Directly Observed Treatment – Short-course (DOTS) has been promoted by the WHO globally as the preferred standard approach to tuberculosis control and treatment since the mid 1990s. In India, DOTS has been gradually implemented as a national programme since 1997, covering the entire country by 2006. DOTS is a highly complex healthcare intervention that involves universal monitoring of all patients, access to high quality drugs and the adoption of an individually supervised drug intake by patients through a system of DOT-providers. This article discusses the gradual implementation of DOTS in India as an intervention based on politically agreed 'truths' that create 'successful treatment stories' and 'defaulters', and it explores dimensions of temporality linked to the understanding of 'event' at different ontological scales from the perspectives of 'defaulters' and the health care system respectively.
AIDS Responses in Uganda as Event and Process
Lotte Meinert and Susan Reynolds Whyte
This article explores the responses to the AIDS epidemic in Uganda as events and processes of projectification. AIDS projects became epidemic. Prevention and treatment projects supported by outside donors spread to an extent that made it hard for some to see the role of the Ugandan state and health-care system. We describe the projectified AIDS landscape in Uganda as projects make themselves present in the life of our interlocutors. We argue that the response in Uganda was syndemic; many different factors worked together to make an effect, and the epidemic of responses did not undermine the Ugandan state but played a crucial part in rebuilding the nation after decades of civil war. A problematic consequence of the projectified emergency response to epidemics such as HIV/AIDS, which is a long-wave event, is that projects have a limited time frame, and can be scaled down or withdrawn depending on political commitment.
The Time of Epidemics
The introduction to this special section of the journal argues that while it is widely accepted today that infectious disease epidemics are the result of long-term and complex social, ecological, economic and political processes, outbreaks are, more often than not, experienced on the ground as unexpected eruptions. This introduction defends the position that the dialectics between the evental and processual aspects of epidemics are good to think with anthropologically, and points to the consequences of this for an analysis of epidemic temporality in the context of emergent infectious disease discourse and intensifying biopolitical surveillance aimed at averting the 'next pandemic'.
A Longitudinal, Comparative Study
Complication Syndemics: Pathways of Interaction between Structural Stigma, Pathologized Pregnancies, and Health Consequences of Constrained Care ’, in Stigma Syndemics: New Directions in Biosocial Health , (eds) B. Ostrach , S. Lerman and M. Singer
The Challenges of Providing Sexual and Reproductive Healthcare to Men on College Campuses
Lilian Milanés and Joanna Mishtal
Anthropology Quarterly 1 , no. 1 : 6 – 41 . 10.1525/maq.1987.1.1.02a00020 Singer , M. ( 2006 ), ‘ A Dose of Drugs, a Touch of Violence, A Case of AIDS, Part 2: Further Conceptualizing the SAVA Syndemic ’, Free Inquiry in Creative Sociology 34 , no. 1