Evidence map›Paper›PMID 33029848›Full record

ArticleMedical anthropology quarterly2021

Therapeutic Borderlands: Austerity, Maternal HIV Treatment, and the Elusive End of AIDS in Mozambique.

Rachel R Chapman

Abstract read
In one paragraph

Article in Medical anthropology quarterly, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Rachel R ChapmanDepartment of Anthropology, University of Washington.ORCID 0000-0003-2438-1410

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI EDWIN ROBERTO ORELLANA · 1988 to 2026
$104.9M
Early ART initiation among HIV-positive pregnant women in central MozambiqueR01HD074557 · NICHD · UNIVERSITY OF WASHINGTON · PI CHAPMAN, RACHEL REBEKAH, PFEIFFER, JAMES T. · 2012 to 2014
$1.5M
NIAID NIH HHS P30 AI027757NICHD NIH HHS R01 HD074557
6 · The paper itself

Abstract

"End of AIDS" requires ambitious testing, treatment, and adherence benchmarks, like UNAIDS' "90-90-90 by 2020." Mozambique's efforts to improve essential maternal/infant antiretroviral treatment (ART) exposes how austerity-related health system short-falls impede public HIV/AIDS service-delivery and hinder effective maternal ART and adherence. In therapeutic borderlands-where household impoverishment intersects with health-system impoverishment-HIV+ women and over-worked care-providers circumnavigate scarcity and stigma. Worrisome patterns of precarious use emerge-perinatal ART under-utilization, delayed initiation, intermittent adherence, and low retention. Ending HIV/AIDS requires ending austerity and reinvesting in a public sector health workforce to ensure universal health coverage as household and community safety nets.

Indexed as

Acquired Immunodeficiency SyndromeAdultAgedAnthropology, MedicalAnti-Retroviral AgentsFemaleHealth Services AccessibilityHumansMiddle AgedMozambiquePregnancyUniversal Health InsuranceYoung AdultAnti-Retroviral Agentsausterityend of HIV/AIDSmaternal ART retentionMozambiqueprecarity

Identifiers

PMID33029848
PMCPMC11018325

What OpenQuestion holds

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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.