Courtenay Sprague
Dados Biográficos
| ID | 106788 |
|---|---|
| NOME | Courtenay Sprague |
| PRENOMES | Courtenay |
| SOBRENOME | Sprague |
| ASSINATURA | SPRAGUE C |
| AFILIAÇÕES | University of Massachusetts Boston |
| ORCID | 0000-0001-7736-2665 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 27 |
| TOTAL DE CITAÇÕES | 2 |
| TOTAL COMO AUTOR | 27 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2004 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 1 |
Bogotá, Colombia’s single route of attention for women victims of violence and at risk of femicide
Intimate partner violence (IPV) remains a significant global health and human rights problem affecting one in three women globally and in Colombia. While IPV and feminicide are preventable, little research has documented public health-justice programs effective in addressing IPV in real-world conditions in Latin America. We investigated the functioning and limitations of Bogotá's Single Route of Attention for Women Victims of Violence and at Risk…
Balancing risk and reward
Transactional sexual relationships (TSRs) take varied forms, with research emphasizing TSRs’ inherent risks, primarily to women. In South Africa, Blessed relationships have emerged as a prominent type of TSR. Blessers have become coveted male partners due to their relative wealth and willingness to ‘bless’ female partners with financial and material gifts, as well as the improved social status that accompanies such partnerships. Given the limited…
The varied perspectives of organisational effectiveness
Within global health and development, dissatisfaction with nongovernmental organisations' effectiveness (NGOs) is an increasingly pervasive aspect of programming. Today, the international community no longer accepts that NGOs are doing what they claim. This change in expectations has emphasised the importance of measuring organisational effectiveness for improved health and development impact. Using New Institutionalism as a theoretical framework…
Drivers of universal health coverage in Makueni county, Kenya
All UN member States committed to realizing universal health coverage (UHC) when they included UHC as Target 3.8 in the Sustainable Development Goals in 2015. However, the global commitment to UHC has not been matched with action on the ground. According to the World Health Organization, about half of the world population lacks full coverage for essential health services. To accelerate progress toward UHC, a close understanding of factors that dr…
When Social and Personal Norms Collide
Due to the negative implications of transactional sexual relationships (TSRs) for women's sexual and reproductive health, studies of social norms in sub-Saharan and South Africa have sought to inform HIV-related risk and interventions in this key population. To date, however, little research has investigated the normative conflicts facing women in African settings when initiating, continuing or abstaining from participation in TSRs. In 2017-2018,…
Vaccine Inequities and the Legacies of Colonialism
Understanding perinatal mental illness as a governance concern in South Africa through health provider perspectives
Women in South Africa experience a disproportionately high prevalence of common perinatal mental disorders (CPMDs). These disorders often remain a silent burden and a complex health, social, and policy concern, both nationally and globally. Moreover, policy efforts to address this concern have been fragmented. Greater understanding of the governance of perinatal mental illness is needed to address this complex issue. No research to date has focus…
Eventually I wanted something more’
The term 'blesser' emerged from social media in South Africa, typically denoting an older man who provides a younger woman with money and/or luxury items in exchange for sex. Within an increasingly consumerist culture, such transactional sexual relationships hold powerful appeal, and remain highly prevalent. An estimated one in three Black South African women have engaged in transactional sex. While these liaisons are associated with negative hea…
What Matters Most? The Power of Kafka’s Metamorphosis to Advance Understandings of HIV Stigma and Inform Empathy in Medical Health Education
Health care providers’ perceptions of barriers to perinatal mental healthcare in South Africa
Barriers act across multiple levels to reduce quality mental health promotion and care, thereby creating an environment where inequitable access to identification of mental disorders and quality mental health services was embedded into systems and everyday practice. Integrated interventions across multiple levels are essential to improve the early identification and treatment of mental illness in perinatal women in South Africa. We provide recomm…
Experience of religion and spirituality among socially marginalised people living with HIV in Mississippi
African Americans in Mississippi have the highest HIV-related mortality and poverty rates in the USA, and they tend to be religious. Attitudes toward gender and sexuality are changing, yet few studies have investigated religion and spirituality among special populations living with HIV. Using grounded theory and qualitative methods, we investigated the experience of health and illness of a low-income, socially marginalised population living with …
Gender, health, and development in post-war Sri Lanka
Health significantly supports human development, which is particularly critical in countries affected by armed conflict. Health and health care are equally important for women hoping to be effective agents of change in their post-war societies. Through a grounded case study conducted in the district of Jaffna, Sri Lanka, in 2017, we aimed to understand the challenges resettled (formerly internally displaced) women faced when accessing health serv…
Enhancing agency for health providers and pregnant women experiencing intimate partner violence in South Africa
Global policy frameworks call for strengthening the role of health systems to address intimate partner violence (IPV) and support women's agency, yet the evidence of health system responses remains slender in low- and middle-income countries (LMICs). In South Africa, 25-35% of pregnant women experience IPV, posing long-term health risks. We utilised agency as a theoretical construct, applying qualitative methods to investigate health professional…
Towards ending the US HIV epidemic by 2030
The disproportionate burden of HIV-related inequities borne by African Americans in the US South amplifies the role of social determinants of health (SDH) in shaping social patterning of illness. Despite some attention, SDH remain overlooked in a biomedically oriented, federal HIV policy. Mississippi is the poorest state with the worst HIV outcomes, nationally. Using qualitative methods, we investigated how primarily African American, HIV-positiv…
Analysing local-level responses to migration and urban health in Hillbrow
Johannesburg is home to a diverse migrant population and a range of urban health challenges. Locally informed and implemented responses to migration and health that are sensitive to the particular needs of diverse migrant groups are urgently required. In the absence of a coordinated response to migration and health in the city, the Johannesburg Migrant Health Forum (MHF) - an unfunded informal working group of civil society actors - was establish…
The HIV Prison Paradox
Incarcerated women face significant barriers to achieve continuous HIV care. We employed a descriptive, exploratory design using qualitative methods and the theoretical construct of agency to investigate participants' self-reported experiences accessing HIV services in jail, in prison, and post-release in two Alabama cities. During January 2014, we conducted in-depth interviews with 25 formerly incarcerated HIV-positive women. Two researchers com…
‘They can’t report abuse, they can’t move out. They are at the mercy of these men’
This qualitative study captured South African female health provider perspectives of intimate partner violence in female patients, gender norms and consequences for patients' health. Findings indicated female patients' health behaviours were predicated on sociocultural norms of submission to men's authority and economic dependence on their partners. Respondents described how men's preferences and health decision-making in clinics affected their p…
When nurses are also patients
While violence against women is a recognised global health problem, women's agency in marginalised settings is poorly understood, particularly in relation to health systems. We explored agency as a practical and theoretical construct through qualitative research among 20 nurses with direct or indirect experiences of intimate partner violence (IPV) in Johannesburg. Interviews conducted from August 2013 to March 2014 generated rich descriptions fro…
Understanding HIV care delays in the US South and the role of the social-level in HIV care engagement/retention
Ryan White-funded programs, together with housing, food and psychological support were pre-conditions for participants' entry and retention in HIV care. The path to achieving continuous HIV care for individuals at risk of lack of entry or delayed HIV care requires robust social-level responses, like in Alabama, that address physical and mental health of clients and directly engage the particular social and economic contexts and vulnerabilities of…
HIV prevention in the world of work in sub-Saharan Africa
Keywords: health researchHIV/AIDSinterventionspolicy developmentprevention and controlprivate sectorstrategic planningworkplace
Employment discrimination and HIV stigma
The article presents findings from three surveys of people living with HIV (PLHIV) and civil society organisations about the experience of employment discrimination and stigma in the workplace. The work seeks to contribute to efforts by businesses and other organisations to effectively respond to the HIV epidemic within the world of work, and to deepen our understanding of the ways in which HIV stigma and employment discrimination persist in the …
Why State Policies That Undermine Hiv Lay Counsellors Constitute Retrogressive Measures That Violate The Right Of Access To Health Care For Pregnant Women And Infants
The authors make two distinct, but related, arguments. First, their empirical studies - conducted in three antenatal clinics in inner-city Johannesburg - demonstrate a strong correlation between (1) the government's failure to provide adequate remuneration to and secure employment of lay counsellors for the provision of HIV counseling and treatment and (2) the failure of many women and children to receive timely medical interventions. The data sh…
Women's health, HIV/Aids and the workplace in South Africa
This work explores the connections between gender inequality, HIV/AIDS and women's health in the world of work in South Africa. These connections are located within a context of significant reversals in development, specifically declining life expectancy and premature mortality for South Africans - particularly for women. By relying on the existing literature and interviews with 33 key informants, the paper examines the extent to which South Afri…
Introduction to the special issue
Moral Luck
(2006). Moral Luck: Exploiting South Africa’s Policy Environment to Produce a Sustainable National Antiretroviral Treatment Programme. South African Journal on Human Rights: Vol. 22, No. 3, pp. 337-379
Drivers of universal health coverage in Makueni county, Kenya
All UN member States committed to realizing universal health coverage (UHC) when they included UHC as Target 3.8 in the Sustainable Development Goals in 2015. However, the global commitment to UHC has not been matched with action on the ground. According to the World Health Organization, about half of the world population lacks full coverage for essential health services. To accelerate progress toward UHC, a close understanding of factors that dr…
Why State Policies That Undermine Hiv Lay Counsellors Constitute Retrogressive Measures That Violate The Right Of Access To Health Care For Pregnant Women And Infants
The authors make two distinct, but related, arguments. First, their empirical studies - conducted in three antenatal clinics in inner-city Johannesburg - demonstrate a strong correlation between (1) the government's failure to provide adequate remuneration to and secure employment of lay counsellors for the provision of HIV counseling and treatment and (2) the failure of many women and children to receive timely medical interventions. The data sh…
Ethical Dimensions of International Grantmaking
By their very nature and purpose, foundations are powerful leaders in society. Pressure to maintain the public trust has consequently focused attention on their behavior. While codes of conduct have been produced, foundation officers have yet to make explicit the values that shape their work. The pressure and complexity of foundation decision making — the ways in which priorities are identified and strategies implemented — compel recognition of t…
New Strategies in the Battle Against HIV/Aids
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Moral Luck
(2006). Moral Luck: Exploiting South Africa’s Policy Environment to Produce a Sustainable National Antiretroviral Treatment Programme. South African Journal on Human Rights: Vol. 22, No. 3, pp. 337-379
Women's health, HIV/Aids and the workplace in South Africa
This work explores the connections between gender inequality, HIV/AIDS and women's health in the world of work in South Africa. These connections are located within a context of significant reversals in development, specifically declining life expectancy and premature mortality for South Africans - particularly for women. By relying on the existing literature and interviews with 33 key informants, the paper examines the extent to which South Afri…
Introduction to the special issue
Why State Policies That Undermine Hiv Lay Counsellors Constitute Retrogressive Measures That Violate The Right Of Access To Health Care For Pregnant Women And Infants
The authors make two distinct, but related, arguments. First, their empirical studies - conducted in three antenatal clinics in inner-city Johannesburg - demonstrate a strong correlation between (1) the government's failure to provide adequate remuneration to and secure employment of lay counsellors for the provision of HIV counseling and treatment and (2) the failure of many women and children to receive timely medical interventions. The data sh…
HIV prevention in the world of work in sub-Saharan Africa
Keywords: health researchHIV/AIDSinterventionspolicy developmentprevention and controlprivate sectorstrategic planningworkplace
Employment discrimination and HIV stigma
The article presents findings from three surveys of people living with HIV (PLHIV) and civil society organisations about the experience of employment discrimination and stigma in the workplace. The work seeks to contribute to efforts by businesses and other organisations to effectively respond to the HIV epidemic within the world of work, and to deepen our understanding of the ways in which HIV stigma and employment discrimination persist in the …
Understanding HIV care delays in the US South and the role of the social-level in HIV care engagement/retention
Ryan White-funded programs, together with housing, food and psychological support were pre-conditions for participants' entry and retention in HIV care. The path to achieving continuous HIV care for individuals at risk of lack of entry or delayed HIV care requires robust social-level responses, like in Alabama, that address physical and mental health of clients and directly engage the particular social and economic contexts and vulnerabilities of…
When nurses are also patients
While violence against women is a recognised global health problem, women's agency in marginalised settings is poorly understood, particularly in relation to health systems. We explored agency as a practical and theoretical construct through qualitative research among 20 nurses with direct or indirect experiences of intimate partner violence (IPV) in Johannesburg. Interviews conducted from August 2013 to March 2014 generated rich descriptions fro…
‘They can’t report abuse, they can’t move out. They are at the mercy of these men’
This qualitative study captured South African female health provider perspectives of intimate partner violence in female patients, gender norms and consequences for patients' health. Findings indicated female patients' health behaviours were predicated on sociocultural norms of submission to men's authority and economic dependence on their partners. Respondents described how men's preferences and health decision-making in clinics affected their p…
Analysing local-level responses to migration and urban health in Hillbrow
Johannesburg is home to a diverse migrant population and a range of urban health challenges. Locally informed and implemented responses to migration and health that are sensitive to the particular needs of diverse migrant groups are urgently required. In the absence of a coordinated response to migration and health in the city, the Johannesburg Migrant Health Forum (MHF) - an unfunded informal working group of civil society actors - was establish…
The HIV Prison Paradox
Incarcerated women face significant barriers to achieve continuous HIV care. We employed a descriptive, exploratory design using qualitative methods and the theoretical construct of agency to investigate participants' self-reported experiences accessing HIV services in jail, in prison, and post-release in two Alabama cities. During January 2014, we conducted in-depth interviews with 25 formerly incarcerated HIV-positive women. Two researchers com…
Towards ending the US HIV epidemic by 2030
The disproportionate burden of HIV-related inequities borne by African Americans in the US South amplifies the role of social determinants of health (SDH) in shaping social patterning of illness. Despite some attention, SDH remain overlooked in a biomedically oriented, federal HIV policy. Mississippi is the poorest state with the worst HIV outcomes, nationally. Using qualitative methods, we investigated how primarily African American, HIV-positiv…
Enhancing agency for health providers and pregnant women experiencing intimate partner violence in South Africa
Global policy frameworks call for strengthening the role of health systems to address intimate partner violence (IPV) and support women's agency, yet the evidence of health system responses remains slender in low- and middle-income countries (LMICs). In South Africa, 25-35% of pregnant women experience IPV, posing long-term health risks. We utilised agency as a theoretical construct, applying qualitative methods to investigate health professional…
Health care providers’ perceptions of barriers to perinatal mental healthcare in South Africa
Barriers act across multiple levels to reduce quality mental health promotion and care, thereby creating an environment where inequitable access to identification of mental disorders and quality mental health services was embedded into systems and everyday practice. Integrated interventions across multiple levels are essential to improve the early identification and treatment of mental illness in perinatal women in South Africa. We provide recomm…
Experience of religion and spirituality among socially marginalised people living with HIV in Mississippi
African Americans in Mississippi have the highest HIV-related mortality and poverty rates in the USA, and they tend to be religious. Attitudes toward gender and sexuality are changing, yet few studies have investigated religion and spirituality among special populations living with HIV. Using grounded theory and qualitative methods, we investigated the experience of health and illness of a low-income, socially marginalised population living with …
Gender, health, and development in post-war Sri Lanka
Health significantly supports human development, which is particularly critical in countries affected by armed conflict. Health and health care are equally important for women hoping to be effective agents of change in their post-war societies. Through a grounded case study conducted in the district of Jaffna, Sri Lanka, in 2017, we aimed to understand the challenges resettled (formerly internally displaced) women faced when accessing health serv…
Understanding perinatal mental illness as a governance concern in South Africa through health provider perspectives
Women in South Africa experience a disproportionately high prevalence of common perinatal mental disorders (CPMDs). These disorders often remain a silent burden and a complex health, social, and policy concern, both nationally and globally. Moreover, policy efforts to address this concern have been fragmented. Greater understanding of the governance of perinatal mental illness is needed to address this complex issue. No research to date has focus…
Eventually I wanted something more’
The term 'blesser' emerged from social media in South Africa, typically denoting an older man who provides a younger woman with money and/or luxury items in exchange for sex. Within an increasingly consumerist culture, such transactional sexual relationships hold powerful appeal, and remain highly prevalent. An estimated one in three Black South African women have engaged in transactional sex. While these liaisons are associated with negative hea…
What Matters Most? The Power of Kafka’s Metamorphosis to Advance Understandings of HIV Stigma and Inform Empathy in Medical Health Education
When Social and Personal Norms Collide
Due to the negative implications of transactional sexual relationships (TSRs) for women's sexual and reproductive health, studies of social norms in sub-Saharan and South Africa have sought to inform HIV-related risk and interventions in this key population. To date, however, little research has investigated the normative conflicts facing women in African settings when initiating, continuing or abstaining from participation in TSRs. In 2017-2018,…
Vaccine Inequities and the Legacies of Colonialism
Balancing risk and reward
Transactional sexual relationships (TSRs) take varied forms, with research emphasizing TSRs’ inherent risks, primarily to women. In South Africa, Blessed relationships have emerged as a prominent type of TSR. Blessers have become coveted male partners due to their relative wealth and willingness to ‘bless’ female partners with financial and material gifts, as well as the improved social status that accompanies such partnerships. Given the limited…
The varied perspectives of organisational effectiveness
Within global health and development, dissatisfaction with nongovernmental organisations' effectiveness (NGOs) is an increasingly pervasive aspect of programming. Today, the international community no longer accepts that NGOs are doing what they claim. This change in expectations has emphasised the importance of measuring organisational effectiveness for improved health and development impact. Using New Institutionalism as a theoretical framework…
Medicine (21 obras) · Political science (17 obras) · Sociology (17 obras) · Psychology (13 obras) · Environmental health (9 obras) · Nursing (9 obras) · Public health (9 obras) · Economic growth (8 obras) · Psychiatry (8 obras) · Adolescent Sexual and Reproductive Health (7 obras)