6 results on '"Megan Schmidt‐Sane"'
Search Results
2. Fixes that Fail: A system archetype for examining racialized structures within the food system
- Author
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Dominque Rose, Jill K. Clark, David W. Lounsbury, Megan Schmidt-Sane, Darcy A. Freedman, Elizabeth Benninger, and Gwendolyn Donley
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Health (social science) ,Equity (economics) ,business.industry ,media_common.quotation_subject ,Public Health, Environmental and Occupational Health ,Public relations ,System archetype ,Interdependence ,Fixes that fail ,Community health ,Food systems ,Humans ,Systems thinking ,Sociology ,business ,Archetype ,Poverty ,ComputingMilieux_MISCELLANEOUS ,Applied Psychology ,media_common - Abstract
Access to fresh and healthy food within a neighborhood has been identified as a social mechanism contributing to community health. Grounded in the understanding that challenges related to equity within a food system are both structural and systemic, our research demonstrates how systems thinking can further understandings of food system complexity. Within systems thinking, we provide an illustration of how system archetypes offer an analytic tool for examining complex community issues. We map semi-structured interview data from community stakeholders (N = 22) to the "Fixes that Fail" system archetype to illuminate systemic challenges, such as incarceration and poverty, that structure food system inequity in urban communities. Within our research, the "Fixes that Fail" archetype provided a narrative interpretive tool for unveiling complexity within the food system and interdependencies with racialized systems such as criminal justice and labor markets. This system archetype provided an accessible approach for generating narratives about systemic complexity, the production of inequity through racialized forces, and opportunities for transformation.
- Published
- 2021
3. Key social science priorities for long-term COVID-19 response
- Author
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Angel Aedo, Salla Sariola, Megan Schmidt-Sane, Shelley Lees, Kit-Aun Tan, David Kaawa-Mafigiri, Luisa Enria, and Koen Peeters Grietens
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Medicine (General) ,medicine.medical_specialty ,030231 tropical medicine ,Social Sciences ,Context (language use) ,Infectious and parasitic diseases ,RC109-216 ,03 medical and health sciences ,Politics ,R5-920 ,0302 clinical medicine ,Political science ,Situated ,medicine ,Humans ,030212 general & internal medicine ,Social science ,SARS-CoV-2 ,Health Policy ,Corporate governance ,Public health ,Public Health, Environmental and Occupational Health ,COVID-19 ,3. Good health ,Public trust ,Commentary ,Construct (philosophy) ,Social structure - Abstract
The COVID-19 response continues to be driven by epidemiological priorities, and yet, the epidemic and responses are situated within specific political and health system contexts. Social science brings an understanding of context and draws attention to politics, power and social difference. There are four critical social science priorities for COVID-19 research and policy in the long term. First, political-economic insights can support the design of public health measures and elucidate how public health responses are produced by political systems. Second, a better understanding of the political and social structures that relate to vaccine confidence will improve public trust, acceptability, effectiveness and uptake of COVID-19 vaccines and therapeutics. Third, development of social science perspectives on health and governance is vital to inform and untangle the complicated ways in which nationalism interacts with public health measures. Finally, social science inquiry can reveal how individuals and communities perceive, understand and construct COVID-19 risk and severity and seek help. These insights support building trust and good relations between local and international research and programme teams and between communities and researchers that will enhance confidence in the development, research and deployment of vaccines and other COVID-19 control measures.
- Published
- 2021
4. Gendered care at the margins: Ebola, gender, and caregiving practices in Uganda's border districts
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Richard Kabanda, Miriam Lwanga, Douglas Lubowa, Mandi Chikombero, Jonathan Gamusi, David Kaawa-Mafigiri, Megan Schmidt-Sane, and Jannie Nielsen
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medicine.medical_specialty ,Economic growth ,030505 public health ,media_common.quotation_subject ,Public health ,Public Health, Environmental and Occupational Health ,Hemorrhagic Fever, Ebola ,Democracy ,Disease Outbreaks ,03 medical and health sciences ,0302 clinical medicine ,Caregivers ,Political science ,medicine ,Humans ,Female ,Uganda ,030212 general & internal medicine ,Public Health ,0305 other medical science ,media_common - Abstract
In July 2019, Ebola in the Democratic Republic of Congo (DRC) was declared a public health emergency of international concern and neighbouring countries were put on high alert. This paper examines the intersections of gender, caregiving, and livelihood practices in Uganda's border districts that emerged as key factors to consider in preparedness and response. This paper is based on an anthropological study of the Ebola context among Bantu cultures. We report on data from focus group discussions and key informant interviews with various sectors of the community. The study identified intersecting themes reported here: (1) women as primary caregivers in this context; and (2) women as providers, often in occupations that increase vulnerability to Ebola. Findings demonstrate the role that women play inside and outside the home as caregivers of the sick and during burials, and intersections with livelihood-seeking strategies. Because women's caregiving is largely unpaid, women face a double burden of work as they seek other livelihood strategies that sometimes increase vulnerability to Ebola. Epidemic response should address these intersections and the context-specific vulnerabilities of caregivers; it should also be localised and community-centred and able to attend to the cultural as well as the economic needs of a community.
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- 2021
5. One size does not fit all: adapt and localise for effective, proportionate and equitable responses to COVID-19 in Africa
- Author
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Akhona Tshangela, Olivia Tulloch, Annie Wilkinson, Megan Schmidt-Sane, Tabitha Hrynick, Santiago Ripoll Lorenzo, Hayley MacGregor, Melissa Parker, Melissa Leach, Eva Niederberger, Shelley Lees, and Hana Rohan
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Medicine (General) ,Coronavirus disease 2019 (COVID-19) ,media_common.quotation_subject ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,0211 other engineering and technologies ,global health ,02 engineering and technology ,Vulnerable Populations ,03 medical and health sciences ,R5-920 ,0302 clinical medicine ,Development economics ,Global health ,Humans ,030212 general & internal medicine ,Social determinants of health ,Community Health Services ,Praise ,Healthcare Disparities ,Speculation ,Health policy ,media_common ,Health Equity ,SARS-CoV-2 ,public health ,Public Health, Environmental and Occupational Health ,COVID-19 ,021107 urban & regional planning ,health policy ,Health equity ,Food Insecurity ,Geography ,social determinants of health ,Africa ,Commentary ,Family Practice - Abstract
The heterogeneous epidemiological picture for COVID-19 in Africa continues to generate debate. Modelling projections raise speculation about the phases and trends of SARS-CoV-2 outbreaks across the continent and how these differ from outbreaks elsewhere.[1–4][1] Continental efforts drew praise in
- Published
- 2020
6. Community vulnerability and stratified risk: Hegemonic masculinity, socioeconomic status, and HIV/AIDS in a sex work community in Kampala, Uganda
- Author
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Megan Schmidt-Sane
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Adult ,media_common.quotation_subject ,Vulnerability ,Context (language use) ,HIV Infections ,Risk Assessment ,Interviews as Topic ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Acquired immunodeficiency syndrome (AIDS) ,medicine ,Humans ,Uganda ,030212 general & internal medicine ,Sociology ,Community Health Services ,Gender role ,Socioeconomic status ,Qualitative Research ,Sex work ,media_common ,Aged ,Masculinity ,030505 public health ,Public Health, Environmental and Occupational Health ,Gender studies ,Middle Aged ,medicine.disease ,Sex Work ,Social Class ,0305 other medical science ,Hegemonic masculinity - Abstract
This article examines the social patterning of health, economic uncertainty, hegemonic masculinity, and vulnerability among men who live and work in a low-income sex work community in Kampala, Uganda. This problematises the notion that vulnerable communities are homogenous, in demographics, economic status, and risk. This article draws on ethnographic data collected in 2016, including semi-structured interviews and participant observation. This article uses a stratified risk framework to describe the central finding of this study, which is that men’s experience in Kataba is characterised by a struggle to fulfil the provider role that constitutes a core aspect of their socially ascribed gender role. In a context of economic scarcity, men’s lives are fraught with strain and this intersects with other forms of risk. Finally, by focusing on community vulnerability rather than individual risk, this work contributes to theories of gender and sex work, and informs HIV/AIDS praxis.
- Published
- 2018
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