Understanding global biomedical techologies in local realities: the case of couples with mixed HIV status in Papua New Guinea. It is frequently assumed that, if given equitable access, biomedical technologies designed to treat and prevent disease will have uniform or predictable effects irrespective of the local context in which they are used or consumed. During this three year longitudinal anthropological study, we will work with people in heterosexual, same sex and polygamous relationships, in rural and urban settings, to explore the promises, limits and applications of HIV-related biomedical technologies, examine the effects of these technologies in people's lives, and understand how use of these technologies is influenced by local socio-sexual, religious and cultural practices and meanings. Collaborative study with the Sexual & Reproductive Health Unit, Papua New Guinea Institute of Medical Research.
The MOST (More Options for STI testing) Study, Central Australia. Many remote Aboriginal communities continue to experience the impacts of curable STIs that occur at rates among the highest in the world, and are looking for innovative yet pragmatic solutions. Based in the Northern Territory, the MOST study is a trial of two strategies for increasing the number of young people being tested and treated for sexually transmitted chlamydia, gonorrhoea and trichomonas in remote Aboriginal communities. The trial will follow a period of community-based qualitative formative research, and will be accompanied by community-designed health promotion about the availability and benefits of STI testing.
STRIVEplus: Refinement and translation of an intervention designed to improve sexual health service delivery in remote communities. This is a long-term observational study of quality improvement in government and Aboriginal Community-Controlled Health Services in the Northern Territory. Drawing on quantitative and qualitative monitoring research, this study aims to determine the long-term sustainability of changes in sexual health service delivery brought about by the implementation of a quality improvement program.
Monitoring and evaluation in health and social development - interpretive and ethnographic perspectives. Drawing on primary research from a wide range of developing and developed country settings, this edited collection illustrates the value of interpretive and ethnographic approaches in program and service design, monitoring and evaluation. New approaches are needed to monitor and evaluate health and social development initiatives. The growing emphasis on results-based programming has resulted in evaluation being conducted in order to demonstrate accountability and success, rather than how change takes place, what works and why. The tendency to monitor and evaluate using log frames and their variants closes policy makers’ and practitioners’ eyes to the sometimes unanticipated means by which change takes place. Through a focus on individual and community perspectives, and locally-grounded explanations, the methods explored in this book offer a potentially richer way of assessing the relationships between intent, action and change in health and social development in Africa, Asia, Europe and the Americas.
Supervision of PhD Students. Stephen supervises postgraduate research students who take a qualitative approach to exploring contemporary health issues in socio-culturally diverse settings. He is currently supervising two students: Elan Lazuardi, who is undertaking ethnographic research to understand people's engagement with HIV care in Indonesian urban ART clinics; Christopher Tumwine, who is conducting qualitative research to explore access to HIV care services among people with HIV in Ugandan fishing communinities.