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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Re-framing microbicide acceptability: Findings from the MDP301 trial
Culture, Health and Sexuality, Volume 12, No. 6, Year 2010
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Description
Microbicides are most usually conceptualised within a disease prevention framework and studies usually define acceptability in terms of product characteristics, willingness to use and risk reduction. This starting point has led to assumptions about microbicides which, rather than being challenged by empirical studies, have tended to foreclose the data and subsequent conceptual models. Few studies take an emic ('insider') perspective or attempt to understand how microbicides fit into the broader context of women's and men's everyday lives. As part of the integrated social science component of the MDP301 Phase III microbicide trial, in-depth interviews were conducted with female trial participants in South Africa, Zambia, Tanzania and Uganda. Women's experiences of the gel challenge several assumptions that have commonly been reiterated about microbicides. Our analysis suggests that current definitions and conceptual frameworks do not adequately account for the range of meanings that women attribute to gel. Even within the context of a clinical trial, it is possible to obtain a richer, ethnographic and cross-cultural concept of acceptability based on women's practice and emic interpretations. We now need to move beyond limited notions of acceptability and consider how microbicides fit into a more holistic picture of women's and men's sexuality and sexual health. © 2010 Taylor & Francis.
Authors & Co-Authors
Montgomery, Catherine M.
Unknown Affiliation
Gafos, Mitzy
Unknown Affiliation
Lees, Shelley Susan
Unknown Affiliation
Morar, Neetha Shagan
Unknown Affiliation
Mweemba, Oliver
Unknown Affiliation
Ssali, Agnes
Unknown Affiliation
Stadler, Jonathan James
Unknown Affiliation
Pool, Robert C.
Unknown Affiliation
Statistics
Citations: 80
Authors: 8
Affiliations: 8
Identifiers
Doi:
10.1080/13691051003736261
ISSN:
13691058
e-ISSN:
14645351
Research Areas
Sexual And Reproductive Health
Study Design
Ethnographic Study
Study Approach
Qualitative
Study Locations
South Africa
Tanzania
Uganda
Zambia
Participants Gender
Male
Female