Janet Seeley
Dados Biográficos
| ID | 82030 |
|---|---|
| NOME | Janet Seeley |
| PRENOMES | Janet |
| SOBRENOME | Seeley |
| ASSINATURA | SEELEY J |
| AFILIAÇÕES | London School of Hygiene & Tropical Medicine |
| ORCID | 0000-0002-0583-5272 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 303 |
| TOTAL DE CITAÇÕES | 361 |
| TOTAL COMO AUTOR | 295 |
| TOTAL COMO EDITOR | 8 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1987 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 10 |
How the multiple burdens of daily oral antiretroviral therapy shape the acceptability of long-acting injectable cabotegravir and rilpivirine among people living with HIV in Uganda and South Africa
Long-acting injectable antiretroviral therapy (LAI-ART) has the potential to improve adherence and treatment outcomes among people living with HIV (PLHIV) who experience challenges with adherence to oral medication. We explored how experiences with daily oral ART shaped LAI-ART acceptability within a clinical trial in Uganda and South Africa. A qualitative methods sub-study was nested within a phase 3b randomised clinical trial evaluating long-ac…
Pathways of onward HIV disclosure in relationships among young people living with vertically acquired HIV receiving antiretroviral therapy
For young people living with HIV (YPLHIV) navigating their status since birth, managing onward disclosure of a potentially stigmatising condition in relationships is challenging, and may or may not lead to social support, with implications for wellbeing. In a clinical trial setting in KwaZulu-Natal, South Africa, we investigate how young people living with vertically acquired HIV navigate onward disclosure. Data were from the qualitative componen…
Harnessing the social capital of rural communities for adolescent and youth biosocial HIV prevention
Novel interventions are required to reduce risky sexual behavior among adolescents and young people (AYP). We interviewed a purposive sample comprising AYP residing in the Africa Health Research Institute’s surveillance area and individuals involved in delivering a community-based peer navigator support intervention. Interviews were conducted in isiZulu, transcribed and translated into English for thematic analysis. We found that community resili…
Willingness to accept long-acting injectable antiretroviral therapy among persons living with HIV in a tertiary facility in Southern Ghana
There a gradual transformation of the HIV epidemic with the emergence of antiretroviral therapy. Adherence to daily pill intake is vital for optimal HIV viral suppression. A strategic approach to enhancing adherence is the development of long-acting injectable ART (LAI-ART). Patients’ willingness to accept LAI-ART is a key determinant to the success of these novel therapies, but data is lacking in Africa and Ghana. This study assessed the willing…
Educational films for improving perinatal outcomes associated with gestational diabetes in Uganda and India
INTRODUCTION: Gestational diabetes mellitus (GDM) is associated with a high risk of adverse perinatal outcomes. We evaluated whether a film-based educational intervention for pregnant women and healthcare providers to improve timely detection and management of GDM could reduce the incidence of adverse perinatal outcomes. METHODS: Two parallel-group cluster randomised trials were conducted in Uganda and India. A package of 7 interconnected cultura…
Association of disability and 12-year all-cause and cause-specific mortality
INTRODUCTION: Disability is linked to poor health outcomes and increased mortality, yet evidence on this relationship in sub-Saharan Africa is limited. This study investigated the association between disability and all-cause and cause-specific mortality among older adults in Uganda. METHODS: The analysis was based on longitudinal data from the Wellbeing of Older People Study, an open cohort of individuals aged at least 50 years and followed over …
Navigating HIV status disclosure
We examined how adolescents living with HIV in rural KwaZulu-Natal, South Africa, navigate privacy boundaries in disclosure-related issues. We conducted small group discussions with 31 adolescents (aged 16-19 years) recruited from three HIV clinics. Reflexive thematic data analysis was conducted through the lens of communication privacy management theory. Three major themes emerged: (1) ownership and control of private information, in which adole…
(Un)sweetened deal? Young people’s views on the South African Health Promotion Levy and food in Khayelitsha, Cape Town
On 1 April 2018 the South African Health Promotion Levy on sugary beverages (HPL) came into effect with the goal of lowering the consumption of sugar sweetened beverages (SSBs) across the South African population. The Republic of South Africa, following the economic and nutrition transitions that occurred after the end of Apartheid, has one of the highest rates of obesity in sub-Saharan Africa. Within this context, this qualitative study examined…
Health service responses and help-seeking for women experiencing violence during outbreaks in low- and middle-income settings
During outbreaks women struggle to access essential health services, including services for violence. Services may be disrupted or deprioritised, or women may avoid clinical settings. We conducted a scoping review to understand how health services for violence against women (VAW) were affected in low- and middle-income (LMIC) settings during recent outbreaks, and how women sought help following violence. We reviewed published academic literature …
Barriers and facilitators to community-based, peer-led sexual and reproductive health intervention for adolescent girls and young women in northeastern Uganda
Peer-led interventions can effectively improve sexual and reproductive health (SRH) knowledge, promote safer sexual behaviors among adolescents and young people, especially where health system capacity is limited. To inform a planned pre-post study, we explored the barriers and facilitators to the implementation of a community-based, peer-led SRH intervention for adolescent girls and young women (AGYW) aged 15–24 years in northeastern Uganda. We …
Longitudinal assessment of changes in hair cortisol levels and associations with violence, poor mental health and harmful substance use among female sex workers in Nairobi, Kenya
Female sex workers (FSWs) in sub-Saharan Africa commonly experience violence, mental health problems, and harmful substance use. Stressful life events can harm the functioning of the hypothalamic-pituitary-adrenal (HPA) axis, serving as a pathway to increased poor health, including HIV susceptibility through cortisol levels. In this paper, we examine changes in hair cortisol concentration (HCC) levels and associations with experiences of violence…
Developing and assessing acceptability of a shared decision-making tool for selecting among HIV pre-exposure prophylaxis options in the United States of America
We developed a pre-exposure prophylaxis (PrEP) shared decision-making tool to support people who could benefit from PrEP in reaching their prevention goals and preferences when considering two effective PrEP modalities, oral or long-acting injectable (LAI) PrEP, in partnership with their healthcare providers (HCPs). This 2-phase study included formative research to develop a PrEP shared decision-making tool prototype followed by a pilot study to …
Access to HIV treatment during community-wide flooding
Community-wide flooding in high HIV-burdened districts affects continuity of HIV care, especially in resource-limited countries in sub-Saharan Africa. We explored the lived experiences of antiretroviral therapy (ART) clients and health care workers (HCWs) in Malawi to understand challenges and potential solutions for ART delivery during floods. This was a mixed methods study. In quantitative analysis, we used routine program data from Partners in…
Insights on the implementation strategies for a potential new tuberculosis vaccine in South Africa
Several tuberculosis (TB) vaccines intended for adults and adolescents are in late-stage clinical trials, but there is limited research into how a new TB vaccine would be introduced. South Africa is at the forefront of TB vaccine research, with involvement in the clinical trials of leading candidates. We sought to understand what the priorities and implementation approach of a potential new TB vaccine in South Africa would be. We conducted semi-s…
Acceptability of HIV self-testing among HIV high-risk Adolescent Girls and Young Women (Agyw) in urban settings in Uganda
Adolescent Girls and Young Women (AGYW) bear a disproportionate burden of HIV in Sub-Saharan Africa, but HIV testing in this sub-population is sub-optimal. HIV self-testing (HIVST) is an evidence-based intervention that has been shown to improve testing rates among AGYW; however, its acceptability in this sub-population remains under-explored. We assessed the acceptability of HIVST and associated factors among HIV high-risk AGYW. We enrolled HIV …
Estimated adherence to the Dapivirine Vaginal Ring and its associated factors among African women
The Dapivirine Vaginal Ring (DVR), a silicone circular ring, continuously distributes Dapivirine into the vagina to prevent HIV infection. We summarized evidence on adherence to DVR for HIV-1 prevention among African women 16–45 years old and described the factors associated with adherence. We searched different databased from inception to December 2024. We included observational studies and randomized trials. Our primary outcome was adherence to…
“If there was no stigma around it, I would tell people”
Sharing one's HIV status with others is complex for youth with perinatally acquired HIV (PAH). However, the support from sharing one's HIV status may assist with HIV-related challenges. This study explored barriers and facilitators of HIV status sharing among UK-based youth living with PAH. Drawing on semi-structured interviews with ten youth with PAH, ten members of their social networks and five HIV professionals, this study examined the comple…
The role of parents and caregivers in motivating adolescents with HIV to participate in a long-acting injectable ART clinical trial in South Africa and Uganda
In this paper, we describe the central role of caregivers in shaping adolescent engagement with long-acting injectable antiretroviral therapy (LAI-ART) within the Long-Acting Treatment for Adolescents (LATA) trial conducted in South Africa and Uganda. Adolescents' participation in HIV care is embedded within emotional, moral, and cultural relationships rather than individual decision-making. Drawing on the bioecological model of human development…
Who is a mobile man ‘at risk’? Masculinity, work-related mobility, and HIV-related risks in Uganda and South Africa
Men who move for work (e.g., taxi drivers, fishermen, labourers) are often described as a homogeneous group at equal risk of HIV acquisition. This framing often masks important differences between men. Using data from rapid ethnographic assessments and a baseline survey in two settings in South Africa and one in Uganda, we examine how sexual risk- taking among men who travel frequently for work is shaped by mobility. We describe the different mob…
The process of developing an HIV disclosure intervention for youth with perinatally acquired HIV
Sharing one's HIV status with others (onward HIV disclosure) for youth with perinatally acquired HIV (PAH) is often difficult but may assist with challenges associated with living with HIV. We describe the development of an intervention to help HIV-sharing decision-making for UK and Ugandan youth with PAH. The methods included : (1) semi-structured interviews with 50 participants (20 with PAH patients aged 18-25 years, 20 friends, family or partn…
Long-acting HIV pre-exposure prophylaxis integrated with community-based sexual and reproductive health services in South Africa (Lapis)
ClinicalTrials.gov Identifier-NCT06250504. Registered: 01 February 2024
Experiences and self-care efforts among female sex workers in Nairobi, Kenya, during Covid-19
Although the COVID-19 measures were aimed at the public good, they resulted in massive economic disruptions. We explored female sex workers’ (FSWs) experiences and self-care efforts following the deployment of COVID-19 containment measures in Nairobi, Kenya. Forty-seven women drawn from 1003 FSWs enrolled in the Maisha Fiti Longitudinal Mixed-Methods Study participated. An in-depth interview tool was used to capture FSW’ experiences and coping st…
Forced vaginal sex and genital immune correlates of HIV risk
BACKGROUND: The likelihood of HIV acquisition is increased following forced vaginal sex. This relates in part to epidemiological and behavioural factors; however, the biological effects of forced vaginal sex, including impacts on immune parameters linked to HIV susceptibility, are poorly understood. Here, we examine biological mediators of HIV susceptibility among female sex workers (FSWs) in Nairobi, Kenya, who recently experienced forced vagina…
Connecting environment, health and livelihoods
INTRODUCTION: The climate crisis has profound effects on people's lives, particularly those reliant on subsistence agriculture and ecosystem goods for their livelihoods and health. There is growing recognition of the interconnections between human health, environmental degradation and climate change, but little research on the pathways of these interconnections that could inform programme development and little attention given to community experi…
Living in the shadows
Young people living with HIV still face persistent HIV stigma and discrimination. • Practising secrecy can create barriers to care and support for youth. • Treatment adherence is inextricably linked to fears about disclosure. • Youth develop different strategies to maintain secrecy over time
The transition to living with HIV as a chronic condition in rural Uganda
Conducting in-depth interviews with and without voice recorders
The use of audio recordings has become a taken-for-granted approach to generating transcripts of in-depth interviewing and group discussions. In this paper we begin by describing circumstances where the use of a recorder is not, or may not be, possible, before sharing our comparative analysis of audio-recorded transcriptions and interview scripts made from notes taken during the interview (by experienced, well-trained interviewers). Our compariso…
Dividuality, masculine respectability and reputation
Social aspects of Aids-related stigma in rural Uganda
They are not always a burden
This qualitative study examines the role of older people (60 years and above) in fostering decisions for orphans and non-orphans within extended families in a rural Ugandan community heavily affected by HIV. Fieldwork conducted in 2006 provided information on the influence of HIV on fostering decisions through 48 individual in-depth interviews and two group interviews with foster-children and family members to develop detailed case studies relate…
Rethinking methods for the study of sexual behaviour
Fishing for a Living but Catching HIV
Over the last decade evidence has emerged suggesting that fisherfolk, as an occupational group, are at greater risk to human immunodeficiency virus (HIV) than other groups in many countries, including Uganda. In this paper we argue that the organization of work in fisheries on Lake Victoria, both now and in the past, encourages patterns of sexual behavior among men and women involved in fishing, trading, and servicing the industry which over the …
"Feckless and reckless or forbearing and resourceful? Looking behind the stereotypes of HIV and Aids in "fishing communities
Over the last decade evidence has emerged suggesting that in many countries fisherfolk, as an occupational group, are at greater risk to HIV and AIDS than the general adult population. This high vulnerability has been explained in terms of the lifestyles associated with fishing and related occupations, such as fish processing and trading. Fishermen have been portrayed as risk takers, their attitudes and behaviour shaped by the physical and econom…
Socioeconomic Status, Gender, and Risk of HIV-1 Infection in a Rural Community in South West Uganda
This report explores the hypothesis that the presence of HIV infection in rural south west Uganda is associated with socioeconomic status and gender. As part of an ethnographic, medical, and serological survey in 15 villages in Masaka district, population 9,950 persons, data were collected on a series of possible socioeconomic indicators. Serological specimens were collected from all consenting individuals for the determination of HIV serostatus.…
This is where we buried our sons’
Much research on the impact of HIV and AIDS on older people fails to differentiate between age groups, and treats those aged from 50 years to the highest ages as homogeneous. The ‘oldest old’ or those aged over 75 years may be particularly vulnerable through declining health and independence as a result of the AIDS epidemic, which has forced some to take on roles that younger relatives would have performed had they lived. In this paper we describ…
Using in-depth qualitative data to enhance our understanding of quantitative results regarding the impact of HIV and Aids on households in rural Uganda
Community-based HIV/Aids research-Whither community participation? Unsolved problems in a research programme in rural Uganda
Coming back from the dead
Scaling-up of anti-retroviral therapy (ART) in resource-poor settings has dramatically reduced mortality and morbidity for those with access, but considerable challenges remain for people who are trying to live with HIV as a manageable chronic condition. A return to 'normal life' for people on ART depends on the assurance of an uninterrupted, affordable and accessible supply of medication. However, many poor people also require economic support t…
Marital instability in a rural population in south-west Uganda
The aim of this study was to examine people's beliefs about the causes of marital instability in a rural population cohort in south-west Uganda. Results from a baseline survey of HFV-1 infection in the cohort of over 4,000 adults (over 12 years old) showed a twofold increase in risk of infection in divorced or separated persons when compared with those who are married. A purposive sample of 134 respondents (seventy-two males, sixty-two females) s…
The impact of Covid-19 measures on children with disabilities and their families in Uganda
To understand the impact of the COVID-19 public health response on families of children with disabilities in Central Uganda we conducted phone interviews with parents and children during the first 5 months of the outbreak (March -July 2020). Most parents and children were well informed about COVID-19 and were keen to adhere to government prevention measures. The majority said lock-down measures had a negative effect on their mental and physical h…
Not Taking it Will Just be Like a Sin
Global health priorities are being set to address questions on adherence to HIV antiretroviral therapy in adolescence. Few studies have explored young people's perspectives on the complex host of social and relational challenges they face in dealing with their treatment in secret and their condition in silence. In redressing this, we present findings from a longitudinal qualitative study with young people living with HIV in the UK, Ireland, US, a…
What am I 'living' with? Growing up with HIV in Uganda and Zimbabwe
As paediatric HIV treatment has become increasingly available across the world, the global perinatally infected cohort is ageing. However, we know surprisingly little about what it is like to grow up with HIV in resource-stretched settings. We draw on findings from a prospective, qualitative study with HIV-positive children, their carers and healthcare workers from four clinics in Uganda and Zimbabwe to examine children's experiences of living wi…
Despondency Among HIV-Positive Older Men and Women in Uganda
Forty people over 60 years of age took part in longitudinal research over the course of a year on the impact of the HIV epidemic in southern Uganda. In this paper we focus mainly on the data from 26 of the 40 who were HIV-positive. While we observed that feelings of depression were frequently experienced by many of the people in our study, the state of 'being depressed' was not constant. Participants regularly expressed economic frustration (beca…
Men’s Involvement in a Parenting Programme to Reduce Child Maltreatment and Gender-Based Violence
Parenting programmes involving fathers can reduce child maltreatment and gender-based violence. However, most parenting programmes find it difficult to recruit fathers. We piloted a 21 session parenting intervention, ‘Parenting for Respectability’, with fathers and mothers near Kampala, Uganda. Sixty-one fathers and 83 mothers were recruited initially and 52 fathers and 76 mothers retained to the end. We interviewed with 24 fathers and 16 mothers…
The Framing and Fashioning of Therapeutic Citizenship Among People Living With HIV Taking Antiretroviral Therapy in Uganda
In this article, we examine how people living with HIV (PLWH) were able to reconceptualize or "reframe" their understanding of HIV and enhance their capacity to self-manage the condition. Two in-depth interviews were held with 38 PLWH (20 women, 18 men) selected from three government and nongovernment antiretroviral therapy (ART) delivery sites in Wakiso District, and the narratives analyzed. ART providers played an important role in shaping part…
A Failed Method? Reflections on Using Audio Diaries in Uganda With Young People Growing Up With HIV in the BREATHER Trial
In this article, we present a case study in which we consider our use of the audio diary method with young people (aged 10-24) living with HIV in Uganda in a longitudinal qualitative study conducted in a clinical randomized control trial. Despite initial enthusiasm for the method among participants to capture accounts of participants' experiences outside of the confines of the HIV clinic, the constraints the young people encountered in accessing …
Making a livelihood at the fish-landing site
Qualitative life history data were used to explore the experiences of women who live at five fish-landing sites on Lake Victoria, Uganda. We explored what economic and social opportunities women have in order to try to understand why some women are more vulnerable to violence and other risks than others and why some women are able to create successful enterprises while others struggle to make a living. The ability of women to create a viable live…
Gender and HIV/Aids impact mitigation in sub-Saharan Africa - recognising the constraints
In discussions of gender and HIV/AIDS, attention has focused on prevention. This is a vital area. However, we argue that there is also a need to focus more attention on the resulting impact of the epidemic, because inequalities that promote the spread of infection are also hampering containment and impact mitigation. We propose a framework highlighting the gendered constraints exacerbated by the epidemic. These constraints are reviewed under the …
Methods used to study household coping strategies in rural South West Uganda
This paper describes the data collection methods used in a longitudinal study of the coping strategies of 27 households in three villages in the study area of the MRC/ODA Research Programme on AIDS in Uganda. After pre-testing and piloting, 9 local interviewers made regular visits to the 27 study households over a period of just over one year. The households were purposively selected to represent different household types and socioeconomic status…
Women bargaining with patriarchy in coastal Kenya
Gender analysts have long recognised that challenging existing patriarchal structures involves risks for women, who may lose both long-term support and protection from kin. However, understanding the specific ways in which they ‘bargain with patriarchy’ in particular contexts is relatively poorly understood. We focus on a Mijikenda fishing community in coastal Kenya to explore contradictions in gendered power relations and how women deploy these …
Social Welfare in a Kenyan Town
Journal Article SOCIAL WELFARE IN A KENYAN TOWN: POLICY AND PRACTICE, 1902–1985 Get access JANET SEELEY JANET SEELEY The author works at the African Studies Centre, University of Cambridge. Fieldwork, supported by the ESRC, was carried out in Kenya 1982–3. The author would particularly like to thank Dr John Iliffe, Dr Henrietta Moore, Dr Megan Vaughan, Neil Wright and Ludgard De Decker for their encouragement and comments Search for other works b…
Social Welfare in Africa
Journal Article Social Welfare in Africa Get access Social Welfare in Africa, edited by John Dixon. Croom Helm, London and Sydney, 1987. 358 pp. £27.50 hardback. ISBN 0 7099 4505 1. JANET SEELEY JANET SEELEY Overseas Development Administration Search for other works by this author on: Oxford Academic Google Scholar African Affairs, Volume 88, Issue 350, January 1989, Pages 137–138, https://doi.org/10.1093/oxfordjournals.afraf.a098140 Published: 0…
The development of a community-based HIV/Aids counselling service in a rural area in Uganda
This paper describes the evolution of a counselling service in the context of an HIV/AIDS research programme in rural Uganda. The background to AIDS counselling both in Europe/America and in Africa is outlined first, and the cultural context of the programme explained. The evolution of the counselling procedure is then described and village case studies are used to illustrate the development and the difficulties that have been faced in finding an…
Community-based HIV/Aids research-Whither community participation? Unsolved problems in a research programme in rural Uganda
The extended family and support for people with Aids in a rural population in south west Uganda
It is commonly assumed that the extended family in Africa provides a safety net for individuals in times of need. This paper examines this assumption using data on the care of people with AIDS in a rural population in South West Uganda. Over a six month period data were collected by counsellors on the care given to 30 (17 women, 13 men) AIDS patients by their families. In 27 of the 30 cases there was evidence of limited care. Various reasons were…
Marital instability in a rural population in south-west Uganda
The aim of this study was to examine people's beliefs about the causes of marital instability in a rural population cohort in south-west Uganda. Results from a baseline survey of HFV-1 infection in the cohort of over 4,000 adults (over 12 years old) showed a twofold increase in risk of infection in divorced or separated persons when compared with those who are married. A purposive sample of 134 respondents (seventy-two males, sixty-two females) s…
Socioeconomic Status, Gender, and Risk of HIV-1 Infection in a Rural Community in South West Uganda
This report explores the hypothesis that the presence of HIV infection in rural south west Uganda is associated with socioeconomic status and gender. As part of an ethnographic, medical, and serological survey in 15 villages in Masaka district, population 9,950 persons, data were collected on a series of possible socioeconomic indicators. Serological specimens were collected from all consenting individuals for the determination of HIV serostatus.…
Methods used to study household coping strategies in rural South West Uganda
This paper describes the data collection methods used in a longitudinal study of the coping strategies of 27 households in three villages in the study area of the MRC/ODA Research Programme on AIDS in Uganda. After pre-testing and piloting, 9 local interviewers made regular visits to the 27 study households over a period of just over one year. The households were purposively selected to represent different household types and socioeconomic status…
The orphan problem
An assessment of the prevalence of orphans and the magnitude of their problems and the extent to which HIV-1 is contributing to this was done in a rural population in South-West Uganda with an HIV-1 seroprevalence of 8% among adults. Slightly over 10% of children aged less than 15 years were reported to have lost one or both parents. Loss of the father alone (6.3%) was more common than loss of the mother alone (2.8%). Generally orphans were livin…
Rethinking methods for the study of sexual behaviour
Social aspects of Aids-related stigma in rural Uganda
HIV and Aids among fisherfolk
Fishing communities are often among the highest‐risk groups in countries with high overall rates of HIV/AIDS prevalence. Vulnerability to HIV/AIDS stems from complex, interacting causes that may include the mobility of many fisherfolk, the time fishermen spend away from home, their access to daily cash income in an overall context of poverty and vulnerability, their demographic profile, the ready availability of commercial sex in fishing ports an…
Gender and HIV/Aids impact mitigation in sub-Saharan Africa - recognising the constraints
In discussions of gender and HIV/AIDS, attention has focused on prevention. This is a vital area. However, we argue that there is also a need to focus more attention on the resulting impact of the epidemic, because inequalities that promote the spread of infection are also hampering containment and impact mitigation. We propose a framework highlighting the gendered constraints exacerbated by the epidemic. These constraints are reviewed under the …
HIV/Aids in fishing communities
Fishing communities have been identified as among the highest-risk groups for HIV infection in countries with high overall rates of HIV/AIDS prevalence. Vulnerability to HIV/AIDS stems from, the time fishers and fish traders spend away from home, their access to cash income, their demographic profile, the ready availability of commercial sex in fishing ports and the sub-cultures of risk taking and hyper-masculinity in fishermen. The subordinate e…
High value forests, hidden economies and elite capture
Mainstreaming’ HIV in Papua New Guinea
Papua New Guinea (PNG) has a rapidly worsening HIV and AIDS epidemic. Gender-based violence is common and is, in part, fuelling the spread of HIV. We argue that the situation in PNG illustrates very clearly why ‘mainstreaming’ HIV into all aspects of development simply cannot happen without serious attention to gender inequities. We describe a scheme in the oil palm industry in PNG that specifically targets women to ensure that they benefit from …
Building skills in qualitative research to inform pro-poor policy
This paper describes the research methodology followed in the ‘Livelihoods of the Extreme Poor Project’, a collaborative research project in Bangladesh between PROSHIKA (a large national NGO) and DFID (the UK government department for international development). The dual purpose of this project was to learn about poor people's livelihoods and train the PROSHIKA research team in the use of qualitative research methods. The research findings were t…
Coming back from the dead
Scaling-up of anti-retroviral therapy (ART) in resource-poor settings has dramatically reduced mortality and morbidity for those with access, but considerable challenges remain for people who are trying to live with HIV as a manageable chronic condition. A return to 'normal life' for people on ART depends on the assurance of an uninterrupted, affordable and accessible supply of medication. However, many poor people also require economic support t…
"Feckless and reckless or forbearing and resourceful? Looking behind the stereotypes of HIV and Aids in "fishing communities
Over the last decade evidence has emerged suggesting that in many countries fisherfolk, as an occupational group, are at greater risk to HIV and AIDS than the general adult population. This high vulnerability has been explained in terms of the lifestyles associated with fishing and related occupations, such as fish processing and trading. Fishermen have been portrayed as risk takers, their attitudes and behaviour shaped by the physical and econom…
Using in-depth qualitative data to enhance our understanding of quantitative results regarding the impact of HIV and Aids on households in rural Uganda
Sex after ART
This paper explores the social contexts that influence the formation and nature of sexual partnerships among people on anti-retroviral therapy (ART). We draw on the findings of a qualitative, longitudinal study of 70 people (36 women and 34 men) who have been participating in a home-based ART programme for over three years in Eastern Uganda. Since initiating ART, 32 (18 men and 14 women) participants reported having had a new partner. Five partic…
Orphans and future livelihoods in Mozambique? The role of the Junior Farmer Field and Life School Programme
The Junior Farmer Field and Life School (JFFLS) Programme, a joint venture of the Government of Mozambique and the Food and Agriculture Organisation and the World Food Programme, was piloted in Mozambique in 2003 to support orphans to gain farming skills. In this article, based on fieldwork in Mozambique in 2006, the impact of the JFFLS programme is examined in four different communities. The findings show that JFFLS graduates from rural communit…
This is where we buried our sons’
Much research on the impact of HIV and AIDS on older people fails to differentiate between age groups, and treats those aged from 50 years to the highest ages as homogeneous. The ‘oldest old’ or those aged over 75 years may be particularly vulnerable through declining health and independence as a result of the AIDS epidemic, which has forced some to take on roles that younger relatives would have performed had they lived. In this paper we describ…
Fishing for a Living but Catching HIV
Over the last decade evidence has emerged suggesting that fisherfolk, as an occupational group, are at greater risk to human immunodeficiency virus (HIV) than other groups in many countries, including Uganda. In this paper we argue that the organization of work in fisheries on Lake Victoria, both now and in the past, encourages patterns of sexual behavior among men and women involved in fishing, trading, and servicing the industry which over the …
Unimagined community
Medicine (234 obras) · HIV/AIDS Research and Interventions (152 obras) · Sociology (134 obras) · Psychology (133 obras) · Adolescent Sexual and Reproductive Health (128 obras) · Family medicine (108 obras) · Qualitative research (100 obras) · Environmental health (99 obras) · Nursing (86 obras) · Psychiatry (78 obras)