Eva Vernooij
Dados Biográficos
| ID | 166328 |
|---|---|
| NOME | Eva Vernooij |
| PRENOMES | Eva |
| SOBRENOME | Vernooij |
| ASSINATURA | VERNOOIJ E |
| AFILIAÇÕES | University of Edinburgh |
| ORCID | 0000-0003-4745-116X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 13 |
| TOTAL DE CITAÇÕES | 13 |
| TOTAL COMO AUTOR | 13 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2012 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2023 |
| ÍNDICE H | 2 |
The “ready-to-hand” test
This article assesses the availability of essential diagnostic tests in primary health care facilities in two districts in Sierra Leone. In addition to evaluating whether a test is physically present at a facility, it extends the concept of availability to include whether equipment is functional and whether infrastructure, systems, personnel and resources are in place to allow a particular test to be “ready to hand”, that is, available for immedi…
Reasons for, and factors associated with, positive HIV retesting
Eswatini has a high HIV prevalence but has made progress towards improving HIV-status awareness, ART uptake and viral suppression. However, there is still a delay in ART initiation, which could partly be attributed to positive HIV-retesting. This study examines reasons for, and factors associated with, positive HIV-retesting among MaxART participants in Eswatini. Data from 601 participants is included in this cross-sectional study. Descriptive st…
Diagnostic waste
Waste management is notably absent from current discussions about efforts to improve access to diagnostics in low-and middle-income Countries (LMICs). Yet an increase in testing will inevitably lead to an increase in diagnostic waste, especially since many of the diagnostic tests designed for use in LMICs are single-use point-of-care tests. Diagnostic waste poses a threat to both human and environmental health. In this commentary we draw on our e…
Human preparedness
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…
Responsibility, repair and care in Sierra Leone's health system
HIV Support Groups and the Chronicities of Everyday Life in eSwatini
Drawing on ethnographic research, I examine the evolution of HIV support groups and biosociality during the "treat-all era" in eSwatini. I show how support groups are shaped by local actors to cater to a need for social solidarity that transcends diagnostic status, and thereby move beyond donors' HIV-centric rationales to use the groups for HIV treatment scale-up. In this particular phase of the HIV epidemic, I suggest, support groups make up a p…
Infrastructural Instability, Value, and Laboratory Work in a Public Hospital in Sierra Leone
This research article examines the relationship between infrastructural instability and laboratory work in a public referral hospital in Sierra Leone. Drawing on ethnographic fieldwork conducted inside the hospital's wards and clinical laboratory, I show how attending to infrastructure and materiality (i.e., laboratory spaces, diagnostic equipment, and supply chains) provides insight into the different kinds of value that laboratory work holds fo…
Patient Pathways and Diagnostic Value in Sierra Leone
What is the value of a diagnostic test? Most obviously for primary healthcare settings, laboratory tests can inform clinical decision making about treatment and patient management. Their predominant value in this context is therefore medical. But what about when that healthcare setting is chronically under-resourced, healthcare workers (including laboratory workers) are underpaid, and government supply chains fail to deliver basic laboratory supp…
Navigating multipositionality in ‘insider’ ethnography
In this article, I reflect on my experience of conducting ‘insider’ ethnography in a multidisciplinary collaborative project that evaluates HIV treatment as prevention in Swaziland. Having worked as the project’s social science coordinator for over five years, I discuss balancing my role as an insider on the study team with studying the project as the object of my doctoral research. Drawing on field notes taken during the design and implementatio…
Access for all
This article explores how notions of the individual and population are evoked in two ongoing HIV treatment as prevention (TasP) implementation studies in Swaziland. By contrasting policy discourses with lived kinship experiences of people living with HIV, we seek to understand how TasP unfolds in the Swazi context. Data collection consisted of eight focus group discussions with people living with HIV who were members of support groups to examine …
Do support groups members disclose less to their partners? The dynamics of HIV disclosure in four African countries
Understanding of reasons for disclosure and recognition of the role of support groups in the process can help improve current prevention efforts, that increasingly focus on treatment as prevention as a way to halt new infections. Support groups can help spread secondary prevention messages, by explaining to their members that antiretroviral treatment has benefits for HIV positive individuals and their partners. Home-based testing can further faci…
What mother wouldn't want to save her baby?’ HIV testing and counselling practices in a rural Ugandan antenatal clinic
Drawing on an exploratory qualitative case study investigating everyday practices within an antenatal clinic in rural Uganda, this paper investigates the dynamics of consent and counselling within a prevention of mother-to-child HIV transmission (PMTCT) programme, from the perspectives of various health professionals involved at different stages of the PMTCT trajectory. The paper contributes to the existing literature by focusing not on clients' …
Women's views on consent, counseling and confidentiality in PMTCT
To achieve better PMTCT outcomes, the strategy of testing women in antenatal care (perceived as an exclusively female domain) when they are already pregnant needs to be rethought. When scaling up HIV testing programs, it is particularly important that issues of partner disclosure are taken seriously
Responsibility, repair and care in Sierra Leone's health system
Infrastructural Instability, Value, and Laboratory Work in a Public Hospital in Sierra Leone
This research article examines the relationship between infrastructural instability and laboratory work in a public referral hospital in Sierra Leone. Drawing on ethnographic fieldwork conducted inside the hospital's wards and clinical laboratory, I show how attending to infrastructure and materiality (i.e., laboratory spaces, diagnostic equipment, and supply chains) provides insight into the different kinds of value that laboratory work holds fo…
HIV Support Groups and the Chronicities of Everyday Life in eSwatini
Drawing on ethnographic research, I examine the evolution of HIV support groups and biosociality during the "treat-all era" in eSwatini. I show how support groups are shaped by local actors to cater to a need for social solidarity that transcends diagnostic status, and thereby move beyond donors' HIV-centric rationales to use the groups for HIV treatment scale-up. In this particular phase of the HIV epidemic, I suggest, support groups make up a p…
Navigating multipositionality in ‘insider’ ethnography
In this article, I reflect on my experience of conducting ‘insider’ ethnography in a multidisciplinary collaborative project that evaluates HIV treatment as prevention in Swaziland. Having worked as the project’s social science coordinator for over five years, I discuss balancing my role as an insider on the study team with studying the project as the object of my doctoral research. Drawing on field notes taken during the design and implementatio…
Women's views on consent, counseling and confidentiality in PMTCT
To achieve better PMTCT outcomes, the strategy of testing women in antenatal care (perceived as an exclusively female domain) when they are already pregnant needs to be rethought. When scaling up HIV testing programs, it is particularly important that issues of partner disclosure are taken seriously
Do support groups members disclose less to their partners? The dynamics of HIV disclosure in four African countries
Understanding of reasons for disclosure and recognition of the role of support groups in the process can help improve current prevention efforts, that increasingly focus on treatment as prevention as a way to halt new infections. Support groups can help spread secondary prevention messages, by explaining to their members that antiretroviral treatment has benefits for HIV positive individuals and their partners. Home-based testing can further faci…
What mother wouldn't want to save her baby?’ HIV testing and counselling practices in a rural Ugandan antenatal clinic
Drawing on an exploratory qualitative case study investigating everyday practices within an antenatal clinic in rural Uganda, this paper investigates the dynamics of consent and counselling within a prevention of mother-to-child HIV transmission (PMTCT) programme, from the perspectives of various health professionals involved at different stages of the PMTCT trajectory. The paper contributes to the existing literature by focusing not on clients' …
Access for all
This article explores how notions of the individual and population are evoked in two ongoing HIV treatment as prevention (TasP) implementation studies in Swaziland. By contrasting policy discourses with lived kinship experiences of people living with HIV, we seek to understand how TasP unfolds in the Swazi context. Data collection consisted of eight focus group discussions with people living with HIV who were members of support groups to examine …
Navigating multipositionality in ‘insider’ ethnography
In this article, I reflect on my experience of conducting ‘insider’ ethnography in a multidisciplinary collaborative project that evaluates HIV treatment as prevention in Swaziland. Having worked as the project’s social science coordinator for over five years, I discuss balancing my role as an insider on the study team with studying the project as the object of my doctoral research. Drawing on field notes taken during the design and implementatio…
Infrastructural Instability, Value, and Laboratory Work in a Public Hospital in Sierra Leone
This research article examines the relationship between infrastructural instability and laboratory work in a public referral hospital in Sierra Leone. Drawing on ethnographic fieldwork conducted inside the hospital's wards and clinical laboratory, I show how attending to infrastructure and materiality (i.e., laboratory spaces, diagnostic equipment, and supply chains) provides insight into the different kinds of value that laboratory work holds fo…
Patient Pathways and Diagnostic Value in Sierra Leone
What is the value of a diagnostic test? Most obviously for primary healthcare settings, laboratory tests can inform clinical decision making about treatment and patient management. Their predominant value in this context is therefore medical. But what about when that healthcare setting is chronically under-resourced, healthcare workers (including laboratory workers) are underpaid, and government supply chains fail to deliver basic laboratory supp…
Diagnostic waste
Waste management is notably absent from current discussions about efforts to improve access to diagnostics in low-and middle-income Countries (LMICs). Yet an increase in testing will inevitably lead to an increase in diagnostic waste, especially since many of the diagnostic tests designed for use in LMICs are single-use point-of-care tests. Diagnostic waste poses a threat to both human and environmental health. In this commentary we draw on our e…
Human preparedness
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…
Responsibility, repair and care in Sierra Leone's health system
HIV Support Groups and the Chronicities of Everyday Life in eSwatini
Drawing on ethnographic research, I examine the evolution of HIV support groups and biosociality during the "treat-all era" in eSwatini. I show how support groups are shaped by local actors to cater to a need for social solidarity that transcends diagnostic status, and thereby move beyond donors' HIV-centric rationales to use the groups for HIV treatment scale-up. In this particular phase of the HIV epidemic, I suggest, support groups make up a p…
The “ready-to-hand” test
This article assesses the availability of essential diagnostic tests in primary health care facilities in two districts in Sierra Leone. In addition to evaluating whether a test is physically present at a facility, it extends the concept of availability to include whether equipment is functional and whether infrastructure, systems, personnel and resources are in place to allow a particular test to be “ready to hand”, that is, available for immedi…
Reasons for, and factors associated with, positive HIV retesting
Eswatini has a high HIV prevalence but has made progress towards improving HIV-status awareness, ART uptake and viral suppression. However, there is still a delay in ART initiation, which could partly be attributed to positive HIV-retesting. This study examines reasons for, and factors associated with, positive HIV-retesting among MaxART participants in Eswatini. Data from 601 participants is included in this cross-sectional study. Descriptive st…
Medicine (12 obras) · Sociology (8 obras) · Nursing (7 obras) · HIV/AIDS Research and Interventions (6 obras) · Sierra leone (6 obras) · Economic growth (5 obras) · Family medicine (5 obras) · Health care (5 obras) · Socioeconomics (5 obras) · Adolescent Sexual and Reproductive Health (4 obras)