Evidence map›Paper›PMID 22214437›Full record

ArticleCulture, health & sexuality2012

Testing differences: the implementation of Western HIV testing norms in sub-Saharan Africa.

Nicole Angotti

Open access · greenAbstract read
In one paragraph

Article in Culture, health & sexuality, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
22.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Nicole AngottiInstitute of Behavioral Science, University of Colorado, Boulder, USA. nicole.angotti@colorado.edu
University of Colorado Boulder · US

Funding

Gender, Conversationsal Networks and Dealing with STD'sR01HD041713 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI WATKINS, SUSAN C · 2001 to 2005
$2.1M
AIDS/HIV RISK, Marriage and Sexual Relations in MalawiR01HD044228 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI KOHLER, HANS-PETER · 2003 to 2006
$1.6M
Religious Organizations, Local Norms, and HIV in AfricaR01HD050142 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI WATKINS, SUSAN C · 2005 to 2007
$853k
NICHD NIH HHS R01 HD041713NICHD NIH HHS R01 HD044228NICHD NIH HHS R01-HD044228NICHD NIH HHS R01 HD050142NICHD NIH HHS R01-HD050142-01NICHD NIH HHS R01-HD372-276NICHD NIH HHS R01- HD41713
6 · The paper itself

Abstract

This paper examines the implementation of Western HIV testing norms - counselling, consent and confidentiality ('3Cs') - in Malawi, a high prevalence, rural African setting. It considers the differential perspectives of three categories of stakeholders: proponents, implementers and intended beneficiaries. The proponents are members of the 'Counseling and Testing Establishment'. For them, the 3Cs are human rights imports that are worth defending formally, but not always worth prioritising in practice. The implementers are HIV Counsellors. For them, knowledge of the 3Cs as Western biomedical jargon distinguishes them from villagers, but places them in situations where the ethics of testing conflict with their moral concerns for those whom they were trained to help, thus they adapt them in practice. And the intended beneficiaries, the rural Malawians whose rights are meant to be protected by the 3Cs, perceive the norms as protecting themselves as individuals, but as harming rather than benefitting their communities. The case study of Malawi illustrates a tension between Western, individual rights-oriented public health norms and local concerns for the health and wellbeing of the imagined communities that they are meant to benefit.

Indexed as

Cultural CompetencyAfrica South of the SaharaDirective CounselingEthiopiaHIV-1HIV InfectionsHumansInformed ConsentMalawiPatient RightsProgram DevelopmentProgram EvaluationPublic Health PracticeTape Recording

Identifiers

PMID22214437
PMCPMC3934753
OpenAlexW2156288921

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.