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AIDS:”Traditional healers are an untapped resource of great potential”

In a recently published doctoral dissertation at the University of Helsinki, anthropologist Perpetual Crentsil provides 13 recommendations on how to fight AIDS. Crentsil has been on fieldwork among the Akan in the coastal south and forest zone of Ghana:

It seems reasonable to expect that where deaths from AIDS are common, people would be worried and would attempt to prevent infection by abstinence or protecting themselves. However, new infections indicate that campaigns to educate and create more awareness are not having the optimal effect.

The ill effects of the disease necessitate a radical approach, Crentsil writes and suggests among other the following measures:

– Campaign strategies need radical changes in order to portray their urgency in sending strong messages about the seriousness of the disease. Alternative modes of educating people could be adopted, such as the use of traditional or supernatural concepts — ‘bad’ death and non-creation of ancestors.

– There should be more posters and billboards about the disease. Owing to the high level of non-Western education in the rural areas, the posters should be more pictorial than textual. Again, as this study found, the posters seem to be concentrated in the cities and major towns. More need to go to the rural areas too.

– It is important that pharmaceuticals make the medication for HIV/AIDS cheap enough for poor countries; in this way biomedicine would claim more control over other medical systems.

– Traditional healers are an untapped resource of great potential, as I have suggested elsewhere (Crentsil 2002). They could be integrated into the country’s medical system, properly regulated and redefined to provide important outlets for networks dedicated to the campaign against HIV/AIDS in remote areas. After all, the model of the ‘health care system’ is meant to be universally applicable.

(…)

– The role of the media is important. (…) My observations in the field were that even in the urban areas where many people have television sets, the majority choose to watch music and drama instead of HIV/AIDS programmes. Although not statistically proven, it is believed that people find HIV/AIDS programmes too boring. Soap operas on HIV/AIDS could be encouraged by the media houses. (…)

– The family needs to reform itself as a socialising unit. Parents should be able to speak against their children’s questionable lifestyles. In this period of risks of infection, the lineage needs to assume its role as what I call an informal ‘health promotion agency’ by conducting thorough investigations of prospective partners for their young members. This, in my opinion, could be a major deterrent to many young people who may be engaging in unhealthy lifestyles.

(…)

– I support the churches’ insistence on HIV test before they conduct marriage between couples, if that will make people sit up. I suggest that churches (the spiritualist ones and others) should make issues about the disease a major part of their preaching in worship sessions. (…) I support abstinence by those who are not married (not merely because I am a Catholic). For married couples, being faithful should be a strong message to them. It is only when abstinence and fidelity cannot be practised that people would need to adopt the condom culture.
(…)

>> download the thesis

SEE ALSO:

Male circumcision prevents AIDS?

The emerging research field of medical ethnomusicology: How music fights AIDS

“There’s no AIDS here because men and women are equal”

Cultural values and the spreading of AIDS in Africa

In a recently published doctoral dissertation at the University of Helsinki, anthropologist Perpetual Crentsil provides 13 recommendations on how to fight AIDS. Crentsil has been on fieldwork among the Akan in the coastal south and forest zone of Ghana:

It…

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Male circumcision prevents AIDS?

Two major studies have found that male circumcision reduces the risk of HIV infection by half, according to the San Francisco Chronicle. Dozens of studies conducted since the 1980s found similar results but lacked the scientific rigor of a randomized clinical trial.

“This is a landmark day in the history of fighting this epidemic”, said medical anthropologist Robert Bailey, who led one of the the two studies. Bailey first became interested in circumcision for AIDS prevention in 1985, when colleagues in the field began noticing that HIV rates were much higher in regions of Africa populated by non-circumcising communities.

Doctors theorize that circumcision might protect against HIV infection because the foreskin is rich in a type of white blood cell that is a favorite target of the AIDS virus. In addition, some studies suggest that circumcised males are less likely to have other sexually transmitted diseases, which cause sores that serve as gateways for HIV to enter the bloodstream.

Researchers stress that circumcision should not be considered a replacement for other measures such as the use of condoms. Male circumcision requires trained personnel, sterile instruments etc. In the developing world, these resources are often in short supply, and, in their absence, the procedure can lead to infections and even death.

Another study will attempt to determine whether women also benefit from the reduced HIV infection risk in a population of circumcised men.

>> read the whole story in the San Francisco Chronicle

SEE ALSO:

The emerging research field of medical ethnomusicology: How music fights AIDS

“There’s no AIDS here because men and women are equal”

Cultural values and the spreading of AIDS in Africa

“Ethnographic perspectives needed in discussion on public health care system”

AIDS and Anthropology – Papers by the AIDS and Anthropology Working Group

Two major studies have found that male circumcision reduces the risk of HIV infection by half, according to the San Francisco Chronicle. Dozens of studies conducted since the 1980s found similar results but lacked the scientific rigor of a randomized…

Read more

New discoveries on the first Anthropology Blog Carnival

On the day of the one-year anniversary of Anthropology.net Kambiz Kamrani has launched the First Round of the Four Stone Hearth – The Anthropology Blog Carnival – a great initiative to promote anthropological blogging:

A blog carnival is a type of blog event. It is similar to a magazine, or a round-up, in that it is dedicated to a particular topic, and is published on a regular schedule.

A blog carnival is a great opportunity to discover new blogs and good blog posts. Especially interesting Paul Wren’s blog Wannabe Anthropologist about medical anthropology.

He points to the new issue of PLoS Medicine on “Social Medicine in the 21st Century”. It features research articles and essays which examine the importance of considering the cultural and social effects on health and health care, he writes and adds “The Research Articles are going to keep me busy for a long time”. That’s correct. Much interesting to read, among others about the impact to Tuberculosis care in the aftermath of armed conflict, the connections between health and socioeconomic status in India, anthropology in the Clinic, an Ethnographic Study of the Social Context of Migrant Health in the United States etcetc.

Interesting also the Carl Feagans’ review of Katherine A. Dettwyler’s ethnography “Dancing Skeletons: Life and Death in West Africa.”:

Too often, statistics and headlines dominate Western knowledge of the plights of the developing world, but Dettwyler is able to objectify the problems and present them with a perspective that allows her readers to understand some of the associated cultural problems.

And finally there is AlphaPsy, a daily review of cognitive anthropology that is written in English by a team of French cognitive scientists and anthropologists. They share with us a critique of the new Paris Musée du Quai Branly – a museum of exotic art, as the author of this blog post calls it. He adds:

I know I am not supposed to call it that; I know that it is all about anthropological science and respectful curiosity. But whatever the brochures might say, the spiritual father of the Musée du Quai Branly is not Claude Lévi-Strauss; it would rather be Guillaume Apollinaire, the poet who launched the “Art Nègre” fad in early twentieth-century Paris.
(…)
the concept of Otherness (…) is currently enjoying, among the French intelligentsia, a favour which, in my view, can only be explained by its utter lack of content.

>> visit the First Round of the Four Stone Hearth – The Anthropology Blog Carnival (with a lot more to explore!)

On the day of the one-year anniversary of Anthropology.net Kambiz Kamrani has launched the First Round of the Four Stone Hearth - The Anthropology Blog Carnival - a great initiative to promote anthropological blogging:

A blog carnival is a type…

Read more

"There’s no AIDS here because men and women are equal"

Along the northern border between Botswana and Namibia, in a region of Africa that is raging with AIDS, a small society of some 3,000 souls, the Ju/’hoansi (or !Kung) is living virtually free of HIV infection. According to research by anthropologist Richard Lee, the reason is gender equality, the Toronto Star reports.

Lee is going to present his findings tomorrow, Monday, at the International AIDS Conference AIDS 2006 in Toronto. He says the high status of women in the Ju/’hoansi society gives them significant autonomy in choosing their sexual and marriage partners:

In the other societies around the region, the young men will say, `Oh no, a girl has to obey me if I want to have sex with her, and if I don’t want to use a condom, that’s it,’. With the Ju/’hoansi, their high status in the community gives women plenty of leverage in sexual negotiations.

Before the age of AIDS the Ju/’hoansi were famous in anthropology for being among the last hunting and gathering people in the world. Hunter-gatherers typically granted women significant respect and status, he says.

>> read the whole story in the Toronto Star
(link updated with copy)

SEE ALSO:

The emerging research field of medical ethnomusicology: How music fights AIDS

Cultural values and the spreading of AIDS in Africa

Along the northern border between Botswana and Namibia, in a region of Africa that is raging with AIDS, a small society of some 3,000 souls, the Ju/'hoansi (or !Kung) is living virtually free of HIV infection. According to research by…

Read more

Medicine as power: "Creates new categories of sick people"

(Links updated 28.1.2021) Antropython is the name of a blog by a student of anthropology at the University of Oslo. She has started to blog in English (previously only in Polish), so here is an excerpt from an interesting post by her on the power of medicine and how medicine changes our conceptions of the healthy body. Antropyton reviews the article “What do we mean by health?” by anthropologist Veena Das:

My reading of Das is that the emergence of discipline of geriatrics has brought about new definition of a healthy and “normal” body and has caused confusion between individual and social identities. It has also created a new category of sick people – the older ones. New definition of health has caused that aging has been reconceptualized as a disease and the ideology of the perfectly ordered body, which can be achieve through medicaments, as a sign of normalcy dominates the image of life cycle. Behaviour and health conditions, once normal and even noble (Kawagley, Turnbull), have been transformed to disability and this one to sickness that requires medical treatment.

>> read the whole post “Body redefinition & new social statuses”

Interesting reading also her thoughts before going on her first fieldwork

SEE ALSO:

Veena Das: Stigma, Contagion, Defect: Issues in the Anthropology of Public Health

“Ethnographic perspectives needed in discussion on public health care system”

Poverty and health policies: Listening to the poor in Bangladesh

medical anthropology – news archive

(Links updated 28.1.2021) Antropython is the name of a blog by a student of anthropology at the University of Oslo. She has started to blog in English (previously only in Polish), so here is an excerpt from an…

Read more