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Shelley Susan Lee

Datos Biográficos

ID1713734
NOMBREShelley Susan Lee
NOMBRESShelley Susan
APELLIDOLee
FIRMALEE S S
AFILIACIONESLondon School of Hygiene & Tropical Medicine
ORCID0000-0003-0062-7930
VERIFICADOSí
TOTAL DE OBRAS59
TOTAL DE CITAS66
TOTAL COMO AUTOR59
TOTAL COMO EDITOR0
PRIMER AÑO DE PUBLICACIÓN2002
AÑO MÁS RECIENTE DE PUBLICACIÓN2026
ÍNDICE H4
  • Understanding anthropological contributions to infectious disease outbreak preparedness and response

    Open Access•Yang Zhao, Shelley Susan Lee et al.•ARTICLE•Anthropology and Medicine•2026

    This review explores how anthropology has been applied in outbreak preparedness and response since the onset of COVID-19 in 2019, identifying key trends and providing recommendations to its integration into global health practice. Our search of four databases yielded 68 studies published between 2019 and August 2024. Most studies (71%) focused on COVID-19, followed by Ebola (17%). Nearly half examine African contexts (46%), with fewer studies in …

  • Gender equity and intimate partner violence among adolescents and young adults in Tanzania

    Open Access•Flora Madaha, Lindsey K Reif et al.•ARTICLE•Culture Health & Sexuality•2026•Referencias: 33

    Intimate partner violence (IPV) starts at a young age. In Tanzania, 32% of adolescent girls and young women report lifetime experience of physical or sexual IPV. Adolescence is a critical developmental period when young people are establishing beliefs around gender equity and violence and when programmes and interventions may be most influential. This study explored adolescent and young adult perspectives on gender equity and gender roles, and th…

  • Using an analogue-digital hybrid clinical data management platform during a two-dose preventive Ebola virus vaccine trial in Goma, the Democratic Republic of the Congo

    Open Access•Hannah Brindle, Darius Tetsa-Tata et al.•ARTICLE•PLOS Global Public Health•2025

    Clinical trials in settings with intermittent or non-existent internet and power connectivity, for example during humanitarian emergencies, present challenges in the synchronisation of data across different sites, in addition to accessing a centralised database in real-time. To overcome these, we designed a novel hybrid analogue/digital data management system which was deployed during the rapid implementation of a Phase III evaluation of a two-do…

  • Women's informal group participation and intimate partner violence in Mwanza, Tanzania

    Open Access•Shukla, Shruti Shukla et al.•ARTICLE•Social Science & Medicine•2025•Referencias: 56

  • Engaging the public in decisions about emergency vaccine deployment strategies

    Open Access•Anthony Mansaray, Mahmood H Bangura et al.•ARTICLE•Global Public Health•2024

    The COVID-19 pandemic has amplified discussions on emergency vaccine deployment strategies, with current perspectives often neglecting extensive community involvement in ethical, logistical and political aspects. Existing social science literature predominantly delves into factors influencing trust, overlooking the untapped potential for community engagement.Our study examines community preparedness in Sierra Leone's Kambia District, exploring di…

  • If they see you bleeding they will quarantine you’

    Open Access•Rose Burns, Neha Singh et al.•ARTICLE•Global Public Health•2024

    There is increased awareness of the gendered impacts of outbreaks, including an exacerbation of violence against women and disruptions to essential health service delivery for women. However, there is limited understanding of women's own experiences of deciding to use the health system after experiencing violence in settings affected by major emergent outbreaks like Ebola and COVID-19. Drawing on data from 37 in-depth interviews and 4 focus group…

  • Political and Community Logics of Emergent Disease Vaccine Deployment

    Open Access•Shelley Susan Lee, Shelley Lee et al.•ARTICLE•Anthropologica•2024•Referencias: 47

    With a growing number of emerging infectious diseases and the rapid development of vaccines during epidemics and pandemics, public health officials at the global and national level have reported concerns about vaccine hesitancy, often attributing this to a problem of misinformation and poor understanding of risk. However, social scientists have found that vaccination perceptions are complex and multi-faceted. By focusing on the historical, cultur…

  • Risk perception of Ebola virus disease and Covid-19 among transport drivers living in Ugandan border districts

    Open Access•María José Blanco-Penedo, Hannah Brindle et al.•ARTICLE•Frontiers in Public Health•2023

    Background: Cross-border movements between districts bordering Uganda and the Democratic Republic of Congo (DRC) are common due to the interdependence between populations on either side, though this increases the risk of the international spread of infectious diseases. Due to the nature of their work, boda boda drivers (motorcycle taxis), taxis and truck drivers continue to cross the border during epidemics. However, perceived risk of contracting…

  • Factors associated with attendance to a participatory gender training programme – A secondary analysis of data from the Maisha study

    Open Access•Frances McCulloch, Tanya Abramksy et al.•ARTICLE•Evaluation and Program Planning•2023

    Participatory gender training is often included in programmes aimed at preventing intimate partner violence (IPV) in low- and middle-income countries. Higher attendance is associated with greater benefit. Using data from two trials, conducted in Tanzania from 2014 to 2019 (MAISHA study), we retrospectively examined associations between individual and group-level factors and attendance at a gender training intervention, among women in established …

  • A rapid qualitative methods assessment and reporting tool for epidemic response as the outcome of a rapid review and expert consultation

    Open Access•Dong Dong, Sharon Abramowitz et al.•ARTICLE•PLOS Global Public Health•2023

    During the first year of the COVID-19 pandemic, the Methods Sub-Group of the WHO COVID-19 Social Science Research Roadmap Working Group conducted a rapid evidence review of rapid qualitative methods (RQMs) used during epidemics. The rapid review objectives were to (1) synthesize the development, implementation, and uses of RQMs, including the data collection tools, research questions, research capacities, analytical approaches, and strategies use…

  • Pathways to reduced physical intimate partner violence among women in north-western Tanzania

    Open Access•Tanya Abramsky, Diana Sanchez Guadarrama et al.•ARTICLE•PLOS Global Public Health•2023

    Intimate partner violence (IPV) affects over one-in-four women globally. Combined economic and social empowerment interventions are a promising IPV prevention model. However, questions remain on the mechanisms through which such interventions prevent IPV, and whether standalone social empowerment interventions can work in the absence of an economic component. This secondary analysis of MAISHA Study data (north-western Tanzania) explores pathways …

  • Conducting Social Science Research During Epidemics and Pandemics

    Open Access•Jennifer I Van Nuil, M Schmidt-Sane et al.•ARTICLE•Qualitative Health Research•2023•Citada por: 1•Referencias: 20

    The COVID-19 pandemic has had a significant impact on how field-based research is being conducted globally. Given the challenges of undertaking fieldwork during epidemics and the need for mixed methods research to address the social, political, and economic issues related to epidemics, there is a small but growing body of evidence in this area. To contribute to the logistical and ethical considerations for conducting research during a pandemic, w…

  • Protection, health seeking, or a laissez-passer

    Open Access•Myfanwy Vaughan James, Joseph Grace Kasereka et al.•ARTICLE•Social Science & Medicine•2023•Citada por: 1•Referencias: 27

    During the 10th Ebola virus disease (EVD) epidemic in the eastern Democratic Republic of the Congo (DRC) (2018-2020), two experimental EVD vaccines were deployed in North Kivu. This province has been at the centre of conflict in the region for the last 25 years. Amidst ambivalence towards protracted foreign intervention and controversy about introducing two experimental vaccines, the existing literature has focused on mistrust and 'resistance' to…

  • Contesting the crisis narrative

    Open Access•Shelley Susan Lee, Shelley Lee et al.•ARTICLE•Disasters•2023•Citada por: 2•Referencias: 29

    Scientists and global commentators watched African countries closely in the early months of the COVID-19 pandemic, predicting an impending disaster: the virus was projected to overwhelm already weak health systems. These expectations were informed by imaginaries of Africa as an inevitable site of epidemic disaster. This paper draws on accounts from Sierra Leone, Tanzania, and Democratic Republic of the Congo to contrast global catastrophe framing…

  • The role of cultural safety and ethical space within postcolonial healthcare for Maasai in Tanzania

    Open Access•Tara Mtuy, Jeremiah Mepukori et al.•ARTICLE•BMJ Global Health•2022

    The history of the Maasai tribe in northern Tanzania is characterised by marginalisation, discrimination and political subjugation. Inequities, enacted through power relations, influence healthcare access, practices and outcomes among the Maasai. Cultural safety and ethical space provide lenses into social, political and historical influences on access to care, helping to understand the realities of historically marginalised populations such as t…

  • Negotiating the Role of Anthropological Evidence in Medical Research during Health Emergencies

    Open Access•L Enria, Shelley Susan Lee et al.•ARTICLE•Anthropology in Action•2022

    The 2014–2016 West African Ebola outbreak is often cited as a watershed moment for the social science of epidemics. Anthropologists played a key role in clarifying the social, economic and political dimensions of the epidemic, highlighting both how outbreak control measures were disrupting social practices and how they could be adapted to reflect local realities and experiences. Whilst undoubtedly significant, this narrative of anthropology’s suc…

  • Changing gear

    Open Access•Theresa Jones, L Enria et al.•ARTICLE•Frontiers in Sociology•2022

    Long-term research projects are not always able to adapt to a new crisis and incorporate characteristics and approaches of rapid research to produce useful data quickly. Project AViD was a programme of research that ran between 2018 and 2022 to examine factors that shape vaccine confidence. The project initially focused on five country case studies looking at vaccines for Ebola, Measles, Rift Valley Fever and Zika. The COVID-19 pandemic emerged d…

  • Human preparedness

    Open Access•Shona J Lee, Eva Vernooij et al.•ARTICLE•Global Public Health•2022

    This paper examines health worker experiences in two areas of post-epidemic preparedness in Sierra Leone - vaccine trials and laboratory strengthening - to reflect on the place of people in current models of epidemic response. Drawing on ethnographic research and interviews with health workers in the aftermath of Ebola, it explores the hopes and expectations that interventions foster for frontline workers in under-resourced health systems, and de…

  • Women’s economic status, male authority patterns and intimate partner violence

    Open Access•Meghna Ranganathan, Eliezer Stern et al.•ARTICLE•Culture Health & Sexuality•2022

    There are conflicting views on the impact of microfinance-only interventions on women's economic empowerment and intimate partner violence in low and middle-income countries. Evidence suggests however that when microfinance is combined with complementary programmes (microfinance plus) it may be effective for empowering women and addressing intimate partner violence. We conducted in-depth interviews with adult women in rural South Africa who had r…

  • Women's sexual subjectivity in a Tanzania city in the era of neoliberalism and Aids

    Open Access•Shelley Susan Lee•ARTICLE•Culture Health & Sexuality•2022

    This paper draws on anthropological research exploring women's changing sexuality within an urban context of Tanzania. The women involved were participating in an HIV prevention trial and worked in bars, restaurants, hotels and nightclubs, or sold local beer or food in Mwanza city. In ethnographic fieldwork and interviews and group discussions with women, narratives about sexuality focused on gendered and moral discourses of sexuality, the commod…

  • The Role of Structural Factors in Support-Seeking Among Women Experiencing Intimate Partner Violence (IPV) in Mwanza, Tanzania

    Open Access•Veronica Selestine, Sheila Harvey et al.•ARTICLE•Violence Against Women•2022•Citada por: 2•Referencias: 4

    In this qualitative study of women participating in an intimate partner violence (IPV) prevention trial, experiences of IPV and the context that shapes support-seeking were explored through in-depth interviews and focus groups discussions. Decisions to seek support were influenced by a range of factors including fear of further abuse, shame, acceptance of IPV as normal, belief that IPV is a private matter between the couple, economic dependence o…

  • Family Planning in the Sierra Leone Ebola Outbreak

    Open Access•Gillian McKay, L Enria et al.•ARTICLE•Studies in Family Planning•2022•Referencias: 34

    Sierra Leone was highly impacted by the 2014–2016 West Africa Ebola outbreak, with 3,955 recorded deaths. Already stressed maternal health services were deeply affected by the outbreak due to fears of viral transmission, reallocation of maternity staff, and broader policies to stop transmission including travel restrictions. This research sought to explore women's perspectives on delaying pregnancy during the Ebola outbreak using family planning …

  • Attributing public ignorance in vaccination narratives

    Open Access•Vanderslott, L Enria et al.•ARTICLE•Social Science & Medicine•2022•Citada por: 11•Referencias: 40

    The notion of an 'ignorant public' is attributed in outbreak scenarios through vaccination narratives that are institutionally reinforced by governments and the media across different contexts. The ignorant public narrative is a discursive shift that reduces public concerns about vaccines to a lack of knowledge, obscuring how these concerns are indicative of mistrust and anxiety or efforts to counter the dominance of acceptable and legitimate kno…

  • "Are You Sure It's Not the Corona Vaccine?" An Ebola Vaccine Trial During Covid-19 in DRC

    Open Access•Myfanwy Vaughan James, Shelley Susan Lee•ARTICLE•Medical Anthropology•2022•Citada por: 5•Referencias: 33

    The COVID-19 pandemic began as an Ebola epidemic was unfolding in the Democratic Republic of the Congo. In this article, we examine how COVID-19 influenced experiences of an Ebola vaccine trial and attitudes towards medical research in Goma. First, critical debates about vaccine research became a forum in which to contest ineffective local governance and global inequality. Second, discussions about new COVID-19 therapeutics reignited critique of …

  • The Politics of the Second Vaccine

    Open Access•Myfanwy Vaughan James, Myfanwy James et al.•ARTICLE•Journal of Humanitarian Affairs•2021

    Two experimental Ebola vaccines were deployed during the tenth Ebola epidemic (2018–20) in the Democratic Republic of the Congo (DRC). The first, the Ervebo vaccine manufactured by Merck, was used as part of a ring vaccination in the epicentre of the epidemic in North Kivu. In 2019, the prime- (Ad26.ZEBOV) and boost- (MVA-BN-Filo) vaccine manufactured by Johnson & Johnson (J&J) became the second vaccine against Ebola, deployed by the DRC-EB-001 v…

Siguiente
  • Ethiopian refugees in the UK

    Irena Papadopoulos, Shelley Susan Lee et al.•ARTICLE•Ethnicity and Health•2004•Citada por: 22•Referencias: 2

    Migration, adaptation and settlement experiences impact on the health of refugees and are dependent on a number of barriers and enablers, both at a personal and societal level. These should be taken into account in the provision of health and social care services, in particular services should be provided in a culturally competent manner

  • Attributing public ignorance in vaccination narratives

    Open Access•Vanderslott, L Enria et al.•ARTICLE•Social Science & Medicine•2022•Citada por: 11•Referencias: 40

    The notion of an 'ignorant public' is attributed in outbreak scenarios through vaccination narratives that are institutionally reinforced by governments and the media across different contexts. The ignorant public narrative is a discursive shift that reduces public concerns about vaccines to a lack of knowledge, obscuring how these concerns are indicative of mistrust and anxiety or efforts to counter the dominance of acceptable and legitimate kno…

  • We are the heroes because we are ready to die for this country

    Open Access•Angus Fayia Tengbeh, L Enria et al.•ARTICLE•Social Science & Medicine•2018•Citada por: 11•Referencias: 31

    The 2014-2016 Ebola epidemic presented a challenging setting in which to carry out clinical trials. This paper reports findings from social science research carried out in Kambia, Northern Sierra Leone during first year of an Ebola vaccine trial (August 2015-July 2016). The social science team collected data through ethnographic observation, 42 in depth interviews; 4 life narratives; 200 exit interviews; 31 key informant interviews; and 8 focus g…

  • "Are You Sure It's Not the Corona Vaccine?" An Ebola Vaccine Trial During Covid-19 in DRC

    Open Access•Myfanwy Vaughan James, Shelley Susan Lee•ARTICLE•Medical Anthropology•2022•Citada por: 5•Referencias: 33

    The COVID-19 pandemic began as an Ebola epidemic was unfolding in the Democratic Republic of the Congo. In this article, we examine how COVID-19 influenced experiences of an Ebola vaccine trial and attitudes towards medical research in Goma. First, critical debates about vaccine research became a forum in which to contest ineffective local governance and global inequality. Second, discussions about new COVID-19 therapeutics reignited critique of …

  • Contested legitimacy for anthropologists involved in medical humanitarian action

    Open Access•Shelley Susan Lee, Jennifer J Palmer et al.•ARTICLE•Anthropology and Medicine•2020•Citada por: 4•Referencias: 37

    The growing involvement of anthropologists in medical humanitarian response efforts has laid bare the moral and ethical consequences that emerge from humanitarian action. Anthropologists are well placed to examine the social, political, cultural and economic dimensions that influence the spread of diseases, and the ways in which to respond to epidemics. Anthropologists are also, with care, able to turn a critical lens on medical humanitarian resp…

  • Citizens, dependents, sons of the soil

    Open Access•L Enria, Shelley Susan Lee et al.•ARTICLE•Medicine Anthropology Theory•2018•Citada por: 3

    The impact of biomedicine and biomedical technologies on identity and sociality has long been the focus of medical anthropology. In this article we revisit these debates in a discussion of how unprecedented encounters with biomedicine during the West African Ebola outbreak have featured in Sierra Leoneans' understandings of citizenship and belonging, using the case study of an Ebola vaccine trial taking place in Kambia District (EBOVAC Salone). A…

  • Contesting the crisis narrative

    Open Access•Shelley Susan Lee, Shelley Lee et al.•ARTICLE•Disasters•2023•Citada por: 2•Referencias: 29

    Scientists and global commentators watched African countries closely in the early months of the COVID-19 pandemic, predicting an impending disaster: the virus was projected to overwhelm already weak health systems. These expectations were informed by imaginaries of Africa as an inevitable site of epidemic disaster. This paper draws on accounts from Sierra Leone, Tanzania, and Democratic Republic of the Congo to contrast global catastrophe framing…

  • The Role of Structural Factors in Support-Seeking Among Women Experiencing Intimate Partner Violence (IPV) in Mwanza, Tanzania

    Open Access•Veronica Selestine, Sheila Harvey et al.•ARTICLE•Violence Against Women•2022•Citada por: 2•Referencias: 4

    In this qualitative study of women participating in an intimate partner violence (IPV) prevention trial, experiences of IPV and the context that shapes support-seeking were explored through in-depth interviews and focus groups discussions. Decisions to seek support were influenced by a range of factors including fear of further abuse, shame, acceptance of IPV as normal, belief that IPV is a private matter between the couple, economic dependence o…

  • Understanding motives for intravaginal practices amongst Tanzanian and Ugandan women at high risk of HIV infection

    Open Access•Shelley Susan Lee, Flavia Zalwango et al.•ARTICLE•Social Science & Medicine•2014•Citada por: 2•Referencias: 37

    Some types of intravaginal practices (IVP) may increase the risk for HIV acquisition. This is particularly worrisome for populations with dual high prevalence of HIV and IVP. Women involved in transactional sex are at increased risk for HIV infection in sub-Saharan Africa. Social, cultural and economic influences are strong drivers of IVP in this population. To explore this, we carried out a qualitative research study to investigate the drivers a…

  • Reporting and Validating Research Findings Through Reconstructed Stories

    Irena Papadopoulos, Karen Scanlon et al.•ARTICLE•Disability & Society•2002•Citada por: 2•Referencias: 4

    This paper describes the use of and reasons why reconstructed stories were used as a method of presenting and validating the findings from the interview data with visually impaired people obtained from Enfield Vision Research Project, into the needs of visually impaired people resident in the London Borough of Enfield. In order to present and validate the findings of the first 20 interviews the researchers organised a group respondent validation …

  • Conducting Social Science Research During Epidemics and Pandemics

    Open Access•Jennifer I Van Nuil, M Schmidt-Sane et al.•ARTICLE•Qualitative Health Research•2023•Citada por: 1•Referencias: 20

    The COVID-19 pandemic has had a significant impact on how field-based research is being conducted globally. Given the challenges of undertaking fieldwork during epidemics and the need for mixed methods research to address the social, political, and economic issues related to epidemics, there is a small but growing body of evidence in this area. To contribute to the logistical and ethical considerations for conducting research during a pandemic, w…

  • Protection, health seeking, or a laissez-passer

    Open Access•Myfanwy Vaughan James, Joseph Grace Kasereka et al.•ARTICLE•Social Science & Medicine•2023•Citada por: 1•Referencias: 27

    During the 10th Ebola virus disease (EVD) epidemic in the eastern Democratic Republic of the Congo (DRC) (2018-2020), two experimental EVD vaccines were deployed in North Kivu. This province has been at the centre of conflict in the region for the last 25 years. Amidst ambivalence towards protracted foreign intervention and controversy about introducing two experimental vaccines, the existing literature has focused on mistrust and 'resistance' to…

  • Reporting and Validating Research Findings Through Reconstructed Stories

    Irena Papadopoulos, Karen Scanlon et al.•ARTICLE•Disability & Society•2002•Citada por: 2•Referencias: 4

    This paper describes the use of and reasons why reconstructed stories were used as a method of presenting and validating the findings from the interview data with visually impaired people obtained from Enfield Vision Research Project, into the needs of visually impaired people resident in the London Borough of Enfield. In order to present and validate the findings of the first 20 interviews the researchers organised a group respondent validation …

  • Ethiopian refugees in the UK

    Irena Papadopoulos, Shelley Susan Lee et al.•ARTICLE•Ethnicity and Health•2004•Citada por: 22•Referencias: 2

    Migration, adaptation and settlement experiences impact on the health of refugees and are dependent on a number of barriers and enablers, both at a personal and societal level. These should be taken into account in the provision of health and social care services, in particular services should be provided in a culturally competent manner

  • The benefits of participatory methodologies to develop effective community dialogue in the context of a microbicide trial feasibility study in Mwanza, Tanzania

    Open Access•the Microbicides Development Programme, Andrew J Vallely et al.•ARTICLE•BMC Public Health•2007

    Participatory techniques were instrumental in promoting meaningful dialogue between the research team, study participants and community representatives in Mwanza, allowing researchers and community representatives to gain a shared understanding of project-related priority areas for intervention

  • A model for community representation and participation in HIV prevention trials among women who engage in transactional sex in Africa

    Charles Shagi, Andrew J Vallely et al.•ARTICLE•AIDS Care•2008

    Actively engaging communities in effective partnerships for the design and implementation of HIV prevention research is vital to the successful conduct of ethically robust, locally-appropriate clinical trials in developing countries. This is especially true in vulnerable at-risk sub-populations, where definitions of "community", "participation" and "representation" can be difficult to apply. This study was conducted to investigate the feasibility…

  • The role of partnership dynamics in determining the acceptability of condoms and microbicides

    Catherine M Montgomery, Shelley Susan Lee et al.•ARTICLE•AIDS Care•2008

    Microbicides are a class of substances under development that could reduce the sexual transmission of HIV and other sexually transmitted diseases when applied locally to genital mucosal surfaces. Microbicide acceptability research has largely focused on product characteristics, rather than processes of negotiation within relationships about use. Gender relations, decision-making power and communication within sexual relationships are recognised a…

  • Sexual risk behaviour for women working in recreational venues in Mwanza, Tanzania

    Shelley Susan Lee, Nicola Desmond et al.•ARTICLE•Culture Health & Sexuality•2009

    Qualitative research was conducted to explore the social context of sexual-risk behaviour among women working in recreational occupations, during a feasibility study in preparation for the Phase III clinical trial of vaginal microbicides in Mwanza, Tanzania. Participant observation was conducted in 68 recreational venues. Six focus group discussions were conducted with women working in recreational occupations and two with male customers at these…

  • A qualitative study of participant adherence in a randomized controlled trial of herpes suppressive therapy for HIV prevention in Tanzania

    Mary L Plummer, Deborah Watson-Jones et al.•ARTICLE•AIDS Care•2010

    Poor participant adherence to treatment may contribute to lack of impact in some biomedical HIV prevention trials. This qualitative study explored adherence in a randomized controlled trial of herpes suppressive therapy to reduce HIV acquisition and infectivity among 1305 Tanzanian women. The trial found participants completed 72% of visits on treatment; 52-56% of women on treatment had > or = 90% adherence by pill count estimate; and between six…

  • Intravaginal and Menstrual Practices among Women Working in Food and Recreational Facilities in Mwanza, Tanzania

    Open Access•Caroline F Allen, Caroline Allen et al.•ARTICLE•AIDS and Behavior•2010

    Intravaginal and menstrual practices may potentially influence results of trials of microbicides for HIV prevention through effects on the vaginal environment and on adherence to microbicide and placebo products. As part of the feasibility study for the Microbicides Development Programme Phase 3 trial of a vaginal microbicide in Mwanza, a variety of quantitative and qualitative methods were used to describe these practices, associations with beha…

  • Re-framing microbicide acceptability

    Catherine M Montgomery, Mitzy Gafos et al.•ARTICLE•Culture Health & Sexuality•2010

    Microbicides are most usually conceptualised within a disease prevention framework and studies usually define acceptability in terms of product characteristics, willingness to use and risk reduction. This starting point has led to assumptions about microbicides which, rather than being challenged by empirical studies, have tended to foreclose the data and subsequent conceptual models. Few studies take an emic ('insider') perspective or attempt to…

  • Understanding the linkages between informal and formal care for people living with HIV in sub-Saharan Africa

    Open Access•Shelley Susan Lee, Karina Kielmann et al.•ARTICLE•Global Public Health•2012

    In response to the human resource challenges facing African health systems, there is increasing involvement of informal care providers in HIV care. Through social and institutional interactions that occur in the delivery of HIV care, linkages between formal and informal systems of care often emerge. Based on a review of studies documenting the relationships between formal and informal HIV care in sub-Saharan Africa, we suggest that linkages can b…

  • Understanding motives for intravaginal practices amongst Tanzanian and Ugandan women at high risk of HIV infection

    Open Access•Shelley Susan Lee, Flavia Zalwango et al.•ARTICLE•Social Science & Medicine•2014•Citada por: 2•Referencias: 37

    Some types of intravaginal practices (IVP) may increase the risk for HIV acquisition. This is particularly worrisome for populations with dual high prevalence of HIV and IVP. Women involved in transactional sex are at increased risk for HIV infection in sub-Saharan Africa. Social, cultural and economic influences are strong drivers of IVP in this population. To explore this, we carried out a qualitative research study to investigate the drivers a…

  • Considerations for a Human Rights Impact Assessment of a Population Wide Treatment for HIV Prevention Intervention

    Open Access•Johanna Hanefeld, Virginia Bond et al.•ARTICLE•Developing World Bioethics•2015

    Increasing attention is being paid to the potential of anti‐retroviral treatment ( ART ) for HIV prevention. The possibility of eliminating HIV from a population through a universal test and treat intervention, where all people within a population are tested for HIV and all positive people immediately initiated on ART , as part of a wider prevention intervention, was first proposed in 2009. Several clinical trials testing this idea are now in inc…

  • Emergent HIV technology

    Shelley Susan Lee•ARTICLE•Culture Health & Sexuality•2015

    In response to the growing HIV epidemic in Africa in the 1990s, microbicide technologies emerged from discourses of empowerment and imaginings of the sexual lives and agency of African women. This draws on an anthropological enquiry which explored narratives from Tanzanian women who participated in a microbicide clinical trial. In the context of the HIV epidemic in Tanzania, women's lives were full of uncertainty and insecurity and their sexual l…

  • It is just the way it was in the past before I went to test’

    Open Access•Caoimhe Cawley, Alison Wringe et al.•ARTICLE•BMC Public Health•2016

    Within the broader social context of a rural African setting, HIV prevention counselling based on a Western model of individual-level agency seems unlikely to make a significant contribution to sexual behaviour change until there is greater recognition by counsellors of the ways in which power dynamics within many relationships influence behaviour change. More culturally relevant counselling strategies and messages and infrastructural improvement…

  • Power, fairness and trust

    Open Access•L Enria, Shelley Susan Lee et al.•ARTICLE•BMC Public Health•2016

    The paper firstly emphasises the value of social science in the setting up of clinical trials, in terms of providing an in depth understanding of context and social dynamics. Secondly, the paper suggests the importance of a close collaboration between research and community engagement to effectively confront political and social dynamics, especially in the context of an epidemic

  • Feasibility and acceptability of delivering adolescent health interventions alongside HPV vaccination in Tanzania

    Open Access•Deborah Watson-Jones, Shelley Susan Lee et al.•ARTICLE•Health Policy and Planning•2016•Referencias: 21

    BACKGROUND: Human papillomavirus (HPV) vaccination offers an opportunity to strengthen provision of adolescent health interventions (AHI). We explored the feasibility of integrating other AHI with HPV vaccination in Tanzania. METHODS: A desk review of 39 policy documents was preceded by a stakeholder meeting with 38 policy makers and partners. Eighteen key informant interviews (KIIs) with health and education policy makers and district officials …

  • Prevalence of intimate partner violence and abuse and associated factors among women enrolled into a cluster randomised trial in northwestern Tanzania

    Open Access•Saidi Kapiga, Sheila Harvey et al.•ARTICLE•BMC Public Health•2017

    ClinicalTrials.gov - ID NCT02592252 , registered retrospectively on 13 August 2015

  • Local narratives of sexual and other violence against children and young people in Zanzibar

    Shelley Susan Lee, Karen Devries•ARTICLE•Culture Health & Sexuality•2018

    Understandings of violence, and especially sexual violence against children, must be situated within the local context. The 2009 Violence against Children Survey in Zanzibar indicated that 6% of girls and 9% of boys reported having experienced sexual violence before the age of 18 years. This paper reports on an in-depth qualitative study conducted in Zanzibar to provide further insights to these findings by examining the circumstances for sexual …

  • We are the heroes because we are ready to die for this country

    Open Access•Angus Fayia Tengbeh, L Enria et al.•ARTICLE•Social Science & Medicine•2018•Citada por: 11•Referencias: 31

    The 2014-2016 Ebola epidemic presented a challenging setting in which to carry out clinical trials. This paper reports findings from social science research carried out in Kambia, Northern Sierra Leone during first year of an Ebola vaccine trial (August 2015-July 2016). The social science team collected data through ethnographic observation, 42 in depth interviews; 4 life narratives; 200 exit interviews; 31 key informant interviews; and 8 focus g…

  • Citizens, dependents, sons of the soil

    Open Access•L Enria, Shelley Susan Lee et al.•ARTICLE•Medicine Anthropology Theory•2018•Citada por: 3

    The impact of biomedicine and biomedical technologies on identity and sociality has long been the focus of medical anthropology. In this article we revisit these debates in a discussion of how unprecedented encounters with biomedicine during the West African Ebola outbreak have featured in Sierra Leoneans' understandings of citizenship and belonging, using the case study of an Ebola vaccine trial taking place in Kambia District (EBOVAC Salone). A…

  • Measuring hope amongst Tanzanian women who participate in microfinance

    Open Access•Christian Holm Hansen, Shelley Susan Lee et al.•ARTICLE•Global Public Health•2019

    Measuring hope reliably and accurately remains an important research objective, not least in less prosperous settings where 'holding on to hope' may be critically important in the struggle against adverse life conditions. The State Hope Scale was designed for use in the US. Despite reported application in diverse cultures and using translations the scale has not been extensively validated outside US populations. This study contributes to a larger…

  • Lessons learned from engaging communities for Ebola vaccine trials in Sierra Leone

    Open Access•Sara Dada, Gillian McKay et al.•ARTICLE•BMC Public Health•2019

    These findings provide an in-depth understanding of how interdisciplinary community liaison and social science teams can work with a clinical team to strengthen trust. The four R's suggest the ways in which trust relations are central to CE and confidence in vaccine trials, and could offer an approach to CE in vaccine trials

  • Women’s income and risk of intimate partner violence

    Open Access•Tanya Abramsky, Shelley Susan Lee et al.•ARTICLE•BMC Public Health•2019

    ClinicalTrials.gov #NCT02592252 , registered retrospectively (13/08/2015)

  • Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK Covid-19 Lockdown

    Open Access•Nina Trivedy Rogers, Naomi R Waterlow et al.•ARTICLE•Frontiers in Public Health•2020

    Objectives: We assessed whether lockdown had a disproportionate impact on physical activity behaviour in groups who were, or who perceived themselves to be, at heightened risk from COVID-19. Methods Physical activity intensity (none, mild, moderate or vigorous) before and during the UK COVID-19 lockdown was self-reported by 9,190 adults between 2020-04-06 and 2020-04-22. Physician-diagnosed health conditions and topic composition of open-ended te…

  • Modelling the pandemic

    Open Access•Tammy Rhodes, K Lancaster et al.•ARTICLE•BMJ Global Health•2020

    The evidence produced in mathematical models plays a key role in shaping policy decisions in pandemics. A key question is therefore how well pandemic models relate to their implementation contexts. Drawing on the cases of Ebola and influenza, we map how sociological and anthropological research contributes in the modelling of pandemics to consider lessons for COVID-19. We show how models detach from their implementation contexts through their con…

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Ethnos_APP • Proyecto Open Source • Licencia MIT • Frontend v2.0.0 • Privacidad y Cookies • Documentación de la API: api.ethnos.app/docs • Código de la API: GitHub • DOI: 10.5281/zenodo.17049435 • Código del Frontend: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae