Hayley Macgregor
Dados Biográficos
| ID | 119599 |
|---|---|
| NOME | Hayley Macgregor |
| PRENOMES | Hayley |
| SOBRENOME | Macgregor |
| ASSINATURA | MACGREGOR H |
| AFILIAÇÕES | University of Sussex |
| ORCID | 0000-0002-9392-9331 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 39 |
| TOTAL DE CITAÇÕES | 155 |
| TOTAL COMO AUTOR | 39 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2002 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 6 |
Pandemic futures, future preparedness
The deliberations for the Pandemic Accord have opened an important moment of reflection on future approaches to pandemic preparedness. The concept had been increasingly prominent in global health discourse for several years before the pandemic and had concretised into a set of standardised mainstream approaches to the prediction of threats. Since 2019, the authors and the wider research team have led a research project on the meanings and practic…
Shifting power in pandemics
What can be learned about pandemic preparedness from greater attention to perspectives of people who live in regions labelled as ‘hotspots’ for disease outbreaks? And how might such attention require us to reconfigure science, policy, and practice – as part of a broader shifting of power in pandemics? These are the questions that motivate and are explored through the papers in this special issue on pandemic preparedness, for which this paper serv…
Understanding the crux of refugees’ health inequities
Ethiopia has a longstanding history of providing refuge to forcibly displaced people. This commitment to refugee protection is underscored by progressive domestic policies and international commitments the country made to protect refugee rights. However, the country’s reliance on camp-based refugee protection has overshadowed these aspirations. Within these camps, highly regulated service provision and restricted out-of-camp movement limit refuge…
Community resilience to health emergencies
BACKGROUND: There is recognition of the importance of community resilience in mitigating long-term effects of health emergencies on communities. To guide policy and practice, conceptual clarity is needed on what community resilience involves and how it can be operationalised for community protection in ways that empower and strengthen local agency. OBJECTIVES: To identify the core components of community resilience to health emergencies using a s…
Mpox and the men who have sex with men (MSM) community in Nigeria
The current mpox outbreak has challenged previous understanding of the disease, with human-to-human transmission being a significant mode of transmission, particularly among gay, bisexual, and other men who have sex with men (GBMSM). A knowledge gap exists on MSM's mpox experiences in Nigeria's restrictive sociolegal context. This study explored mpox awareness, knowledge, and experiences among MSM in Lagos, Nigeria, through 28 in-depth interviews…
Diagnosis, treatment, and management of Mpox in urban Informal Settlements in Southwestern Nigeria
Our paper contributes to a more nuanced understanding of not only the health care access barriers, but the complex geographical, economic, and sociocultural factors that shape how and when people seek care for Mpox within the context of urban informal settlements. This further draws attention to behavioral dispositions to the nomenclature of what is perceived as PHEIC. Thus, the global health and security paradigm should give room to local contex…
Did Covid-19 vaccine enforcement work? Evidence from northwestern and northern Uganda
During the COVID-19 pandemic, vaccination programmes were shaped by diverse approaches to enforcement. Yet, little is known about how public authority influenced modes of enforcement on the ground or their ramifications for governance and public health more broadly. This article focuses on the Ugandan mandatory COVID-19 vaccination programme in two contrasting geographical and socio-political spaces: rural Dei and peri-urban Gulu. Ethnographic an…
Infrastructures of epidemic response
Mpox (formerly known as monkeypox) was declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization on 23rd July 2022, however cases of the disease have been detected in Nigeria since the 1970s and more recently since it began spreading in more urban areas of the country from 2017 onward. Nigeria has a strong track record of epidemic preparedness and response, spearheaded by the Nigeria Centre for Disease C…
A community developed conceptual model for reducing long-term health problems in children with intellectual disability in India
Children with intellectual disability (ID) have a higher risk of long-term health problems in adulthood. India has the highest prevalence of ID of any country with 1.6 million under-five children living with the condition. Despite this, compared with other children, this neglected population is excluded from mainstream disease prevention and health promotion programmes. Our objective was to develop an evidence-based conceptual framework for a nee…
Framing ‘slums’
Slums and informal settlements have long been a policy concern, particularly in post-independence cities of the global South. Although national and local governments devise public policy seeking to address these habitations, these policy initiatives occur in conversation with the often far less visible global policy discourses of international urban development actors. Positing their ideational influence, this study analyses how global discourses…
Bringing together urban systems and food systems theory and research is overdue
Urban dwellers’ food and nutritional wellbeing are both dependent on infrastructure and can be indicative of wider wellbeing in urban contexts and societal health. This paper focuses on the multiple relationships that exist between food and infrastructure to provide a thorough theoretical and empirical grounding to urgent work on urban food security and nutrition in the context of rapid urban and nutrition transitions in the South. We argue that …
Pandemic Preparedness for the Real World
The cost of the Covid-19 pandemic remains unknown. Lives directly lost to the disease continue to mount, while related health, livelihood and wellbeing impacts are still being felt, and the wider ramifications across society, politics and the economy are yet to fully materialise. What is known about these costs though, is that they have been unequally distributed both within and between countries. Preparedness plans proved inadequate in many sett…
Post-pandemic Transformations and the Recasting of Development
This Comment is both a response to critique and a wider contribution to renewed debate on the politics of development and development studies amidst multiple, intersecting challenges. In an article published in World Development in 2021, Leach et al. proposed that COVID-19 and earlier epidemics provided fundamental lessons for post-pandemic transformations and for rethinking development more broadly. In an article published in this journal in 202…
Estimating waiting times, patient flow, and waiting room occupancy density as part of tuberculosis infection prevention and control research in South African primary health care clinics
Transmission of respiratory pathogens, such as Mycobacterium tuberculosis and severe acute respiratory syndrome coronavirus 2, is more likely during close, prolonged contact and when sharing a poorly ventilated space. Reducing overcrowding of health facilities is a recognised infection prevention and control (IPC) strategy; reliable estimates of waiting times and ‘patient flow’ would help guide implementation. As part of the Umoya omuhle study, w…
Beyond checklists
Sub-optimal implementation of infection prevention and control (IPC) measures for airborne infections is associated with a rise in healthcare-acquired infections. Research examining contributing factors has tended to focus on poor infrastructure or lack of health care worker compliance with recommended guidelines, with limited consideration of the working environments within which IPC measures are implemented. Our analysis of compromised tubercul…
A Framework for Social Science in Epidemics
In epidemic preparedness and response, it is now commonly accepted that insights from social science disciplines are important in shaping action. Unfortunately, the role of social science is often confined to risk communication and community engagement (RCCE) efforts. In this article, we propose an analytical framework that would allow researchers and practitioners from different disciplines to employ social science insights to enrich their under…
Negotiating Intersecting Precarities
This article shares findings on COVID-19 in Africa across 2020 to examine concepts and practices of epidemic preparedness and response. Amidst uncertainties about the trajectory of COVID-19, the stages of emergency response emerge in practice as interconnected. We illustrate how complex dynamics manifest as diverse actors interpret and modify approaches according to contexts and experiences. We suggest that the concept of "intersecting precaritie…
Health systems performance or performing health systems? Anthropological engagement with health systems research
Epidemics and the Military
Vaccine anxieties, vaccine preparedness
Global debates about vaccines as a key element of pandemic response and future preparedness in the era of Covid-19 currently focus on questions of supply, with attention to global injustice in vaccine distribution and African countries as rightful beneficiaries of international de-regulation and financing initiatives such as COVAX. At the same time, vaccine demand and uptake are seen to be threatened by hesitancy, often attributed to an increasin…
Organisational Culture and Mask-Wearing Practices for Tuberculosis Infection Prevention and Control among Health Care Workers in Primary Care Facilities in the Western Cape, South Africa
Background : Although many healthcare workers (HCWs) are aware of the protective role that mask-wearing has in reducing transmission of tuberculosis (TB) and other airborne diseases, studies on infection prevention and control (IPC) for TB in South Africa indicate that mask-wearing is often poorly implemented. Mask-wearing practices are influenced by aspects of the environment and organisational culture within which HCWs work. Methods : We draw o…
Rethinking disease preparedness
This paper argues for a rethinking of disease preparedness that puts incertitude and the politics of knowledge at the centre. Through examining the experiences of Ebola, Nipah, cholera and COVID-19 across multiple settings, the limitations of current approaches are highlighted. Conventional approaches assume a controllable, predictable future, which is responded to by a range of standard interventions. Such emergency preparedness planning approac…
Local Covid-19 Syndemics and the Need for an Integrated Response
The Covid-19 pandemic is more than a health crisis. It has worse outcomes among individuals with co-morbidities, has exposed fault lines in our societies, and amplified existing inequalities. This article draws on emerging evidence from low- and middle-income contexts to highlight how Covid-19 becomes syndemic when it interacts with local vulnerabilities. A syndemic approach provides a frame for understanding how Covid-19 is amplified when cluste…
Psychological resilience, fragility and the health workforce
COVID-19 presents a time to redefine vulnerability; however, in discussions of vulnerability, the health workforce, particularly in \nregard to their psychosocial well-being, is often forgotten. Healthcare workers (HCWs) in fragile settings are constantly exposed to health system shocks, including; conflict, disease outbreaks and natural disasters, which compound the everyday challenges of working in an under-resourced health system. Based on a c…
How to prevent and address safeguarding concerns in global health research programmes
Safeguarding is rapidly rising up the international development agenda, yet literature on safeguarding in related research is limited. This paper shares processes and practice relating to safeguarding within an international research consortium (the ARISE hub, known as ARISE). ARISE aims to enhance accountability and improve the health and well-being of marginalised people living and working in informal urban spaces in low-income and middle-incom…
Post-pandemic transformations
COVID-19 is proving to be the long awaited 'big one': a pandemic capable of bringing societies and economies to their knees. There is an urgent need to examine how COVID-19 - as a health and development crisis - unfolded the way it did it and to consider possibilities for post-pandemic transformations and for rethinking development more broadly. Drawing on over a decade of research on epidemics, we argue that the origins, unfolding and effects of…
Mapping the body
This article offers an analysis of the body-mapping dimension of the 'treatment literacy' initiatives of the Treatment Action Campaign (TAC), an HIV/AIDS-focused social movement in South Africa. It situates body mapping within the politics of HIV/AIDS activism in South Africa. The alliance between activists and biomedical practitioners is explored and the emphasis on the 'science of HIV' in TAC treatment literacy considered alongside the foregrou…
Vaccine anxieties, vaccine preparedness
Global debates about vaccines as a key element of pandemic response and future preparedness in the era of Covid-19 currently focus on questions of supply, with attention to global injustice in vaccine distribution and African countries as rightful beneficiaries of international de-regulation and financing initiatives such as COVAX. At the same time, vaccine demand and uptake are seen to be threatened by hesitancy, often attributed to an increasin…
Negotiating Intersecting Precarities
This article shares findings on COVID-19 in Africa across 2020 to examine concepts and practices of epidemic preparedness and response. Amidst uncertainties about the trajectory of COVID-19, the stages of emergency response emerge in practice as interconnected. We illustrate how complex dynamics manifest as diverse actors interpret and modify approaches according to contexts and experiences. We suggest that the concept of "intersecting precaritie…
Epidemics and the Military
Covid-19, Public Authority and Enforcement
The securitization of health is not a new phenomenon. However, global responses to the 2014–2016 Ebola outbreak in West Africa reveal the extent to which epidemic preparedness and response is now shaped by geopolitical concerns. UN Security Council Resolution 2177 epitomizes this. The resolution asserted that “the outbreak is undermining the stability of the most affected countries ... [and] the Ebola outbreak in Africa constitutes a threat to in…
Health systems performance or performing health systems? Anthropological engagement with health systems research
Integrating Services, Marginalizing Patients
In keeping with international trends, South African health policy is moving towards comprehensive primary health care, with mental health care offered as integral to this service. This move is consonant with other moves towards integration in a formerly divided country. We consider some ideological bases for the move towards integration, and the consequences for psychiatric patients. We show how the specialist terrain of the mental health nurse h…
Mental Health and the Maintenance of Kinship in South Africa
At the turn of the millennium, people with mental disturbance often lived in circumstances of economic marginalization in South Africa. The historical material of one low-income urban area reveals the place of kin relations and reciprocity in enabling negotiation of a more fluid set of responses to mental illness. In this sociocultural context, "stigma" was not an inevitable reaction to mental illness, and a more complex set of social dynamics co…
Framing ‘slums’
Slums and informal settlements have long been a policy concern, particularly in post-independence cities of the global South. Although national and local governments devise public policy seeking to address these habitations, these policy initiatives occur in conversation with the often far less visible global policy discourses of international urban development actors. Positing their ideational influence, this study analyses how global discourses…
Pandemic Preparedness for the Real World
The cost of the Covid-19 pandemic remains unknown. Lives directly lost to the disease continue to mount, while related health, livelihood and wellbeing impacts are still being felt, and the wider ramifications across society, politics and the economy are yet to fully materialise. What is known about these costs though, is that they have been unequally distributed both within and between countries. Preparedness plans proved inadequate in many sett…
Post-pandemic Transformations and the Recasting of Development
This Comment is both a response to critique and a wider contribution to renewed debate on the politics of development and development studies amidst multiple, intersecting challenges. In an article published in World Development in 2021, Leach et al. proposed that COVID-19 and earlier epidemics provided fundamental lessons for post-pandemic transformations and for rethinking development more broadly. In an article published in this journal in 202…
Hold on’ ( Bambelela )! Lyrical interpretations of participation in an HIV prevention clinical trial
During a five-day workshop, former clinical trial participants and local musicians wrote the lyrics and recorded a song about an HIV prevention trial. Born of concerns about misconceptions regarding experimental drug trials, the aim was to engender engagement with medical researchers and open dialogue about the risks and benefits of trial participation. Composing lyrics that highlighted their credibility as communicators of medical scientific kno…
Integrating Services, Marginalizing Patients
In keeping with international trends, South African health policy is moving towards comprehensive primary health care, with mental health care offered as integral to this service. This move is consonant with other moves towards integration in a formerly divided country. We consider some ideological bases for the move towards integration, and the consequences for psychiatric patients. We show how the specialist terrain of the mental health nurse h…
‘The Grant Is What I Eat’
In South Africa, disability grant allocation has been under review and tensions are evident in government rhetoric stressing welfare provision on the one hand, and encouraging ‘rationalization’ on the other. This ambiguity is traced down to the level of grant negotiations between doctors and ‘clients’ in a psychiatry clinic in Khayelitsha. Here ‘having nerves’ embodies the distress associated with harsh circumstances and is deemed by supplicants …
Mapping the body
This article offers an analysis of the body-mapping dimension of the 'treatment literacy' initiatives of the Treatment Action Campaign (TAC), an HIV/AIDS-focused social movement in South Africa. It situates body mapping within the politics of HIV/AIDS activism in South Africa. The alliance between activists and biomedical practitioners is explored and the emphasis on the 'science of HIV' in TAC treatment literacy considered alongside the foregrou…
Knowledge, legitimacy and economic practice in informal markets for medicine
Framing rights and responsibilities
BACKGROUND: In South Africa, policy with respect to HIV/AIDS has had a strong rights-based framing in line with international trends and in keeping with the constitutional overhaul in the post-Apartheid era. There have also been considerable advances since 1994 towards legal enshrinement of sexual and reproductive health rights and in the provision of related services. Since HIV in this setting has heavily affected women of reproductive age, ther…
Health Systems Research in a Complex and Rapidly Changing Context
This paper discusses health policy and systems research in complex and rapidly changing contexts. It focuses on ethical issues at stake for researchers working with government policy makers to provide evidence to inform major health systems change at scale, particularly when the dynamic nature of the context and ongoing challenges to the health system can result in unpredictable outcomes. We focus on situations where ‘country ownership’ of HSR is…
The publics of public health in Africa
How do we understand the public character of public health in contemporary Africa? What are the parameters of community engagement in health care delivery, medical research and disease control programmes? To what extent is public health in Africa a project led by African Governments? Through what political processes and deliberative practices can African publics influence the priorities of research in health sciences and interventions which aim i…
Scaling up ART adherence clubs in the public sector health system in the Western Cape, South Africa
BACKGROUND: In 2011, a decision was made to scale up a pilot innovation involving 'adherence clubs' as a form of differentiated care for HIV positive people in the public sector antiretroviral therapy programme in the Western Cape Province of South Africa. In 2016 we were involved in the qualitative aspect of an evaluation of the adherence club model, the overall objective of which was to assess the health outcomes for patients accessing clubs th…
Hold on’ ( Bambelela )! Lyrical interpretations of participation in an HIV prevention clinical trial
During a five-day workshop, former clinical trial participants and local musicians wrote the lyrics and recorded a song about an HIV prevention trial. Born of concerns about misconceptions regarding experimental drug trials, the aim was to engender engagement with medical researchers and open dialogue about the risks and benefits of trial participation. Composing lyrics that highlighted their credibility as communicators of medical scientific kno…
Mental Health and the Maintenance of Kinship in South Africa
At the turn of the millennium, people with mental disturbance often lived in circumstances of economic marginalization in South Africa. The historical material of one low-income urban area reveals the place of kin relations and reciprocity in enabling negotiation of a more fluid set of responses to mental illness. In this sociocultural context, "stigma" was not an inevitable reaction to mental illness, and a more complex set of social dynamics co…
Value Chain Governance, Power and Negative Externalities
Psychological resilience, fragility and the health workforce
COVID-19 presents a time to redefine vulnerability; however, in discussions of vulnerability, the health workforce, particularly in \nregard to their psychosocial well-being, is often forgotten. Healthcare workers (HCWs) in fragile settings are constantly exposed to health system shocks, including; conflict, disease outbreaks and natural disasters, which compound the everyday challenges of working in an under-resourced health system. Based on a c…
How to prevent and address safeguarding concerns in global health research programmes
Safeguarding is rapidly rising up the international development agenda, yet literature on safeguarding in related research is limited. This paper shares processes and practice relating to safeguarding within an international research consortium (the ARISE hub, known as ARISE). ARISE aims to enhance accountability and improve the health and well-being of marginalised people living and working in informal urban spaces in low-income and middle-incom…
It has become everybody’s business and nobody’s business’
South Africa is increasingly offering screening, diagnosis and treatment of tuberculosis (TB), and especially drug-resistant TB, at the primary care level. Nosocomial transmission of TB within primary health facilities is a growing concern in South Africa, and globally. We explore here how TB infection prevention and control (IPC) policies, historically focused on hospitals, are being implemented within primary care facilities. We spoke to 15 pol…
Post-pandemic transformations
COVID-19 is proving to be the long awaited 'big one': a pandemic capable of bringing societies and economies to their knees. There is an urgent need to examine how COVID-19 - as a health and development crisis - unfolded the way it did it and to consider possibilities for post-pandemic transformations and for rethinking development more broadly. Drawing on over a decade of research on epidemics, we argue that the origins, unfolding and effects of…
Covid-19, Public Authority and Enforcement
The securitization of health is not a new phenomenon. However, global responses to the 2014–2016 Ebola outbreak in West Africa reveal the extent to which epidemic preparedness and response is now shaped by geopolitical concerns. UN Security Council Resolution 2177 epitomizes this. The resolution asserted that “the outbreak is undermining the stability of the most affected countries ... [and] the Ebola outbreak in Africa constitutes a threat to in…
Organisational Culture and Mask-Wearing Practices for Tuberculosis Infection Prevention and Control among Health Care Workers in Primary Care Facilities in the Western Cape, South Africa
Background : Although many healthcare workers (HCWs) are aware of the protective role that mask-wearing has in reducing transmission of tuberculosis (TB) and other airborne diseases, studies on infection prevention and control (IPC) for TB in South Africa indicate that mask-wearing is often poorly implemented. Mask-wearing practices are influenced by aspects of the environment and organisational culture within which HCWs work. Methods : We draw o…
Rethinking disease preparedness
This paper argues for a rethinking of disease preparedness that puts incertitude and the politics of knowledge at the centre. Through examining the experiences of Ebola, Nipah, cholera and COVID-19 across multiple settings, the limitations of current approaches are highlighted. Conventional approaches assume a controllable, predictable future, which is responded to by a range of standard interventions. Such emergency preparedness planning approac…
Local Covid-19 Syndemics and the Need for an Integrated Response
The Covid-19 pandemic is more than a health crisis. It has worse outcomes among individuals with co-morbidities, has exposed fault lines in our societies, and amplified existing inequalities. This article draws on emerging evidence from low- and middle-income contexts to highlight how Covid-19 becomes syndemic when it interacts with local vulnerabilities. A syndemic approach provides a frame for understanding how Covid-19 is amplified when cluste…
Estimating waiting times, patient flow, and waiting room occupancy density as part of tuberculosis infection prevention and control research in South African primary health care clinics
Transmission of respiratory pathogens, such as Mycobacterium tuberculosis and severe acute respiratory syndrome coronavirus 2, is more likely during close, prolonged contact and when sharing a poorly ventilated space. Reducing overcrowding of health facilities is a recognised infection prevention and control (IPC) strategy; reliable estimates of waiting times and ‘patient flow’ would help guide implementation. As part of the Umoya omuhle study, w…
Beyond checklists
Sub-optimal implementation of infection prevention and control (IPC) measures for airborne infections is associated with a rise in healthcare-acquired infections. Research examining contributing factors has tended to focus on poor infrastructure or lack of health care worker compliance with recommended guidelines, with limited consideration of the working environments within which IPC measures are implemented. Our analysis of compromised tubercul…
A Framework for Social Science in Epidemics
In epidemic preparedness and response, it is now commonly accepted that insights from social science disciplines are important in shaping action. Unfortunately, the role of social science is often confined to risk communication and community engagement (RCCE) efforts. In this article, we propose an analytical framework that would allow researchers and practitioners from different disciplines to employ social science insights to enrich their under…
Negotiating Intersecting Precarities
This article shares findings on COVID-19 in Africa across 2020 to examine concepts and practices of epidemic preparedness and response. Amidst uncertainties about the trajectory of COVID-19, the stages of emergency response emerge in practice as interconnected. We illustrate how complex dynamics manifest as diverse actors interpret and modify approaches according to contexts and experiences. We suggest that the concept of "intersecting precaritie…
Health systems performance or performing health systems? Anthropological engagement with health systems research
Epidemics and the Military
Political science (31 obras) · Medicine (29 obras) · Sociology (24 obras) · Economic growth (18 obras) · Economics (17 obras) · Geography (16 obras) · Law (15 obras) · Nursing (15 obras) · Politics (15 obras) · Public health (15 obras)