Lenore Manderson

Lenore Manderson
University of the Witwatersrand | wits · School of Public Health

PhD, ANU, 1978

About

476
Publications
82,383
Reads
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Citations
Introduction
Visiting Distinguished Prof, Institute at Brown for Environment & Society, Brown U, USA 2014-2019; Honorary Prof, brown 2019-; Prof Med Anthropology, Monash 2006-2013; Prof Women's Health, U Melb 1999-2005; Prof Tropical Health, U Qld 1988-98. Ed Medical Anthropology; Ed Med Anthrop series Rutgers U Press; 2016. Boards include SIHI/TDR; SFAA. Awards: SMA Career Achievement Award; SA NRF A-rated scientist; FASSA, FWAAS; MASSAf. Research: Informal care & aging; assisted reprod tech; cervical ca
Additional affiliations
February 2014 - December 2021
University of the Witwatersrand
Position
  • Professor of Public Health and Medical Anthropology
February 2014 - present
University of the Witwatersrand
Position
  • Professor
Description
  • Research, higher degree supervision, co-chair Career Development Committee; MA medical anthropology
January 2009 - present
Ministry of Health, Sri Lanka
Description
  • Mentorship and research collaboration
Education
March 1973 - July 1977
Australian National University
Field of study
  • Asian Studies (anthropology, sociology, history)
March 1969 - November 1972
Australian National University
Field of study
  • Asian Studies

Publications

Publications (476)
Article
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Background Social capital theory conceptualizes accessed status (the socioeconomic status of social contacts) as interpersonal resources that generate positive health returns, while social cost theory suggests that accessed status can harm health due to the sociopsychological costs of generating and maintaining these relationships. Evidence for bot...
Article
Tucker JD, Manderson L, Amazigo U, et alSocial innovation in health: concepts and practice BMJ Innovations Published Online First: 08 June 2022. doi: 10.1136/bmjinnov-2022-000982 Editorial opening BMJ Innovations special supplement on social innovation in health.
Article
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Background Gynaecological cancers are among the most prevalent cancers worldwide, with profound effects on the lives of women and their families. In this critical review, we explore the impacts of these cancers on quality of life (QOL) of women in Asian countries, and highlight areas for future inquiry. Methods A systematic search of the literatur...
Chapter
This chapter aims to write of cancers as multiple conditions, and contextualize this in relation to anthropological work on differences in social structures and health systems as much as in differences in etiology, diagnosis, and prognosis. It focuses on cancer, supplementing the reviews especially by H. F. Mathews and N. J. Burke and J. McMullin,...
Article
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Scholarly interest in reproductive travel has increased in recent years, but travel within, to and from the African continent has received much less attention. We reviewed the literature on cross-border reproductive travel to and from countries of sub-Saharan Africa in order to understand the local forms of this trade. Access to fertility care rema...
Article
Applied anthropologists in the English-speaking world tend to disregard publications in other languages; institutions emphasize English-language publishing and give less credence or value to work in other languages. Even applied anthropologists writing in non-English languages often privilege English sources. The invisibility of non-English applied...
Article
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Background Social innovation has been applied increasingly to achieve social goals, including improved healthcare delivery, despite a lack of conceptual clarity and consensus on its definition. Beyond its tangible artefacts to address societal and structural needs, social innovation can best be understood as innovation in social relations, in power...
Technical Report
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Multiple social interventions have been introduced to contain the COVID-19 pandemic across Africa. These policies have caused school and workplace closures, controlled informal work activities, led to the cancellation of many public events, restricted the size of public and private gatherings (including religious congregations, weddings and funera...
Article
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Introduction: Adolescents living with HIV (ALHIV) experience social and health challenges that warrant the provision of services and relational support to build resilience. Little is known about how social, community and health services help. We examine formal and alternative service use by and resilience of ALHIV participating in an enhanced teen...
Article
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In this article, we consider how social sciences can help us to understand the rising use of antibiotics globally. Drawing on ethnography as a way to research how we are in the world, we explore scholarship that situates antibiotic use in relation to interactions of pathogens, humans, animals and the environment in the context of globalization, cha...
Article
In South Africa, lockdown and its excesses have opened up questions on the limits of an ethics of care, whose ethics are privileged, how care is delivered, and what care means. We show how an ethics of proxemics and its operationalization as distance highlight everyday inequalities and limit the provision of care. Constraints on physical distancing...
Article
Programs to increase emerging and established HIV and tuberculosis (TB) researchers’ capacity to be more effective leaders and mentors are urgently needed in low- and middle-income countries (LMICs). Although conceptual frameworks of mentoring and mentoring toolkits have been developed by and for researchers in LMIC settings, few mentor training pr...
Article
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COVID-19 is a sign of a global malaise. The pandemic is an outcome of what we term a planetary dysbiosis, for which underlining drivers include inequality and the exploitation and extraction of human and non-human labours. The implication is that the usual fixes to outbreaks of infectious diseases (ie, surveillance, pharmaceutical measures, and non...
Article
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Introduction Community participation in the governance of health services is an important component in engaging stakeholders (patients, public and partners) in decision-making and related activities in health care. Community participation is assumed to contribute to quality improvement and goal attainment but remains elusive. We examined the implem...
Article
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Unsafe abortion practices remain the major contributor to maternal death in Uganda, impeding the achievement of universal health coverage and quality of maternal health care. Using an ethnographic design and critical discourse analysis, we explored the operations of power in setting maternal healthcare priorities, as evident at the 2018 Reproductiv...
Article
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Background: Nearly 300 children and 20 mothers die from preventable causes daily, in Uganda. Communities often identify and introduce pragmatic and lasting solutions to such challenging health problems. However, little is known of these solutions beyond their immediate surroundings. If local and pragmatic innovations were scaled-up, they could con...
Article
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Abstract Universal health coverage emphasises the value of the community-based delivery of health services to ensure that underserved populations have access to care. In areas where infectious diseases are endemic, there are often few resources and limited capacity, and the introduction of effective and accessible strategies require innovation. In...
Article
As coronavirus infection spread across Europe and north America to much poorer parts of the world, calls for personal protection – hand washing, physical distancing, and masks – highlighted the structural challenges of implementation. These personal measures were complemented by public health directives, worldwide, for populations to stay home, or...
Article
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In South Africa, patients’ and providers’ expectations of transactions in health services converge in consultations for acute respiratory tract infections with the prescription of antibiotics. To explore this, a qualitative study was undertaken at community health centres and private general practice surgeries in four areas of metropolitan South Af...
Conference Paper
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Since the early 1990s technologies to prevent and detect cervical cancer (CC) have been deployed at the population level across Western Europe, the UK, Northern America and Australasia, markedly reducing the burden of CC in high-income countries. Researchers recently projected the elimination of CC in Australia by 2035 (1), and the possibility that...
Article
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Resilience as a strength-based notion, measured across cultures, age groups, and sub-populations, contributes to understanding health and well-being. Yet, there is limited evidence of how the construct performs in resource-limited countries. We explored the psychometric properties of the CYRM-28 and validated the scale with adolescents living with...
Article
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Despite successful clinical interventions and maternal and child health monitoring for over a century, low and middle-income countries, including South Africa, continue to experience the quadruple burden of disease of high maternal mortality rates and poor infant and child health, non-communicable diseases, infectious diseases, and violence and inj...
Article
In this special issue, we note the percussive – immediate, disruptive and urgent – effects of the coronavirus pandemic, while anticipating its longer term repercussions. As social institutions, global and local economies, political relations, and everyday social lives are being remade, we highlight the implications of this microbial infection and i...
Article
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Background: Adolescents living with HIV (ALHIV) in Malawi experience multiple challenges associated with their illness and various social, environmental, economic and cultural factors. In exploring their various medical concerns and social vulnerabilities, we consider the role of multiple services in creating a pathway for resilience. Methods: M...
Article
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A vast portion of the world’s population live with ill health following acute infection or disease and its emergency management. This reflects the increased capacity of technological innovations and pharmaceuticals to interrupt decline or complications, even when cure is unlikely. The authors in this Special Section illustrate how, in different loc...
Article
By April 2020, COVID-19 lockdowns had restricted the movements of over half the world’s population. As health authorities advise people living with chronic conditions to self-isolate because they are at particular risk of serious complications and death, the epidemiological split between communicable and noncommunicable disease is tenuous. We argue...
Article
Responses to deeply traumatic events vary according to cultural context, yet we have little insight into why these discrepancies occur. In order to explore cultural variation in models of trauma, we draw on data from semi-structured interviews with Sudanese refugees (n = 12) and with Holocaust survivors (n = 13) in Melbourne, Australia. Using descr...
Article
Many people with probable depression present at primary health care centers (PHC) with physical complaints. Clinical psychologists (CPs) in Sleman district and Yogyakarta city, Special Province of Yogyakarta, Indonesia, have been integrated into PHC to provide psychological services. The study on which we draw aimed to explore how depression is man...
Article
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The Lancet Commissions are widely known as aspirational pieces, providing the mechanisms for consortia and networks of researchers to organize, collate, interrogate and publish around a range of subjects. Although the Commissions are predominantly led by biomedical scientists and cognate public health professionals, many address social science ques...
Article
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Manual Vacuum Aspirators (MVA), Dilation and Curettage (D&C), and medical abortifacients (Misoprostol, Mifepristone and Divabo) are available in clinical settings that offer abortion and post-abortion care in Uganda. While these technologies imply appropriate and safe abortion care, legal and policy ambiguities impact health outcomes. In this artic...
Article
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Interest in disaggregating diabetes into numerous subtypes is growing as patients and providers recognize the limitations of standard diabetes typologies. As anthropologists, we draw attention to how ‘subtyping’ may reduce stigma derived from the connection between obesity and ‘type 2 diabetes’. We highlight the complexities that drive diabetes and...
Article
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Background In 2011, South Africa committed to promoting exclusive breastfeeding (EBF) for six months for all mothers, regardless of HIV status, in line with World Health Organization recommendations. This was a marked shift from earlier policies, and with it, average EBF rates increased from less than 10% in 2011 to 32% by 2016. Objectives The aim...
Article
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To accelerate malaria elimination in areas where core interventions such as insecticide-treated nets (ITNs) are already widely used, it is crucial to consider additional factors associated with persistent transmission. Qualitative data on human behaviours and perceptions regarding malaria risk was triangulated with quantitative data on Anopheles mo...
Article
In South Africa, sexual and reproductive health services aim to facilitate access to and utilisation of care to young people. We draw on narrative interviews with 45 young mothers and six health care providers delivering sexual and reproductive health services at an urban health centre, to understand how young mothers experienced services in relati...
Article
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Introduction Information, counseling, availability of contraceptives, and their adoption by post-abortion care (PAC) patients are central to the quality of PAC in healthcare facilities. Effective contraceptive adoption by these patients reduces the risks of unintended pregnancy and repeat abortion. Methods This study uses data from the Incidence a...
Data
Supporting information. Authority to use data and questionnaires used to collect the data used in this study. (ZIP)
Article
Public health decisions made by the state involve considerable disagreements on the course of actions, uncertainties, and compromises that arise from moral tensions between the demands of civil liberties and the goals of public health. With such complex decisions, it can be extremely difficult to arrive at and justify the best option. In this artic...
Article
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Objectives: The objective of this study is to analyze the degree to which care needs are met in an aging rural African population. Method: Using data from the Health and Aging in Africa: Longitudinal Study of an INDEPTH Community (HAALSI) baseline survey, which interviewed 5,059 adults aged older than 40 years in rural South Africa, we assessed...
Article
People from different cultural settings may differ in their presentation with depression. Exploration of experiences was assessed through interviews with 20 Javanese adults aged from 18 to 55 years in Yogyakarta, Indonesia, who had mild to moderate depression. Five themes emerged from the interviews as characteristic of Javanese experiences of depr...
Article
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Background Behaviour changes in mosquitoes from indoor to outdoor biting result in continuing risk of malaria from outdoor activities, including routine household activities and occasional social and cultural practices and gatherings. This study aimed to identify the range of social and cultural gatherings conducted outdoors and their associated ri...
Article
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Background Unsafe abortion is still a leading cause of maternal death in most Sub-Saharan African countries. Post-abortion care (PAC) aims to minimize morbidity and mortality following unsafe abortion, addressing incomplete abortion by treating complications, and reducing possible future unwanted pregnancies by providing contraceptive advice. In th...
Article
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Background. The 2011 Tshwane Declaration for the Promotion of Breastfeeding in South Africa ended the country’s longstanding support for promoting either exclusive breastfeeding (EBF) or exclusive formula feeding for HIV-positive mothers. However, South Africa’s EBF rate is only 32%. Objectives. To describe multilevel factors associated with diffe...
Poster
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This poster won Best Student Poster Presentation for the Education, Policy and Systems track.
Article
Particularly in the nineteenth century, zoological gardens, trade fairs and circuses included humans for entertainment and curiosity value, but also used them as a means of illustrating then current ideas of evolution. These kinds of displays continued well into the twentieth century, and beyond, with mounting concerns voiced about representation,...
Article
Full-text available
Background: The 2011 Tshwane Declaration for the Promotion of Breastfeeding in South Africa ended the country's longstanding support for promoting either exclusive breastfeeding (EBF) or exclusive formula feeding for HIV-positive mothers. However, South Africa's EBF rate is only 32%. Objectives: To describe multilevel factors associated with dif...
Article
Aim To explore endometrial cancer patients’ perceptions of the disease and the influence of favorable prognoses on their experiences. Background Endometrial cancer is associated with favorable prognoses, which may imply that patients experience distress to a lesser extent than other cancer patients with less positive treatment outcomes. However, m...
Article
Full-text available
Background: Mothers rely heavily on health worker advice to make infant feeding decisions. Confusing or misleading advice can lead to suboptimal feeding practices. From 2001, HIV positive mothers in South Africa were counseled to choose either exclusive breastfeeding or exclusive formula feeding to minimize vertical HIV transmission. On the basis...
Article
Depression may manifest differently across cultural settings, suggesting the value of an assessment tool that is sensitive enough to capture these variations. The study reported in this article aimed to develop a depression screening tool for Indonesians derived from ethnographic interviews with 20 people who had been diagnosed as having depression...
Article
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Background: Screening programmes with referral are a valuable strategy for mitigating consequences of perinatal depression on mothers and their families. The effectiveness of these screening programmes needs to be measured. One potential problem in assessing outcomes is measurement reactivity where the actual measure results in changes in the peopl...
Article
Full-text available
Objectives: Drawing on the "Health and Aging in Africa: A Longitudinal Study of an INDEPTH community in South Africa" (HAALSI) baseline survey, we present data on older adults' social networks and receipt of social support in rural South Africa. We examine how age and gender differences in social network characteristics matched with patterns predi...
Article
Qualitative research with close engagement in the field allows researchers and participants to build relationships and establish trust, enabling researchers to collect meaningful and sensitive information. Drawing on findings from a study conducted in an urban setting in South Africa, we discuss the challenges faced when interviewing pregnant women...
Article
Background: Globally, good governance is increasingly recognised as an important factor in health systems. Governance is a key determinant of performance, particularly towards achieving targets that ultimately affect economic and social development. However, conceptually and practically, governance is poorly understood by decision makers at variou...
Article
Debate over the validity of post-traumatic stress disorder (PTSD) in culturally and contextually diverse groups with histories of trauma needs to consider clinical response, and while not overlooking the presence of PTSD, sensitivity to contextual variation in response to trauma is important. We report on a study that examined PTSD within two cultu...
Article
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Background: Pregnancy is life changing, making great demands on women to adapt physically, psychologically, and socially. Social relationships and the support that flow from these provide a critical role in managing health problems in pregnancy. Isolation and lack of care, in contrast, may lead women to experience increased distress during this tim...
Article
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The recovery approach is now among the most influential paradigms shaping mental health policy and practice across the English-speaking world. While recovery is normally presented as a deeply personal process, critics have challenged the individualism underpinning this view. A growing literature on "family recovery" explores the ways in which peopl...
Article
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Background: In 2006, Malawi developed a national influenza plan to mitigate, prevent and manage the burden of infection should an outbreak occur. In 2009, it translated its contingency plan to respond to the unfolding influenza pandemic. However, little is known of how Malawi translated its national influenza plan into response actions, or the succ...
Article
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Background The extensive use of indoor residual spraying (IRS) and insecticide-treated nets (ITNs) in Africa has contributed to a significant reduction in malaria transmission. Even so, residual malaria transmission persists in many regions, partly driven by mosquitoes that bite people outdoors. In areas where Anopheles gambiae s.s. is a dominant v...
Article
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Antimicrobial resistance (AMR) imperils health for people across the world. This enormous challenge is being met with the rationalisation of prescription, dispensing and consumption of antimicrobials in clinical settings and in the everyday lives of members of the general population. Individuals need to be reached outside clinical settings to prepa...
Article
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Historically, women have been less likely to be supported through higher degree training programmes, and they continue to hold more junior positions in science. This paper reviews the current gender research and gender capacity-building efforts led by the UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (T...
Article
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The private space of the home is an important site of healthcare, and most rehabilitation following intensive in-hospital treatment takes place in domestic settings. Home in this context is represented as an a priori entity that naturally provides continuity and stability. This takes for granted that family carers will maintain therapeutic activiti...
Article
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Background/objective: In South Africa, approximately 40% of women suffer from depression during pregnancy. Although perinatal depression and anxiety are significant public health problems impacting maternal and infant morbidity and mortality, no routine mental health screening programmes exist in the country. A practical, accurate screening tool is...