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抓住机会,合理用药:乌干达东部农村的抗生素使用情况。

Taking Opportunities, Taking Medicines: Antibiotic Use in Rural Eastern Uganda.

机构信息

Infectious Diseases Research Collaboration, Kampala, Uganda.

Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK.

出版信息

Med Anthropol. 2022 May-Jun;41(4):418-430. doi: 10.1080/01459740.2022.2047676. Epub 2022 Mar 24.

DOI:10.1080/01459740.2022.2047676
PMID:35324360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10040720/
Abstract

The ways in which dimensions of health and healthcare intersect with economics and politics in particular contexts requires close attention. In this article we connect concerns about antibiotic overuse in Uganda to the social milieu created through policies that follow President Museveni's vision for a population who , "tap wealth." Ethnographic fieldwork in rural Eastern Uganda illustrates how taking medicines in rural households reflects a wider landscape of everyday imperatives to "tap" opportunities in a context of acute precarity. We argue for a closer connection between medical and economic anthropology to push forward understanding of health, medicines and wellbeing in Africa.

摘要

在特定背景下,健康和医疗保健的各个方面与经济和政治相互交织的方式需要密切关注。在本文中,我们将乌干达过度使用抗生素的问题与通过政策创造的社会环境联系起来,这些政策遵循穆塞韦尼总统的愿景,即让人们“挖掘财富”。在乌干达东部农村地区进行的民族志实地考察说明了在一个极度不稳定的环境中,农村家庭如何通过服用药物来反映日常生活中更广泛的“挖掘”机会的必要性。我们主张医学人类学和经济人类学之间更紧密的联系,以推动对非洲健康、药品和福祉的理解。

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Med Anthropol. 2022 May-Jun;41(4):418-430. doi: 10.1080/01459740.2022.2047676. Epub 2022 Mar 24.
2
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本文引用的文献

1
Understanding antibiotic use: practices, structures and networks.了解抗生素使用情况:实践、结构与网络
JAC Antimicrob Resist. 2021 Oct 4;3(4):dlab150. doi: 10.1093/jacamr/dlab150. eCollection 2021 Dec.
2
Use of antibiotics to treat humans and animals in Uganda: a cross-sectional survey of households and farmers in rural, urban and peri-urban settings.乌干达人类和动物抗生素使用情况:对农村、城市和城郊地区家庭及农户的横断面调查
JAC Antimicrob Resist. 2020 Oct 16;2(4):dlaa082. doi: 10.1093/jacamr/dlaa082. eCollection 2020 Dec.
3
Quick fix for care, productivity, hygiene and inequality: reframing the entrenched problem of antibiotic overuse.解决医疗、生产力、卫生和不平等问题的快速方法:重新审视抗生素过度使用这一顽固问题。
BMJ Glob Health. 2019 Aug 15;4(4):e001590. doi: 10.1136/bmjgh-2019-001590. eCollection 2019.
4
Current accounts of antimicrobial resistance: stabilisation, individualisation and antibiotics as infrastructure.抗菌药物耐药性的现状:稳定化、个体化以及作为基础设施的抗生素
Palgrave Commun. 2019 May 22;5(1). doi: 10.1057/s41599-019-0263-4. Epub 2019 May 21.
5
Seeking exposure: conversions of scientific knowledge in an African city.寻求曝光:非洲一座城市中科学知识的转化
J Mod Afr Stud. 2016 Sep;54(3):389-417. doi: 10.1017/S0022278X16000240.
6
Rumours about blood and reimbursements in a microbicide gel trial.关于一种杀微生物剂凝胶试验中血液及报销问题的传言。
Afr J AIDS Res. 2010 Dec;9(4):345-53. doi: 10.2989/16085906.2010.545636.
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Malaria transmission, infection, and disease at three sites with varied transmission intensity in Uganda: implications for malaria control.乌干达三个传播强度各异地点的疟疾传播、感染及疾病情况:对疟疾控制的启示
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Precarious projects: conversions of (biomedical) knowledge in an East African city.不稳定的项目:东非城市中(生物医学)知识的转化。
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