Robert Lorway
Dados Biográficos
| ID | 85385 |
|---|---|
| NOME | Robert Lorway |
| PRENOMES | Robert |
| SOBRENOME | Lorway |
| ASSINATURA | LORWAY R |
| AFILIAÇÕES | University of Manitoba |
| ORCID | 0000-0001-6923-8832 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 65 |
| TOTAL DE CITAÇÕES | 80 |
| TOTAL COMO AUTOR | 65 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2006 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 5 |
Chronicling Care
Who do the data serve? Critical reflections on program monitoring during the war in Ukraine
Placemaking and the Identity Remakings of Queer Muslims in Winnipeg
We are aspiring to something that is not achievable by natural means’
This study examines the socio-cultural dimensions of anabolic-androgenic steroid use among queer men in Winnipeg, Canada, addressing a gap in research that often focuses on risks and harms. Using qualitative methods, 17 semi-structured interviews were conducted with current, former, and potential anabolic-androgenic steroid users. Findings reveal that anabolic-androgenic steroid use extends beyond individual health risks, acting as a 'technology …
Decolonizing global health research
Decolonizing global health research involves rethinking power structures and research collaboration to prioritize the voices and experiences of communities that have been historically marginalized. Cross-sectoral and cross-regional partnerships based on reciprocity, trust, and transparency can be facilitated by decolonized research frameworks. To address global health issues in a way that is inclusive, context-specific, and genuinely advantageous…
The consequences of dismantling community-led HIV programming in Kenya
box Community-led programmes offer vital spaces of social support and safety for gay, bisexual and other men who have sex with men
The Non/Performativity of Solidarity in Transnational LGBTIQ+ Activism
Drawing on multisited ethnography in Kenya and the Netherlands, this article explores how Kenyan LGBTIQ+ activists navigate opportunities, tensions, and constraints in transnational activism. As a case study, it examines Rights Out There—a solidarity event organized in the Netherlands by Dutch INGOs with the participation of activists from the Global South—to explore how external imposition and localized practices are negotiated. Its findings dem…
Integrating Anogenital Health Care Into HIV Programs for Queer Men in Kenya
Amid shifting political and funding landscapes for HIV prevention, how do we recognize the localized knowledges and skills accumulated at the grassroots, and which undergird community-led health service delivery for "key populations"? Lateralization advances an alternative implementation approach for a new generation of HIV programs that not only meets the global health policy direction of "integrative health" but also centres community insights …
Therapeutic Trajectories of Kenyan Queer Men with Anal Warts
Human papillomavirus (HPV)-related anal infection is high among African gay, bisexual, and other men who have sex with men (MSM). In Kenya, queer men living with HPV-related anal warts often avoid health facilities, fearing homophobic retaliation from providers. In this paper, we present data collected over 24 months of ethnographic research, foregrounding the therapeutic trajectories of 35 men with advanced cases of anal warts requiring surgical…
That is because we are alone’
This qualitative study was conducted in Uttar Pradesh state, India to explore how interrelated socio-economic position and spatial characteristics of four diverse villages may have influenced equity in coverage of community-based maternal and newborn health (MNH) services. We conducted social mapping and three focus group discussions in each village, among women of lower and higher socio-economic position who recently gave birth, and with communi…
Toward improving anal health care among GBMSM in Kenya
We aimed to illuminate the challenges of treating anal diseases among gay, bisexual and other men who have sex with men (GBMSM) in a homophobic climate amid resource constraints. Building on a long-term Kenyan-Canadian collaboration, an anal healthcare intervention study, known as the WEMAH Project, was initiated in January 2022. The initial collaborative work strengthened existing anal health services provided at a community-based clinic serving…
Commentary
This commentary explores the vulnerabilities faced by temporary foreign workers (TFWs) in Manitoba, Canada within the context of the COVID-19 pandemic. TFWs often endure substandard working conditions and lack access to essential healthcare services due to their status as non-citizens. The COVID-19 pandemic has further exacerbated their precarious situation, with TFWs experiencing disproportionately high rates of infection. Conducted in partnersh…
Assessing awareness and use of HIV self-testing kits after the introduction of a community-based HIV self-testing programme among men who have sex with men in Kenya
Men who have sex with men (MSM) bear a disproportionate burden of new HIV infections in Kenya, while experiencing discrimination, leading to suboptimal levels of HIV care. HIV self-testing (HIVST) is a tool to increase HIV screening and earlier diagnosis; however, questions remain regarding how best to scale-up HIVST to MSM in Kenya. The main objective of this study was to examine changes in knowledge and use of HIVST after implementation of a co…
Community Insights in Phylogenetic HIV Research
Inferring HIV transmission networks from HIV sequences is gaining popularity in the field of HIV molecular epidemiology. However, HIV sequences are often analyzed at distance from those affected by HIV epidemics, namely without the involvement of communities most affected by HIV. These remote analyses often mean that knowledge is generated in absence of lived experiences and socio-economic realities that could inform the ethical application of ne…
Political homophobia and the effect on GBMSM programmes in Kenya
A recent Supreme Court ruling that permitted LGBTQ + rights organisations to officially register as non-governmental organisations has led to rises in political homophobia in Kenya. Community leaders initiated and led a rapid agency assessment to examine the effects of this rising political homophobia on sexual health services access for gay, bisexual and other men who have sex with men (GBMSM). This survey assessment engaged directors and progra…
The precarity of mobile loan debt and repayment among female sex workers in Nairobi, Kenya
Financial technology tools have been utilised to create readily available mobile loan platforms for urban-based, daily-wage earners in Kenya. From a financial lending perspective, this development signals greater inclusion and equality in formal bank financing systems. In this paper, however, we examine mobile loans and their repayment from the perspective of women who sell sex in Nairobi, drawing upon the qualitative findings of two community-ba…
A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine
Prevalence of HIV and HCV in this population was high. Given high rates of study enrolment and testing, efforts should be made to reach men who purchase sex with expanded STBBI programming
Migration and health study
The study highlights the complex interplay of factors that influence the sexual health of migrants, and the need for targeted sexual health awareness campaigns and provision of sexual health information in languages spoken by migrants. Public health interventions focused on improving the sexual health outcomes for migrants should consider the socio-ecological elements identified in this study. These findings can inform public health campaigns to …
From collaborator to colleague
Since the 1990s, researchers have used community-based participatory approaches to achieve outcomes relevant to local communities, to build collaborative and sustainable research infrastructures, and to address disparities in knowledge production. Notwithstanding these strengths, communities and researchers have questioned its success in addressing power imbalances inherent in collaborative research encounters. In this methodological paper, we de…
Sex work stigma and the recuperation of moral personhood through gendered labour
Based on a diary writing exercise, this paper illuminates the complex ways in which sex workers in Ukraine actively work through and manage stigma in their daily lives. Pushing beyond the notion of stigma as a static and fixed psychosocial designation that can be readily measured, we argue that stigma is actively confronted by sex workers through various forms of gendered emotional and physical labour that enable them to recuperate a sense of mor…
An urgent call to include men who have sex with men in the HPV immunisation programme in Kenya
Safe spaces that matter
Communities that claim “2SLGBTQ+” (Two Spirit, Lesbian, Gay, Bisexual, Trans, and Queer plus) identities experience profound inequities within healthcare settings. In response, scholars and advocates have engaged in conversations about creating “safe space,” for them. These “safe spaces” are said to be produced through the display of objects such as pride flag stickers and queer inclusive posters, as well as through “queer friendly” staff trained…
Understanding socio-sexual networks
Willingness to use HIVST was nearly universal and points to the importance of networks for reaching individuals not enrolled in programs. Network analysis can help in understanding which type of networks had higher testing and how network-based approaches can be useful to promote HIVST in certain contexts
Validity and reliability of the Neilands sexual stigma scale among Kenyan gay, bisexual, and other men who have sex with men
Our findings suggest enacted and perceived sexual stigma are distinct yet closely related constructs among GBMSM in Kenya and are associated with poor mental health and substance use
Remaking the Technosubject
The Kenyan government offers free HIV self-testing kits to men who have sex with men. The value of self-testing is based on the imaginary of an autonomous technosubject empowered to independently control testing services, thereby "freed," through technology, from the social conditions that might inhibit health services utilization. Following a community-centered collaborative approach, community researchers interviewed their peers who examined an…
Reassembling epidemiology
On Becoming a Male Sex Worker in Mysore
Growing public health attention has been placed on the HIV vulnerability of males who sell sex to males in India. However, there is little research that outlines the trajectories through which males come to be involved in practicing sex work in India. Locating "male sex work" within a vibrant social, political, and erotic landscape, this article explores the intertwining of "sexual subjectivity" and "sex work." The authors refer to 70 sexual life…
Defiant desire in Namibia
In this article, I explore local productions of desire in Namibia by focusing on the engagement of young, working-class lesbians with human rights ideologies of sexual freedom. I discuss how various techniques deployed by a sexual minority-rights NGO allow youth to amplify and legitimize their embodied sense of sexual-gender difference. In my analysis of their self-mediated incitement, I regard desire as a moral practice; practices of self-determ…
Making global health knowledge
This paper explores how an array of HIV epidemic responders became embroiled in producing quantitative evidence for HIV interventions in India. Based upon extensive ethnographic fieldwork in Karnataka State, I examine the life history of the Gates-funded AIDS initiative in India known as Avahan as a case study to consider the social and political implications of large-scale, standardizing knowledge regimes enacted in the era of global health. Spe…
Experimental Entanglements
In Kenya, globally circulating HIV surveillance techniques are implicated in an emergent experimental terrain that merges scientific interest with health administration agendas. Sex worker activists reroute and repurpose this technocratic knowledge to more precisely pinpoint and defy the undemocratic imperatives of an encroaching experimental order that aims to govern the health of key populations. Reconstructing the conditions of emergence of th…
Re-Assembling "Risky" Subjects
Drawing upon ethnographic research in Winnipeg, Manitoba, we complicate simplistic epidemiological and sexual health discourses that position African newcomer teen girls and young women as "at-risk" for HIV/AIDS and other consequences of being sexually active. By tracing the trajectories of sexual health messages and utilizing the concept of assemblage, we seek to account for the ways in which risk is actively made and negotiated in practice by A…
Remaking the Technosubject
The Kenyan government offers free HIV self-testing kits to men who have sex with men. The value of self-testing is based on the imaginary of an autonomous technosubject empowered to independently control testing services, thereby "freed," through technology, from the social conditions that might inhibit health services utilization. Following a community-centered collaborative approach, community researchers interviewed their peers who examined an…
In Search of 'Success
We illustrate the lively existence of the notion of success in the unfolding of a PrEP project led by a sex worker organization in India. In what we call the "search for success," particular attention is placed on the role that care plays among sex workers guiding the project. Drawing on our ethnographic work, we highlight how the search for success underlines particular affective dispositions that are underscored by overlapping temporal register…
Making up MSM
Sex in the city
Where Can I be Deported?" Thinking Through the "Foreigner Fetish" in Namibia
In "Thinking through the Foreigner Fetish," I examine the safer sex difficulties that form unevenly around class, gender, and ethniciy for a communiy of Namibian township youth involved in a transnationally-mediated queer rights movement. Post-structural notions of "desire" are employed in this article to re-orient poliical economic frameworks that consider "the body" in sex tourism in Marxists terms of "commodification" and "alienation." Through…
Dispelling “heterosexual African Aids” in Namibia
This paper questions international public health theories that characterize AIDS in Africa as an unambiguous heterosexual epidemic. It does so by describing the daily sexual lives of a community of Namibian youth who engage in same-sex sexual practices. The author outlines how the ongoing vilification of "homosexuals" by ruling State officials serves as a stigmatizing backdrop against which young people experience and practice their sexuality. Dr…
Defiant desire in Namibia
In this article, I explore local productions of desire in Namibia by focusing on the engagement of young, working-class lesbians with human rights ideologies of sexual freedom. I discuss how various techniques deployed by a sexual minority-rights NGO allow youth to amplify and legitimize their embodied sense of sexual-gender difference. In my analysis of their self-mediated incitement, I regard desire as a moral practice; practices of self-determ…
Where Can I be Deported?" Thinking Through the "Foreigner Fetish" in Namibia
In "Thinking through the Foreigner Fetish," I examine the safer sex difficulties that form unevenly around class, gender, and ethniciy for a communiy of Namibian township youth involved in a transnationally-mediated queer rights movement. Post-structural notions of "desire" are employed in this article to re-orient poliical economic frameworks that consider "the body" in sex tourism in Marxists terms of "commodification" and "alienation." Through…
On Becoming a Male Sex Worker in Mysore
Growing public health attention has been placed on the HIV vulnerability of males who sell sex to males in India. However, there is little research that outlines the trajectories through which males come to be involved in practicing sex work in India. Locating "male sex work" within a vibrant social, political, and erotic landscape, this article explores the intertwining of "sexual subjectivity" and "sex work." The authors refer to 70 sexual life…
Confronting structural violence in sex work
Evidence from community-led HIV prevention projects suggests that structural interventions may result in reduced rates of HIV and STIs. The complex relationship between empowerment and confronting stigma, discrimination and physical abuse necessitates further investigation into the impact that such interventions have on the personal risks for sex workers. This article aims to describe lived experiences of members from a sex worker's collective in…
The Drayang Girls of Thimphu
Bhutan's sustained low HIV prevalence can be attributed to its political commitment to maintain isolation from foreign cultural influence. Recently, rising HIV prevalence has coincided with the increase in human traffic along Bhutan's borders. The majority of infections, occurring primarily through sexual contact, have appeared in the urban environments that are situated along the main transport routes. This qualitative study explored the sexual …
Sex in the city
Increasing access and ownership of clinical services at an HIV prevention project for sex workers in Mysore, India
Increasing sex workers' (SWs) access to and utilisation of health care services is a key part of HIV prevention. An HIV prevention project in Mysore, India, has been particularly successful in fostering a new norm of health care seeking among local SWs while facilitating community ownership of health care delivery. This paper describes how the use of occupational health ideologies, along with the creation of enabling environments, facilitated the…
A Kenyan newspaper analysis of the limitations of voluntary medical male circumcision and the importance of sustained condom use
There is a need for governmental and non-governmental public health organizations to engage with the media to improve risk messaging
Going beyond the clinic
Community-based participatory research (CBPR) has gained considerable popularity in recent decades given its ability to address social inequities, improve health outcomes and enhance community participation and ownership with respect to various health-related interventions. This paper describes the engagements of a community of self-identified men who have sex with men, most of whom also identified as male sex workers, in a long-term iterative an…
Beyond internalised stigma
The Bill and Melinda Gates Foundation has poured a tremendous amount of resources into epidemic prevention in India's high HIV prevalence zones, through their Avahan initiative. These community-centred programmes operate under the assumption that fostering community-based organisational development and empowering the community to take charge of HIV prevention and education will help to transform the wider social inequalities that inhibit access t…
Intimate relationships of Devadasi sex workers in South India
Global literature on female sex workers suggests that being in an intimate relationship is associated with barriers to practising safe sex behaviours. Condom use within intimate relationships is often seen as a sign of infidelity and fosters mistrust which could affect longevity, trust and intimacy within partnerships. Using qualitative data from Devadasi sex workers and their intimate male partners in Bagalkot District, Karnataka, India, we exam…
Circumstances, experiences and processes surrounding women's entry into sex work in India
Evidence suggests that in India, the early stages of a woman's career as a sex worker may be an important period to target for HIV and sexually transmitted infection prevention. Before such an intervention is designed and implemented, it is necessary to first understand the life circumstances of women at the start of their sex work careers. We performed a review to bring together available literature pertaining to entry into sex work in India and…
Reassembling epidemiology
Fertility intentions, power relations and condom use within intimate and other non-paying partnerships of women in sex work in Bagalkot District, South India
This study aimed to: (1) examine the relationship between interpersonal as well as social-demographic, cultural and structural factors, and condom non-use by sex workers' main intimate or other non-paying male sex partners (NPPs), as reported by a sample of sex workers (SWs); and (2) understand HIV/sexually transmitted infections (STIs) risk (e.g., numbers of sexual partners; condom use with different partners) among couples comprised of a sub-se…
No one was there to care for us’
Under the umbrella of the Bill and Melinda Gates-funded HIV initiative in India, the Mysore-based sex workers' (SWs) collective Ashodaya Samithi focused on improving its members' living and working conditions through community-led structural interventions, including community mobilisation, advocacy, peer-led support, and health promotional activities. Based on four months of ethnographic fieldwork, this article examines the care and support activ…
Sex work in geographic perspective
This paper examines the findings from an extensive geographic mapping study of female sex work venues located in the south western Chinese city of Zigong, in Sichuan province. Drawing upon the findings from quantitative research, secondary historical sources and field notes, composed during participant observation, we provide a nuanced portrait of how the operation of sex work can be conceptualised in spatial terms, where 'space' is regarded as s…
Making global health knowledge
This paper explores how an array of HIV epidemic responders became embroiled in producing quantitative evidence for HIV interventions in India. Based upon extensive ethnographic fieldwork in Karnataka State, I examine the life history of the Gates-funded AIDS initiative in India known as Avahan as a case study to consider the social and political implications of large-scale, standardizing knowledge regimes enacted in the era of global health. Spe…
Contextualizing willingness to participate
Strategies for engagement of communities and recruitment of trial volunteers for HIV vaccine efficacy trials should not only be grounded in and informed by investigations into individual and socio-cultural factors that impact WTP, but also by explorations of participants' existing experiences with or knowledge of medical research as well as attitudes and acceptance towards a future HIV vaccine
Estimating early HIV risk among at risk adolescent girls and young women in Dnipro, Ukraine
By 2016, Ukraine had the second largest HIV epidemic in Eastern Europe and Central Asia with 280,358 people living with HIV. Interventions targeted for FSWs are a key component of HIV prevention programs as heterosexual contacts continue to gain higher epidemic significance – the proportion of the sexual way of HIV transmission has steadily increased [...]
Dutiful daughters
Decades of research have documented how sex workers worldwide, particularly female sex workers (FSWs), shoulder a disproportionate burden of the HIV epidemic. In India, although a substantial progress has been made in controlling the epidemic, its prevalence among FSWs and the Devadasis (also called traditional sex workers) in northern Karnataka is still significantly high. On the other hand, much of the HIV prevention research has focused on the…
Ecologies of security
This paper highlights important environmental dimensions of HIV vulnerability by describing how the sex trade operates in Nairobi, Kenya. Although sex workers there encounter various forms of violence and harassment, as do sex workers globally, we highlight how they do not merely fall victim to a set of environmental risks but also act upon their social environment, thereby remaking it, as they strive to protect their health and financial interes…
Intervening in masculinity
Although health researchers have begun to examine the forms of violence and power dynamics that play out in the intimate relationships of female sex workers (FSWs) in India, this knowledge has tended to focus on the perspectives of women, leaving men’s motivations and attitudes relatively unexamined. This paper examines the contours of masculinity and gender norms from the perspective of the intimate partners of FSWs. Based on six months of ethno…
Media, nationalism, and the body
Public health and media discourses on men and HIV prevention in India have largely focused on changing knowledge, attitudes and risk behaviour pertaining to condom use and safe sex. Little attempt has been made towards intervening in areas such as masculinity, dominant gender norms and intimate partner violence (IPV) that have been shown to have a direct link to HIV prevalence. In this paper, drawing on findings from an ethnographic study in nort…
Evaluation of community-based HIV self-testing delivery strategies on reducing undiagnosed HIV infection, and improving linkage to prevention and treatment services, among men who have sex with men in…
This study is one of the first programme science studies in Sub-Saharan Africa exploring the effectiveness of integrating HIVST interventions within already existing HIV prevention and treatment programmes for MSM in Kenya at scale. Findings from this study will inform national best approaches to scale up HIVST among MSM in Kenya
Sociology (46 obras) · Medicine (42 obras) · Sex work and related issues (39 obras) · Political science (34 obras) · HIV, Drug Use, Sexual Risk (28 obras) · Gender Studies (26 obras) · HIV/AIDS Research and Interventions (25 obras) · Human immunodeficiency virus (HIV (24 obras) · Environmental health (23 obras) · Population (23 obras)