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This chapter is an ethnographic exploration of birthing and body politics in the United States and Uganda with the placenta as the catalyst for understanding reproductive regulation and gendered bodily epistemologies. Based on fieldwork spanning 2009–2017 with rural, traditional midwives in Southern Uganda, merged with recent, anecdotal observations from Los Angeles County and greater California and the United States generally, this work considers cultural terrains of placentas as well as corresponding worldviews and perspectives, ranging from life-generating organ imbued with vast spiritual and physiological significance, to preventative mental health food, to bio-waste that is incinerated or filled with toxic chemicals. The bio-ontologies of placentas are explored herein in terms of toxic contingencies and with regard to the relationship between health and industry.

Toxic entanglements and embodied politics of risk and exposure explored herein point to dehumanizing and ill-fitting regulations that stifle health autonomy and medical sovereignty. Such disempowering governance is compounded by gender and myriad cultural factors. With implications for national and international policies, this work examines my findings that illustrate ways in which flesh, technologies and knowledge intersect in bio-praxes that monitor and manage, rather than support, the reproductive body. This work suggests departure from colonial instability and dispossession by re-scripting medicine in such a way that achieves health justice through bodily knowledge, or enfleshed understandings. Decolonizing the flesh demands ungripping health encounters from praxes of control, in favour of choice and preference. This entails reclaiming physiologies as well as reimagining how medical systems inform core ethos.

Women experience a triple burden of ill-health spanning non-communicable diseases (NCDs), reproductive and maternal health conditions and human immunodeficiency virus (HIV) in sub-Saharan Africa. Whilst there is research on integrated service experiences of women living with HIV (WLHIV) and cancer, little is known regarding those of WLHIV, diabetes and/or hypertension when accessing integrated care. Our research responds to this gap.

The INTE-AFRICA project conducted a pragmatic parallel arm cluster randomised trial to scale up and evaluate “one-stop” integrated care clinics for HIV-infection, diabetes and hypertension at selected primary care centres in Uganda. A qualitative process evaluation explored and documented patient experiences of integrated care for HIV, diabetes and/or hypertension. In-depth interviews were conducted using a phenomenological approach with six WLHIV with diabetes and/or hypertension accessing a “one stop” clinic. Thematic analysis of narratives revealed five themes: lay health knowledge and alternative medicine, community stigma, experiences of integrated care, navigating personal challenges and health service constraints.

WLHIV described patient pathways navigating HIV and diabetes/hypertension, with caregiving responsibilities, poverty, travel time and cost and personal ill health impacting on their ability to adhere to multi-morbid integrated treatment. Health service barriers to optimal integrated care included unreliable drug supply for diabetes/hypertension and HIV linked stigma. Comprehensive integrated care is recommended to further consider gender sensitive aspects of care.

This study whilst small scale, provides a unique insight into the lived experience of WLHIV navigating care for HIV and diabetes and/or hypertension, and how a “one stop” integrated care clinic can support them (and their children) in their treatment journeys.

The purpose of this paper is to investigate the accessibility and use of health information among primary health care providers. The study focused on women and health workers' experiences with information in rural Uganda.

Face‐to‐face interviews (82) were conducted using an interview schedule that consisted of open questions and one relating to health information critical incidents. A holistic inductive paradigm was used with a grounded theory analysis. An “Interaction‐value model” emerged from the study. The model was driven by the value and impact of information, unlike previous information models which have been driven by information needs.

The findings have a number of implications for improving information provision, and further research.

This study has demonstrated that, although an information need could trigger off an information activity, the subsequent information processes could only be sustained by the value of information. The study has also shown that health workers were generally active information seekers, whereas women were mainly passive.

This paper aims to present recently published resources on information literacy and library instruction through an extensive annotated bibliography of publications covering all library types.

This paper annotates English-language periodical articles, monographs, dissertations and other materials on library instruction and information literacy published in 2017 in over 200 journals, magazines, books and other sources.

The paper provides a brief description for all 590 sources.

The information may be used by librarians and interested parties as a quick reference to literature on library instruction and information literacy.

The significance of investing in healthcare has been recognised during the COVID-19 period more than ever before across the globe. The COVID-19 pandemic has revealed inefficiency in the healthcare systems of many African countries which have resulted in the death of many people including healthcare workers who contracted the virus due to lack of protective equipment. Many African countries have not adequately invested in healthcare systems to prevent and urgently tackle the outbreaks of pandemics. This explains their unpreparedness to immediately address the COVID-19 pandemic that has ravaged many leading to the loss of lives. These challenges, therefore, have created the need to reflect and rethink concerted approaches to tackle this health hiccup. Consequently, this chapter discusses healthcare system challenges that have inhibited the delivery of good healthcare as well as issues of inequality in the provision of healthcare. The chapter explores the solutions to the identified challenges that can be adopted for better functioning of the healthcare system and provision of good healthcare. The chapter discusses how it costs the governments when they don't improve the healthcare systems. These costs are in form of increased strikes over demand for better remunerations, loss of manpower due to brain drain, loss of foreign currency that would come from medical tourism as well as loss of money in form of medical expenses abroad. It also highlights the benefits that accrue from improved healthcare systems. The chapter debates issues of morality about operations of private healthcare facilities and recommends appropriate measures that should be taken for better performance. The chapter recommends to the developing countries with meager resources the best model that can be adapted to better manage future pandemics, taking into account the environmental, cultural and demographic differences. The lessons that readers will pick from this chapter will go a long way in building healthcare systems that protect and shield the population against any future epidemics.

Catalogues how Kenya, Tanzania and Uganda are meeting, individually, the AIDS epidemic with governmental and non‐governmental organizations (NGOs). Uses data from the United Nations and World Bank. Gives background of NGOs in East Africa and their field work. Concludes that the social dimensions of each country are very restrictive in slightly differing ways, with the various religious beliefs also having an effect which is deleterious in nature. States that, even so, there are more similarities than there are differences in the three countries.