medical anthropology

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

 Benjamin Hegarty  August 23, 2022

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...)

Enigmas of Corporeal Justice: Surrogacy and Legality in India

 Ritu Ghosh  November 17, 2021

এই কন্টেন্ট বাংলায়ও পাওয়া যায়

Over the last two decades, India has become a popular global destination for what is commonly referred to as reproductive tourism, wherein clients travel from one part of the world to another to seek biomedical interventions to help them have children. Breakthroughs in assisted reproductive technologies (ART), such as in-vitro fertilization (IVF), have led to a boom in surrogate pregnancies as a means of having children, with international clients (mostly from the Global North) flocking to countries in the Global South, like India, to avail of these services. Like much of the medical tourism industry, this movement is motivated by access to state-of-the-art medical facilities, skilled professional care, along with remarkably low costs and the availability of poor bodies to extract from. (read more...)

Who Decides What We Measure in Health Tech?

 Gabriella Kountourides  November 9, 2021

At present, there are several problems in women’s health that still remain poorly characterized and understudied. In my research on one such issue, premenstrual syndrome (PMS), it is clear that one of the largest challenges is for studies to capture the complexity of women’s and cycling people’s experiences – a challenge which, up until now, science has struggled to resolve. (read more...)

Swarming Syphilis: On the Reality of Data

 Eduardo Zanella  June 8, 2021

Este conteúdo está também disponível em português

(Editor’s Note: This blog post is part of the Thematic Series Data Swarms Revisited) Syphilis, an infection caused by the bacterium treponema pallidum, is an important disease. It starts as a skin lesion and develops until it deforms bones, compromises the central nervous system, and ultimately causes death. During pregnancy, the disease can also be transmitted from mother to child. It has accompanied our species at least since the Renaissance and generated various innovations in modern science throughout this history. It helped give rise to serology through the Wasserman Reaction (Fleck 2010), the first detection test, and it was crucial for the consolidation of somatological perspectives of mental illnesses in psychiatry (Carrara and Carvalho 2010). Due to sexual transmission of the disease, in the eighteenth and nineteenth centuries, it became the evil venereal illness par excellence in restrictive sexual regimes (Fleck 2010; Quetel 1986). Since that time, syphilis has laid the foundations for codes of social conduct and even for ideas of the “self” in western societies, for example in criminalizing prostitution (Carrara 1996; Bastos 2007) and shaping contagion theories and its relations of body-subject (Echeverría 2010). (read more...)

The Vector, the Viruses, and the “Healthy World”: Placing Aedes aegypti in Brazil

 Luísa Reis-Castro  September 2, 2020

Mosquito: the “most dangerous animal in the world,” human’s “deadliest predator.” This insect is often described as the most probable target for gene-editing technologies that have the potential to eliminate the unwanted. Mosquitoes are usually presented as the number one enemy of humankind, a globally hated pest: the most killable of all beings. (read more...)

40: Quarantine & The Origins of Computation

 Scott W Schwartz  August 11, 2020

Quarantine is a number. Quarantine was the name given to the strategy of isolating potentially harmful populations for forty days in an effort to impede potential dangers. Deriving from the Italian word for forty (quaranta), alongside quarantines there existed the trentine (thirty) and sessantine (sixty), each defined by the number of days of mandated isolation. The word took its meaning following the Black Death and subsequent waves of plague. It was first legally enforced in Ragusa (Dubrovnik today) in 1377. Today, especially at this precise moment, quarantine is rather estranged from this history. (read more...)

Some Chloroquine-AZT Parallels and Science’s Credibility Struggles

 Larissa Costa Duarte  June 22, 2020

 Este conteúdo também está disponível em português.

As an anthropologist and STS researcher, a great deal of my academic career has been proudly dedicated to studying and denouncing the bias, inequalities, and prejudice within both scientific and medical practices. Such critique, far from intending to undermine scientific credibility, comes from a place of deep respect, trust, and, I dare say, great optimism regarding what kind of project we have for science in the long term: one where knowledge is comprehensive and accessible, and where expertise is not build upon the concealment of information. (read more...)

The Temporal Politics of Ethnography, Heritability, and Contagion in Tanzania During Covid-19

 Rebekah Ciribassi  May 6, 2020

Toleo la kiingereza linapatikana hapa.

Editor’s note: This post is the fourth in our five-part series “COVID-19: Views from the Field.” Click here to read an introduction written by series organizer Rebekah Ciribassi. I have been living in Tanzania since March of 2018, conducting ethnographic fieldwork with Tanzanian families that have a genetically-inherited blood disorder called sickle cell disease. My interest in studying the socio-political life of this particular diagnosis in this particular place started in 2012, when I learned of a Pan-African bioscience movement, sited partly in Tanzania, to prioritize sickle cell disease research and care across the continent. I became curious about what it might mean anthropologically to shift the timescales of global health intervention from the immediacy of more traditionally-prioritized communicable diseases like HIV and malaria, toward the intergenerational transmission of a genetic condition. Almost two years of interviews and observation with families, activists, and healthcare providers had me thinking about the (read more...)

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Tag: medical anthropology