Category: General

PrEP on Trial: the Future of HIV in Indonesian Policy Worlds

In 2012, the first pre-exposure prophylaxis (PrEP) drugs, billed as a pill a day to prevent HIV, were authorized for use in the United States. Heralded as a transformative prevention technology for gay men and trans women in particular, one that encouraged new forms of self-management and risk mitigation practices alongside condoms, testing, and treatment, PrEP has since been incorporated into the global HIV prevention toolkit. In reports, policy documents, and community organizations, PrEP is uniformly described as necessary to accelerate the HIV control response and meet the global target of the “end of AIDS” by 2030. In line with this dominant policy narrative, governments reliant on international donor funding for HIV programs are now encouraged to incorporate PrEP into HIV programs for MSM, transgender women and other “key populations” assessed as meeting a specific risk profile. This is the case for Indonesia, which formally approved PrEP for a trial in 2021 (United States Agency for International Development (USAID) 2021). Although initially announced in 2019 with a considerable degree of community support, Indonesia’s PrEP trial was postponed both due to the COVID-19 pandemic and subsequent bureaucratic delays. Nevertheless, with significant pressure from international donors and support from the Global Fund, USAID, and Australia’s Department of Foreign Affairs and Trade, a PrEP trial commenced in April 2022 across seven provinces in Indonesia. Key populations who agreed to undertake an array of tests and routine clinical monitoring, would obtain access to a 30-day supply of a single pill combining tenofovir disoproxil fumarate (TDF) and emtricitabine (FTC) – generic Truvada – from one of 34 primary health clinics at no cost. As it circulates in policy, clinical, and community spaces, PrEP is transforming the temporal horizon for HIV in Indonesia and other postcolonial settings where access to healthcare remains thwarted by entrenched global inequalities. (read more...)

Platypod, Episode Two: Ableism in Anthropology and Higher Ed

In this episode, Platypod presents a conversation between Laura Heath-Stout (Brandeis University) and Rebecca-Eli Long (Purdue University). They discuss their research and experiences of ableism in academia, anthropology, and higher ed, in general. This episode was created with the participation of Laura Heath-Stout (Brandeis University, speaker), Rebecca-Eli Long (Purdue University, speaker), Kim Fernandes (University of Pennsylvania, host), Svetlana Borodina (Columbia University, host), Gebby Keny (Rice University, sound editor), and Angela VandenBroek (Texas State University, CASTAC web producer). The transcript of their conversation (edited for comprehension) is available below. (read more...)

Counting on Montane Birds: Biologists, Verticality, and Territorial Defense in Colombia

This piece is about the unforeseen and sometimes overlooked connection between (i) birds living in the forests of Colombia’s high tropical Andes, (ii) local biologists supporting an anti-mining coalition by conducting an alternative baseline study, and (iii) the undertheorized production of upward vertical territories. (read more...)

Monstrous Matter, Out of Place

The following is an autoethnographic comic about my experiences re-understanding a new diagnosis through revisiting Mary Douglas’s Purity and Danger. (And yes, the final panel is from a conversation I did have with a grad student colleague and dear friend.) (read more...)

The Allowable Limit of Disability

In February 2022 a court in Norway banned the further breeding and selling of British Bulldogs and Cavalier King Charles Spaniels. Beyond Norway, the ban has sparked conversation amongst UK and American breeders. The reason for this ban is the high rates of disability that affect the dogs; the official language is that the individuals are ‘disease guaranteed’. As a person whose work often overlaps with critical disability studies, I found myself obsessing about these news pieces. These dogs were banned because they were considered too disabled, this court was putting a limit on how disabled these dogs were allowed to be. My conclusion, after stewing on this for 6 months, is that disability is the limit of commodification and vice versa, commodification is the limit of disability. First, it is important to understand that these dogs are a commodity. And as a commodity, they have always been disabled. These (read more...)

Diversity, Equity, and Inclusion (DEI) in Epistemologies – The Line Between Bodies and Ideas?

A recent trend in the sciences is the attempt to create inclusive research spaces, as evidenced by the formation of new diversity, equity, and inclusion (hereafter, DEI) initiatives, guidelines, and hiring practices. Archaeology, a field science that has long grappled with discriminatory, dangerous, and exclusionary research conditions, has also made strides to create safe and equitable spaces. However, the very epistemic foundations and practices of the discipline are yet to reflect the orientation toward inclusion. In today’s archaeology, the concepts of “data,” “methodology,” and “rigor” (among others), which form the bedrock of scientific endeavor, still reproduce the dominant Western views of science that at their core are fundamentally heteronormative. Those theoretical approaches in archaeology that are directly concerned with minority identities, values, and politics (e.g. Critical Race Theory, feminist theory, Indigenous studies) continue to be marginalized. The marginalization of these theoretical approaches is an unfortunate development because many of these works challenge the epistemic core of what we do as researchers. They have the potential to transform what we think of as good research, not just what this research produces. (read more...)

Viral Entanglements in Malaysian Porcine Worlds

Content warning: This blog post contains photos of factory farming that viewers may find distressing. Pigs squeal and scream as they lie down in group pens. The humid air in the foreground, the farm’s pipes churn out pig waste into the nearby river. This is Kampung Selamat, an industrialized area known for factory farming in mainland Penang, Malaysia. Its river, known as Sungai Kreh, is the living chronology of industrialized pollution. Since the 1980s, the river has turned from bright blue to lime green as 72 pig farms discharge antibiotics, pig feces, and pig carcasses into the water. The foul stench and waste reveal how intertwined pig lives are with the personal livelihood of Kampung Selamat’s villagers over time. (read more...)

Thinking in Constellations: Problematizing Indigeneity in the Atacama Desert, Chile

In October 2021, I flew from the capital of Chile to the driest desert in the world—the Atacama Desert, a place with a long history of colonialism and extractivism. I was 12 years old the first time I visited as part of a family trip that lasted one month. We traveled by car 2000 km, so it was exhausting but also unforgettable. I remember our fleeting time in Calama city in the Antofagasta region to continue the journey to San Pedro de Atacama, a town in the Atacama salt flat basin where “atacameño” communities  (one of the ten “native peoples” recognized by the Chilean state since 1995) live. (read more...)