Eva Vernooij
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View article: Invisible and undervalued: A qualitative study of laboratory workers’ experiences and perceptions of laboratory strengthening in Sierra Leone
Invisible and undervalued: A qualitative study of laboratory workers’ experiences and perceptions of laboratory strengthening in Sierra Leone Open
This study contributes to an understanding of how clinical laboratory personnel in Sierra Leone view and experience their work, and introduces the concept of social invisibility to explain these experiences.
View article: Reasons for using traditional and complementary care by people living with HIV on antiretroviral therapy and association with interrupted care: a mixed methods study in Eswatini
Reasons for using traditional and complementary care by people living with HIV on antiretroviral therapy and association with interrupted care: a mixed methods study in Eswatini Open
View article: The “ready-to-hand” test: Diagnostic availability and usability in primary health care settings in Sierra Leone
The “ready-to-hand” test: Diagnostic availability and usability in primary health care settings in Sierra Leone Open
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 o…
View article: Reasons for, and factors associated with, positive HIV retesting: a cross-sectional study in Eswatini
Reasons for, and factors associated with, positive HIV retesting: a cross-sectional study in Eswatini Open
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-retestin…
View article: Human preparedness: Relational infrastructures and medical countermeasures in Sierra Leone
Human preparedness: Relational infrastructures and medical countermeasures in Sierra Leone Open
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 e…
View article: Diagnostic waste: whose responsibility?
Diagnostic waste: whose responsibility? Open
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, espe…
View article: HIV Support Groups and the Chronicities of Everyday Life in eSwatini
HIV Support Groups and the Chronicities of Everyday Life in eSwatini Open
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 tra…
View article: Patient Pathways and Diagnostic Value in Sierra Leone
Patient Pathways and Diagnostic Value in Sierra Leone Open
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 medic…
View article: Responsibility, repair and care in Sierra Leone's health system
Responsibility, repair and care in Sierra Leone's health system Open
Central to the workings of a hospital are the technical and bureaucratic systems that ensure the effective coordination of information and biological materials of patients across time and space. In this paper, which is based on ethnographi…
View article: Infrastructural Instability, Value, and Laboratory Work in a Public Hospital in Sierra Leone
Infrastructural Instability, Value, and Laboratory Work in a Public Hospital in Sierra Leone Open
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 lab…
View article: Building diagnostic systems in Sierra Leone: The role of point-of-care devices in laboratory strengthening
Building diagnostic systems in Sierra Leone: The role of point-of-care devices in laboratory strengthening Open
No abstract available.
View article: Laboratory strengthening in public health emergencies: perspectives from Sierra Leone
Laboratory strengthening in public health emergencies: perspectives from Sierra Leone Open
View article: Experiences from a community advisory Board in the Implementation of early access to ART for all in Eswatini: a qualitative study
Experiences from a community advisory Board in the Implementation of early access to ART for all in Eswatini: a qualitative study Open
The experiences of the first CAB in Eswatini demonstrate that community engagement using CABs is a valuable mechanism for engaging communities in implementation studies. Considerations that could impact CAB functioning include clearly defi…
View article: Changes in disclosure, adherence and healthcare interactions after the introduction of immediate ART initiation: an analysis of patient experiences in Swaziland
Changes in disclosure, adherence and healthcare interactions after the introduction of immediate ART initiation: an analysis of patient experiences in Swaziland Open
Introduction There are concerns that immediate ART initiation (regardless of CD 4 count) negatively affects HIV status disclosure, ART adherence and healthcare interactions. We assessed changes in these factors after the ‘Early access to A…
View article: ‘Then her neighbour will not know her status’: how health providers advocate antiretroviral therapy under universal test and treat
‘Then her neighbour will not know her status’: how health providers advocate antiretroviral therapy under universal test and treat Open
Health providers appropriated stigma to encourage early ART. This suggests an attentiveness to the social burden of HIV/AIDS, but potentially exacerbates discrimination and conflicts with efforts to reduce HIV-related stigma.
View article: Understanding reasons for discontinued antiretroviral treatment among clients in test and treat: a qualitative study in Swaziland
Understanding reasons for discontinued antiretroviral treatment among clients in test and treat: a qualitative study in Swaziland Open
Introduction Retention on antiretroviral therapy ( ART ) is critical for the successful adoption of the test and treat policy by sub‐Saharan African countries, and for realizing the United Nations programme on HIV and AIDS target of 90‐90‐…
View article: False starts in ‘test and start’: a qualitative study of reasons for delayed antiretroviral therapy in Swaziland
False starts in ‘test and start’: a qualitative study of reasons for delayed antiretroviral therapy in Swaziland Open
Although potentially reducing logistical barriers, expedited ART initiation does not necessarily accommodate some clients' need for time to come to terms with the diagnosis and the prospect of lifelong treatment.
View article: Navigating multipositionality in ‘insider’ ethnography
Navigating multipositionality in ‘insider’ ethnography Open
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…
View article: Access for all: contextualising HIV treatment as prevention in Swaziland
Access for all: contextualising HIV treatment as prevention in Swaziland Open
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 …
View article: Strengthening universal HIV ‘test-and-treat’ approaches with social science research
Strengthening universal HIV ‘test-and-treat’ approaches with social science research Open
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