In the era of scale up, global donor-driven HIV activities are transforming NGO work by demanding administrative, technical, and data-oriented activities. Drawing on interviews and participant observation in an NGO in the West Papuan city of Manokwari between 2011 and 2014, I attempt to understand why Indigenous Papuan NGO employees were steadily replaced by non-Indigenous migrant settlers, mainly of Javanese heritage, to deliver HIV services. I show that new rivalries, technical roles, performance targets and efficiency rhetoric intersected with existing racialization to produce a preference for Javanese employees, who were assumed to be more compliant and professional than their Papuan counterparts and to operate more easily within the technocratic regime imposed by donor expectations.
View Article and Find Full Text PDFThis paper addresses the challenge reported in the research literature of providing adequate accounts of service quality and value to multiple stakeholders. Rather than starting with a particular accountability practice, we examine the accounts of complex service delivery and results from the perspective of five key stakeholder groups. The case study at the empirical centre of this research is a small New Zealand non-profit organisation that provides community-based wraparound casework to young people, and their families, with multiple and complex needs.
View Article and Find Full Text PDFThis paper builds on critiques that call for a more nuanced and contextualised understanding of conditions that affect HIV prevention by looking at West Papuan women's experiences of prevention of mother-to-child transmission services. Drawing on qualitative, ethnographic research with indigenous women and health workers, the paper demonstrates that women experience poor-quality HIV education and counselling, and that indigenous practices and concerns are largely not addressed by HIV services. We attribute this to a combination of national anti-indigenous and anti-separatist political concerns with donor-led interventions that result in limited localisation and reduced effectiveness of HIV prevention measures.
View Article and Find Full Text PDFCult Health Sex
November 2010
Lesbians are said to feel excluded by sexual health messages that presume heterosexuality, a finding linked to lower levels of Papanicolaou (Pap) testing. This paper discusses a small, focused qualitative study based in Calgary, Canada that illuminated mid-life lesbians' experiences and perceptions of Pap testing and health. Participants indicated that they felt compelled and invited to access Pap testing by an inclusive discourse - that of 'mid-life', a period associated with an increased need for body surveillance.
View Article and Find Full Text PDFCult Health Sex
February 2008
In highlands Papua, Indonesia, rapid social change under a colonial system of governance has created novel sexual opportunities for young indigenous women. Recent scholarship has viewed similar youthful sexual practices that challenge the status quo as expressions of personal agency. By looking at how young women and their families cope with unplanned pregnancies, we suggest that a more viable analytic approach would be to view sexuality, pregnancy and childbirth as a single unit of analysis.
View Article and Find Full Text PDFThis paper compares and contrasts two similar sets of data about AIDS (acquired immune deficiency syndrome) and AIDS awareness from the island of New Guinea. The goal of this comparison is to show that state policies and values can dramatically affect personal knowledge about safer sexual practices. One set was collected in 2001 in the Indonesian province of Papua, which is home to indigenous Papuans and many inmigrating Indonesians.
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