Governing chronic poverty under inclusive liberalism: the case of the Northern Uganda Social Action Fund

Mining the health disparities and minority health bibliome: A computational scoping review and gap analysis of 200,000+ articles

Without comprehensive examination of available literature on health disparities and minority health (HDMH), the field is left vulnerable to disproportionately focus on specific populations or conditions, curtailing our ability to fully advance health equity. Using scalable open-source methods, we conducted a computational scoping review of more than 200,000 articles to investigate major populations, conditions, and themes as well as notable gaps. We also compared trends in studied conditions to their relative prevalence using insurance claims (42 million Americans). HDMH publications represent 1% of articles in Medical Literature Analysis and Retrieval System Online (MEDLINE). Most studies are observational in nature, although randomized trial reporting has increased fivefold in the past 20 years. Half of HDMH articles concentrate on only three disease groups (cancer, mental health, and endocrine/metabolic disorders), while hearing, vision, and skin-related conditions are among the least well represented despite substantial prevalence. To support further investigation, we present HDMH Monitor, an interactive dashboard and repository generated from the HDMH bibliome.

Mining the Health Disparities and Minority Health Bibliome: A Computational Scoping Review and Gap Analysis of 200,000+ Articles

Without comprehensive examination of available literature on health disparities and minority health (HDMH), the field is left vulnerable to disproportionately focus on specific populations or conditions, curtailing our ability to fully advance health equity. Using scalable open-source methods, we conducted a computational scoping review of more than 200,000 articles to investigate major populations, conditions, and themes in the literature as well as notable gaps. We also compared trends in studied conditions to their relative prevalence in the general population using insurance claims (42MM Americans). HDMH publications represent 1% of articles in MEDLINE. Most studies are observational in nature, though randomized trial reporting has increased five-fold in the last twenty years. Half of all HDMH articles concentrate on only three disease groups (cancer, mental health, endocrine/metabolic disorders), while hearing, vision, and skin-related conditions are among the least well represented despite substantial prevalence. To support further investigation, we also present HDMH Monitor, an interactive dashboard and repository generated from the HDMH bibliome.

Family dynamics and implications for young people's 'struggles' in rural areas of post-conflict northern Uganda

A growing body of literature on wartime social change reveals how disruptions in social institutions can have post-war effects, but there is limited knowledge of how such changes shape the lives of rural young people. The Acholi region of northern Uganda experienced two decades of armed conflict and forced displacement (1986-2006). This paper draws on qualitative field research to analyse the influence of family dynamics on the educational and livelihood trajectories of Acholi youth in rural areas, during and after the war. It demonstrates how young people's opportunities during the war were directly affected by insecurity, and indirectly through the disruption of family life. By 2020, young people are still 'struggling': they work hard to respond to family obligations, which ultimately undermines their chances to progress. The social embeddedness of young people in family relations mediates the ability of young men and women to harness opportunities in a context of underdevelopment.

Diverging Discourses: Animal Health Challenges and Veterinary Care in Northern Uganda

People in northern Uganda are currently rebuilding their lives after a lengthy period of conflict. To facilitate this, the Ugandan government and donors have promoted investment in pigs as an important strategy for generating income quickly and ensuring livelihood security. In this context, animal health issues are an acknowledged challenge, creating uncertainty for animal owners who risk losing both their animals and income. This paper draws on policy documents guiding the veterinary sector, interviews with faculty staff at Makerere University and with veterinarians and paraprofessionals in northern Uganda, and ethnographic fieldwork in smallholder communities. The aims of this study were to contribute to an understanding of the structure of veterinary support and its dominant development narratives in policy and veterinary education and of the way in which dominant discourses and practices affect smallholders' ability to treat sick animals. Particular attention was paid to the role of paraprofessionals, here referring to actors with varied levels of training who provide animal health services mainly in rural areas. The results suggest that veterinary researchers, field veterinarians and government officials in agricultural policy share a common discourse in which making smallholders more business-minded and commercializing smallholder production are important elements in reducing rural poverty in Uganda. This way of framing smallholder livestock production overlooks other important challenges faced by smallholders in their livestock production, as well as alternative views of agricultural development. The public veterinary sector is massively under-resourced; thus while inadequately trained paraprofessionals and insufficient veterinary support currently present a risks to animal health, paraprofessionals fulfill an important role for smallholders unable to access the public veterinary sector. The dominant discourse framing paraprofessionals as “quacks” tends to downplay how important they are to smallholders by mainly highlighting the negative outcomes for animal healthcare resulting from their lack of formalized training. The conclusions of this study are that both animal health and smallholders' livelihoods would benefit from closer collaboration between veterinarians and paraprofessionals and from a better understanding of smallholders' needs.

De-Colonizing the Boundary-Object

What role does language play in disciplining subjects in the international development sector? Previous critiques of international development organizations have focused on the role of knowledge tools, such as reports, in reproducing dichotomies between developed and under-developed subjects. In this paper, I de-colonize NGO reporting through a reappraisal of the boundary-object concept. I utilize Ngugi’s (1986) problematization of language and translation to demonstrate how the boundary-object is experienced differentially across stakeholder groups and caste/class structures. Using findings garnered from a multi-sited ethnography of an international NGO in India, I examine the prominence of English language in NGO reports over indigenous languages. This paper therefore contributes to contemporary understandings of neo-colonial power relations as sustained by the English language within India.

The government of chronic poverty: from exclusion to citizenship?

Development trustees have increasingly sought to challenge chronic poverty by promoting citizenship amongst poor people, a move that frames citizenship formation as central to overcoming the exclusions and inequalities associated with uneven development. For sceptics, this move within inclusive neoliberalism is inevitably depoliticising and disempowering, and our cases do suggest that citizenship-based strategies rarely alter the underlying basis of poverty. However, our evidence also offers some support to those optimists who suggest that progressive moves towards poverty reduction and citizenship formation have become more rather than less likely at the current juncture. The promotion of citizenship emerges here as a significant but incomplete effort to challenge poverty that persists over time.