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Between policy and patients : protocols and practice in HIV/AIDS treatment
Thesis (MA (Sociology and Social Anthropology))--Stellenbosch University, 2008.
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
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Stellenbosch : Stellenbosch University
2008
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| _version_ | 1867613867089068032 |
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| access_status_str | Open Access |
| author | Human, Oliver |
| author2 | Robins, S. |
| author_browse | Human, Oliver Robins, S. |
| author_facet | Robins, S. Human, Oliver |
| author_sort | Human, Oliver |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MA (Sociology and Social Anthropology))--Stellenbosch University, 2008. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/2553 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:42:57.574Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2008 |
| publishDateRange | 2008 |
| publishDateSort | 2008 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/2553 Between policy and patients : protocols and practice in HIV/AIDS treatment Human, Oliver Robins, S. Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Sociology and Social Anthropology. HIV Protocols Doctors practice ARV distribution Dissertations -- Sociology and social anthropology Theses -- Sociology and social anthropology Thesis (MA (Sociology and Social Anthropology))--Stellenbosch University, 2008. In recent years the World Heath Organisation (WHO) has recomended standardising HIV/AIDS treatment. Standardisation is based upon a particular model of what occurs within the relationship between a doctor and a patient and is propogated through the application of protocols. This thesis aims to illustrate how a doctor deals with a protocol in the face of contexts over-laden with contingency and excess which the protocol does not account for and which standardisation excludes. In other words, it explores how doctors deal with the failures and restrictions of standardised medicine. The central question this thesis aims to answer is: How do doctors on the ground deal with the standardising demands of global, as well as national, institutions in the face of highly contingent daily realities? I aim to answer this question by critically analysing the relationship between global institutions and the effects of their policies on the ground level. I argue that global organisation such as the WHO attempt to limit the particularities and contingency of local contexts in order to ensure the internal coherence of their own policies. This is made possible through ‘interpretive communities’ of experts, as well as, the relative opacity of ground level actions. However, I also illustrate how doctors applying these protocols are not merely pawns in the state’s and global health organisations schemes but rather depend upon the opacity at ground level in order to ensure the well-being of those marginalised by protocols. Masters 2008-11-24T08:12:25Z 2010-06-01T08:52:04Z 2008-11-24T08:12:25Z 2010-06-01T08:52:04Z 2008-12 Thesis http://hdl.handle.net/10019.1/2553 en Stellenbosch University application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | HIV Protocols Doctors practice ARV distribution Dissertations -- Sociology and social anthropology Theses -- Sociology and social anthropology Human, Oliver Between policy and patients : protocols and practice in HIV/AIDS treatment |
| title | Between policy and patients : protocols and practice in HIV/AIDS treatment |
| title_full | Between policy and patients : protocols and practice in HIV/AIDS treatment |
| title_fullStr | Between policy and patients : protocols and practice in HIV/AIDS treatment |
| title_full_unstemmed | Between policy and patients : protocols and practice in HIV/AIDS treatment |
| title_short | Between policy and patients : protocols and practice in HIV/AIDS treatment |
| title_sort | between policy and patients protocols and practice in hiv aids treatment |
| topic | HIV Protocols Doctors practice ARV distribution Dissertations -- Sociology and social anthropology Theses -- Sociology and social anthropology |
| url | http://hdl.handle.net/10019.1/2553 |
| work_keys_str_mv | AT humanoliver betweenpolicyandpatientsprotocolsandpracticeinhivaidstreatment |