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Protocol and beyond: experiment and care during a TB vaccine clinical trial in South Africa

There has been a substantial increase in the amount of biomedical research being conducted in resource-poor regions of the world since the 1980s, particularly clinical trials involving human subjects. With a particular focus on public-sector clinical trials, a number of anthropologists have recently...

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Main Author: Dixon, Justin
Other Authors: Macdonald, Helen
Format: Thesis
Language:English
Published: Social Anthropology 2015
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access_status_str Open Access
author Dixon, Justin
author2 Macdonald, Helen
author_browse Dixon, Justin
Macdonald, Helen
author_facet Macdonald, Helen
Dixon, Justin
author_sort Dixon, Justin
collection Thesis
description There has been a substantial increase in the amount of biomedical research being conducted in resource-poor regions of the world since the 1980s, particularly clinical trials involving human subjects. With a particular focus on public-sector clinical trials, a number of anthropologists have recently conducted important ethnographic research into the ground-level operations of clinical research organisations and the relationships between doctors, co-ordinators, participants and non- participants. It has been argued that formal ethics and the scientific practices they govern obscure a relational and affective dimension of clinical trials, which is both necessary for, and transcends, the requirements of trial protocols. On the basis of ethnographic research with a clinical research organisation in South Africa specialising in trialling tuberculosis (TB) vaccines, I contend the explanatory value of tracing the diseases 'under the microscope' from global public health agendas to ground-level research practices when exploring the relationships between the 'ordered separations' of medical research structures and the relational-affective dimension they obscure. Through a close examination of TB at different levels of scale, I aim to open up more avenues of enquiry into the multifarious factors that shape the important relations that develop between clinical research organisations and those on whom research is conducted.
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2015
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publisher Social Anthropology
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spelling oai:open.uct.ac.za:11427/14139 Protocol and beyond: experiment and care during a TB vaccine clinical trial in South Africa Dixon, Justin Macdonald, Helen Social Anthopology There has been a substantial increase in the amount of biomedical research being conducted in resource-poor regions of the world since the 1980s, particularly clinical trials involving human subjects. With a particular focus on public-sector clinical trials, a number of anthropologists have recently conducted important ethnographic research into the ground-level operations of clinical research organisations and the relationships between doctors, co-ordinators, participants and non- participants. It has been argued that formal ethics and the scientific practices they govern obscure a relational and affective dimension of clinical trials, which is both necessary for, and transcends, the requirements of trial protocols. On the basis of ethnographic research with a clinical research organisation in South Africa specialising in trialling tuberculosis (TB) vaccines, I contend the explanatory value of tracing the diseases 'under the microscope' from global public health agendas to ground-level research practices when exploring the relationships between the 'ordered separations' of medical research structures and the relational-affective dimension they obscure. Through a close examination of TB at different levels of scale, I aim to open up more avenues of enquiry into the multifarious factors that shape the important relations that develop between clinical research organisations and those on whom research is conducted. 2015-10-06T14:13:47Z 2015-10-06T14:13:47Z 2013 Master Thesis Masters MSocSc http://hdl.handle.net/11427/14139 eng application/pdf Social Anthropology Faculty of Humanities University of Cape Town
spellingShingle Social Anthopology
Dixon, Justin
Protocol and beyond: experiment and care during a TB vaccine clinical trial in South Africa
thesis_degree_str Master's
title Protocol and beyond: experiment and care during a TB vaccine clinical trial in South Africa
title_full Protocol and beyond: experiment and care during a TB vaccine clinical trial in South Africa
title_fullStr Protocol and beyond: experiment and care during a TB vaccine clinical trial in South Africa
title_full_unstemmed Protocol and beyond: experiment and care during a TB vaccine clinical trial in South Africa
title_short Protocol and beyond: experiment and care during a TB vaccine clinical trial in South Africa
title_sort protocol and beyond experiment and care during a tb vaccine clinical trial in south africa
topic Social Anthopology
url http://hdl.handle.net/11427/14139
work_keys_str_mv AT dixonjustin protocolandbeyondexperimentandcareduringatbvaccineclinicaltrialinsouthafrica