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This study was conducted to help identify factors for improving compliance to the programme, linkage and retention to care. The objectives included providing information and recommendations to the project team in order to support their understanding of local culture, health care perceptions and mobility patterns of the local fishing population, helping the team to formulate adapted messages and medical strategies as well as providing reports and tools to the project team to improve medical activities.

This study was conducted by Paul Grohma on behalf of the MSF Vienna Evaluation Unit.

This report provides an analysis of the perception of adolescents in Kasese municipality regarding their sexual and reproductive health. The data speaks of the socio-cultural dimension of everyday life of adolescents and explains the basic necessity for not only adolescent-friendly healthcare services but also for an intervention that helps adolescents reflect on the consequences of their risky sexual behaviour by promoting responsible sexual behaviour and condom use.

Doris Burtscher

This anthropological report informs on the following themes: - HIV/AIDS activities of local stakeholders (district administration, NGOs, communities, support groups) and assess their ability for decentralizing / taking over some parts of MSF’s activities (as information sharing, drug & condom distribution, tracing and peer counselling) - the role of the IEC team and report their challenges as well as their potential for enhancing its health promotion activities.


Community based perception of HIV and AIDS, Testing, counseling and ARV treatment Shiselweni region, Swaziland

Doris Burtscher, Social and Medical Anthropologist - Velibanti Dlamini, Research assistant

At a time when the history of our AIDS missions is compelling us to formulate new goals, it seemed appropriate to assemble these historical and anthropological studies of our past experiences. This cahier includes: AIDS: A New Pandemic Leading to New Medical and Political Practices - AIDS: from initiating treatment to fostering patient loyalty - Cultural stereotypes and the health seeking behavior of HIV/AIDS patients in Homa Bay, Kenya - “Social Navigation” and HIV/AIDS.

Joan Amondi, Jean-Hervé Bradol, Vanja Kovacic, Elisabeth Szumilin

Overcome barriers to access PMTCT services in Homa Bay District, Kenya. This study explored barriers that prevent local communities of Homa bay area to fully uptake the PMTCT services. The most critical ones are: i.) poor quality of provision of these services, ii) poor perceived benefits of the ANC among communities, and iii.) poor community awareness on preventive methods of mother-to-child-transmission of HIV.

Vanja Kovacic, Mphil Medical Anthropology

Overcome barriers to access to HIV/AIDS care in Homa Bay District The main focus of this phase was to gain an insight into the motivating factors that enable patients to take HIV test early (before they get seriously sick) and compare their health-seeking behavior to the patients that access HIV care with progressed HIV-related symptoms.

Vanja Kovacic, Mphil Medical Anthropology

Overcome barriers to access to HIV/AIDS care in Homa Bay District The main focus of this phase was to gain an insight into the “patients’ health seeking behaviour” (steps that patients make when their health starts to deteriorate due to HIV related infections and reasons for their choice). In addition this report provides a broader communication with the community and their views on the effects of HIV/AIDS on their lives and potential improvements of the control programs in Homa Bay.

Vanja Kovacic, Mphil Medical Anthropology

Anthropological Report


How to approach a male dominated rural setting in Zimbabwe for an effective HIV/AIDS prevention and care programme. The Ndebele in the Tsholotsho district

Doris Burtscher, Social and Medical Anthropologist