this model in…
Synergistic vulnerabilities
Despite being an early success story in the reduction of HIV infection rates, Uganda faces myriad challenges in the recent era of accelerated antiretroviral treatment (ARV) scale-up. For those able to access treatment, ongoing vulnerabilities of poverty and violence compound treatment-related costs and concerns. This paper explores experiences of one particularly vulnerable population - women on ARVs who have also experienced intimate partner vio…
The Pan-University Network for Global Health
In the current United Nations efforts to plan for post 2015-Millennium Development Goals, global partnership to address non-communicable diseases (NCDs) has become a critical goal to effectively respond to the complex global challenges of which inequity in health remains a persistent challenge. Building capacity in terms of well-equipped local researchers and service providers is a key to bridging the inequity in global health. Launched by Penn S…
Marriage, violence and HIV
The policy environment for vulnerable women in Uganda is rapidly changing, with the aim of introducing more punitive measures for violent offenders and more options for women seeking help. This paper examines HIV-positive women who experienced intimate partner violence in two regions of Uganda prior to the enactment of the Domestic Violence Act of 2010. Based on in-depth interviews and observations, it reports on women's views of marriage and rel…
Constructing landscapes
The concept of therapeutic landscapes has been adopted from geography by anthropologists with a similar commitment to addressing the intersections between the construction of place and the multifaceted and symbolic dimensions of health. Drawing from health geography and medical anthropology, we take up the challenge from these fields to approach health broadly in order to understand how health decision making is connected to intersecting politica…
Routines, Hope, and Antiretroviral Treatment among Men and Women in Uganda
Antiretroviral treatment programs, despite biomedical emphases, require social understanding and transformations to be successful. In this article, we draw from a qualitative study of HIV treatment seeking to examine the drug-taking routines and health-related subjectivities of men and women on antiretroviral treatment (ART) at two sites in Uganda. We show that while not all participants in ART programs understand clinical protocols in biomedical…
Decentralization, healthcare access, and inequality in Mpumalanga, South Africa
HIV as social and ecological experience
HIV Citizenship in Uneven Landscapes
The HIV/AIDS epidemic has taken on a new course in recent years with expanded access to antiretroviral therapy in the Global South. Although this transition is extending the lives of individuals for years or even decades, it is also creating new relationships between citizens and the state that are driven by resource needs specific to HIV management. This article details findings from an ongoing research project in northeast South Africa that is …
The Migration Experience and Differential Risks to Sexual and Reproductive Health in Ghana
Background. Though internal migration in Ghana has become increasingly common in recent years, research has not focused on the gendered experiences and perceptions of migration and the association with sexual and reproductive health risks for male and female migrants. Method. A qualitative study using semistructured interviews among migrant market workers and market leaders working in Agbogbloshie in Accra, Ghana, was completed in April 2018. Int…
Therapeutic landscapes
A Frigid Hope
It's not enough
South Africa has received international recognition for taking an active role in addressing extreme poverty by establishing a national social grant program. Lauded as one example to alleviate poverty, the operating assumption is that these strategies provide alternatives to mainstream development assistance. Notwithstanding their potential effects, the pathways generating livelihood change and their long-term implications for processes of citizen…
HIV Management Within Changing Social-Ecological Systems
Medicine (11 obras) · Political science (8 obras) · Sociology (8 obras) · Economic growth (7 obras) · Economics (7 obras) · Adolescent Sexual and Reproductive Health (6 obras) · Geography (6 obras) · HIV/AIDS Research and Interventions (6 obras) · Psychology (6 obras) · Environmental health (5 obras)