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Current Research Initiatives

Below is a list of ASRU's current research initiatives:

Research Projects 2009

Antiretroviral Treatment Adolescents on ARVs (Rachel Li); labour-market participation of people on ARVs (Celeste Coetzee); leadership and ARVs (Nicoli Nattrass, Peter Schwardmann, Eduard Grebe); AIDS activism and ARVs (Eduard Grebe); ARVs and disability (Nicoli Nattrass, Brendan Maughan-Brown, Atheendar Venkataramani, Marina de Paoli and Arne Backer Grønningsæter).
HIV Stigma Qualitative and quantitative research into the determinants of stigmatizing attitudes, and the experience of stigma amongst the stigmatised – including disclosure (Brendan Maughan-Brown, Hanne Haricharan, Busisiwe Magazi, Colin Almeleh, Elizabeth Mills).
Modelling the AIDS Epidemic Modelling the Southern African AIDS epidemic and exploring the determinants of HIV infection including male circumcision (Heather Keeletsang Warren, Michael Parasel, Fidelis Hove, Tafara Ngwara)
Circumcision in Hyper- Epidemic Countries Policy on and demand for male circumcision in Swaziland (Lindiwe Zwane, Amer Mikail Dastgir); male circumcision in South Africa, Botswana, Lesotho, Zimbabwe, Malawi (Michael Parusel, Fidelis Hove, Feri Gwata, Letsema Mbayi, Boipuso Modise, Harriet Deacon)
HIV, sexual behaviour and gender The challenges posed by motherhood for HIV-positive women (Rene Brandt, Dianna Kane); reproductive decision-making (Vezi Ndlovu); concurrent sexual partnerships (Timothy Mah); sex and stigma (Elizabeth Mills); gender dimensions of HIV and treatment (Dianna Kane, Nicoli Nattrass); macroeconomic determinants of risky sexual behaviour (Peter Schwardmann)
Health Citizenship AIDS governance and activism (Eduard Grebe, Nicoli Nattrass, Alizanne Collier); new challenges in the era of ARV provision and its impact on gender and health citizenship among HIV-positive activists (Elizabeth Mills)
Traditional medicine in the era of AIDS Qualitative research on the demand for traditional healing and on fostering better understanding of the use of biomedical and alternative healing strategies (Jo Wreford and Sumaya Mall). This research also explores collaboration between biomedicine and traditional healing (Jo Wreford).
Public Health Systems and AIDS AIDS and health systems in Western Cape agriculture (Penny Morrell); attitudes of health care practitioners (Sumaya Mall); social dynamics of health across three clinics in Khayelitsha (Busisiwe Magazi and Elizabeth Mills)

Research and Outreach Prior to 2009

RESEARCH PROJECTS: 2007

Traditional medicine in the era of AIDS

Qualitative research on the demand for traditional healing and on fostering better understanding of the use of biomedical and alternative healing strategies (Elizabeth Mills, Jo Wreford and Sumaya Mall).  This research also explores collaboration between biomedicine and traditional healing (Jo Wreford).

Uptake of HAART

Psycho-social and political factors affecting the uptake of HAART (Elizabeth Mills); HAART and the uptake of voluntary counselling and testing (Hannah Lane); gender and the uptake of HAART (Nicoli Nattrass); adolescents and HAART (Rachel Li).

HIV, women and parenting

The challenges posed by motherhood for HIV-positive women (Rene Brandt, Dianna Kane), reproductive decision-making (Vezi Ndlovu), and gender dimensions of HIV (Dianna Kane, Nicoli Nattrass, Elizabeth Mills).

HIV stigma

Qualitative and quantitative research into the determinants of stigmatizing attitudes, and the experience of stigma amongst the stigmatised (Brendan Maughan-Brown, Colin Almeleh).

Sexual behaviour

The collection and analysis of qualitative data on sexual behaviour (Colin Almeleh, Lauren Kahn).

Impact of HAART

The impact of HAART on employment and labour-market participation (Celeste Coetzee, Ali Tasiran).

The challenges of rolling out HAART

Critical analysis of South African AIDS policy (Nicoli Nattrass, Kerry Mauchline, Ben Potter) and the perverse incentives relating to disability grants in the context of the provision of HAART (Nicoli Nattrass, Celeste Coetzee, Brendan Maughan-Brown, Atheendar Venkataramani, Marina de Paoli and Arne Backer Grønningsæter).

Modelling the AIDS epidemic

Socio-economic dimensions of AIDS deaths in KwaZulu-Natal (Alex Sienaert) and a critical evaluation of the Spectrum and ASSA demographic models (Nicoli Nattrass).

Creative forms of AIDS education

Evaluation of participatory and visual approaches to transmitting AIDS-related information about the human body, using body map drawings and the Visual Body Map educational tool (Annabelle Wienand) and the role of local musicians in promoting HIV prevention in Zimbabwe (Tinashe Chidanyika).

Disclosure

The biopsycho-social determinants of disclosure of HIV status to others (Colin Almeleh).

Public Health Systems and AIDS

Profile of the crisis in the public health sector in Khayelitsha – a collaborative project with TAC (Ted Powers and Loredana Monte); access of the poor to health care in Khayelitsha and Nyanga (Elizabeth Mills, Marina de Paoli and Arne Backer Grønningsæter); attitudes of health care practitioners (Sumaya Mall, Elizabeth Mills).

AIDS activism

Exploring national and international networks with regard to AIDS activism (Eduard Grebe, Alizanne Collier).

National Leadership on AIDS

Comparative international analysis and detailed national case of AIDS policy in middle-income countries (Nicoli Nattrass, Kerry Mauchline, Ben Potter, Peter Schwardmann).

AIDS denial

AIDS denial and the media (Idriss Kallon, Nathan Geffen), AIDS policy (Nicoli Nattrass) and adherence to HAART (Elizabeth Mills).

OUTREACH

Mapping Our Lives

An educational workshop to promote treatment literacy and adherence entailing the production of life sized ‘body maps’, journey maps and memory books.  ASRU provided these on request (Nondumiso Hlwele and Annabelle Wienand). In the future, ASRU will only provide the materials (as there are now sufficiently skilled people in the community to conduct these workshops).

The Visual Body Map

An anatomically correct, yet simple visual aid for teaching human biology, with accompanying manual. Designed for use in clinics, HIV-positive support groups and schools (Colin Almeleh, Annabelle Wienand). We provide these materials on the web and on request.

Treatment advocacy through art

A collaborative project with David Krut Publishing to raise AIDS awareness and support for HAART by distributing high-quality prints of body maps (the proceeds of which are divided equally between those who painted them, and the AIDS outreach program). We also facilitated an exhibition of body maps at Cambridge’s museum of Archeology and Anthropology (Annabelle Wienand).

Fostering collaborations between biomedicine and traditional healers

Jo Wreford has been working with HOPE Cape Town (HIV Outreach Program and Education) to train Traditional Health Practitioners (THPs) in western medical understandings of HIV/AIDS and its treatment, and Voluntary Counselling and Testing (VCT). The project aims to improve relationships between THPs and medical personnel; to encourage cross-referrals; to prevent possible interactions between THP remedies and ARVs and to encourage more men to test for HIV. Outreach activities also include giving lectures to medical students  (Jo Wreford).

Surveys, Collaborators and Funders

ASRU supports innovative inter-disciplinary quantitative and qualitative research into the social and economic impact of AIDS in South Africa. ASRU runs two panel studies in Khayelitsha: one in the general population (601 respondents); the other amongst a cohort of people on long-term antiretroviral (ARV) therapy (242 respondents). This helps us understand better the social and economic context of people on ARVs, as well as the impact of treatment over time on incomes, economic participation, attitudes and the use of alternative medicine. These surveys, together with related qualitative and ethnographic research, also explore health-seeking behaviour and how people (especially those on ARVs) negotiate their way between ‘Western’ and ‘traditional’ medicine. Data from these surveys has been used for graduate research on disclosure, labour-market changes, household income (including the disability grant) and social attitudes. For more detail on these and other ASRU projects in 2007, see the accompanying table.

ASRU works with community-level organisations (most notably the Treatment Action Campaign) and clinics to provide educational materials about AIDS and ARV treatment. We have collaborative projects with Yale University, the University of Gothenborg; the Health Economics and AIDS Research Division (HEARD) at the University of KwaZulu-Natal, the Institute for Social Studies (the Hague) and the Institute for Applied International Studies (Fafo, Norway). ASRU was funded in 2007 by the Ford Foundation, SANPAD, HEARD, Fafo, Yale University, the South African National Research Foundation, UNAIDS and Atlantic Philanthropies.


On the Bookshelf
 
book
Mortal Combat: AIDS Denialism and the Struggle for Antiretrovirals in South Africa by Nicoli Nattrass
Read More
 
book
The Moral Economy of AIDS in South Africa by Nicoli Nattrass
Read more>>
 
asru
Nobody ever said AIDS. Stories & Poems from Southern Africa. Compiled and Edited by Nobantu Rasebotsa, Meg Samuelson and Kylie Thomas
Read more>>

 




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