Publication Cover
Medical Anthropology
Cross-Cultural Studies in Health and Illness
Volume 43, 2024 - Issue 1
244
Views
0
CrossRef citations to date
0
Altmetric
Research Article

Local Pathways of “Serodiscordant Couples”: Unpacking a Global HIV Population Category in Papua New Guinea

ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon

References

  • Aggleton, P., S. Bell, and A. Kelly-Hanku 2014 “Mobile men with money”: HIV prevention and the erasure of difference. Global Public Health 9(3):257–70. doi:10.1080/17441692.2014.889736.
  • Beougher, S. C., C. Gómez Mandic, L. A. Darbes, D. Chakravarty, T. B. Neilands, C. C. Garcia, and C. Hoff 2013 Past present: Discordant gay male couples, HIV infection history, and relationship dynamics. Journal of Gay & Lesbian Social Services 25(4):379–98. doi:10.1080/10538720.2013.834809.
  • Bhatia, D. S., A. D. Harrison, M. Kubeka, C. Milford, A. Kaida, F. Bajunirwe, and I. B. Wilson, et al. 2017 The role of relationship dynamics and gender inequalities as barriers to HIV-serostatus disclosure: Qualitative study among women and men living with HIV in Durban, South Africa. Frontiers in Public Health 5 doi:10.3389/fpubh.2017.00188.
  • Biruk, C. 2019 The MSM category as bureaucratic technology: Reflections on paperwork and project time in performance-based aid economies. Medicine Anthropology Theory 6(4):187–214. doi:10.17157/mat.6.4.695.
  • Blank, H. 2012 Straight: The Surprisingly Short History of Heterosexuality. Boston, MA: Beacon Press.
  • Boellstorff, T. 2011 But do not identify as gay: A proleptic genealogy of the MSM category. Cultural Anthropology 26(2):287–312. doi:10.1111/j.1548-1360.2011.01100.x.
  • Braun, V., and V. Clarke 2006 Using thematic analysis in qualitative psychology. Qualitative Research in Psychology 3(2):77–101. doi:10.1191/1478088706qp063oa.
  • Camlin, C. S., E. Ssemmondo, G. Chamie, A. M. El Ayadi, D. Kwarisiima, N. Sang, J. Kabami, et al. 2016 Men “missing” from population-based HIV testing: Insights from qualitative research. Aids Care-Psychological & Socio-Medical Aspects of Aids/Hiv 28(S3):67–73. doi:10.1080/09540121.2016.1164806.
  • Colombini, M., C. James, C. Ndwiga, S. H. Mayhew, and Integra team 2016 The risks of partner violence following HIV status disclosure, and health service responses: Narratives of women attending reproductive health services in Kenya. Journal of the International AIDS Society 19(1). doi:10.7448/IAS.19.1.20766.
  • Douglas, M. 1966 Purity and Danger: An Analysis of the Concepts of Pollution and Taboo. London & New York: Routledge.
  • Eves, R. 2021 Marital sexual violence and conjugality in highlands Papua New Guinea. Culture, Health & Sexuality 23(7):976–90.\. doi:10.1080/13691058.2020.1748721.
  • Foucault, M. 1970 The Order of Things: An Archaeology of Human Sciences. London: Tavistock Publications.
  • Gare, J., B. Toto, P. Pokeya, L.-V. Le, N. Dala, N. Lote, B. John, A. Yamba, et al. 2022 High prevalence of pre-treatment HIV drug resistance in Papua New Guinea: Findings from the first nationally representative pre-treatment HIV drug resistance study. BMC Infectious Diseases 22(1):266. doi:10.1186/s12879-022-07264-y.
  • Global Coalition on Women and AIDS 2005 Concerted action required to address the twin epidemics of violence against women and AIDS. Press Statement, November 25. Geneva: UNAIDS.
  • HAMP 2003 HIV/AIDS management and prevention act 2003. Independent State of Papua New Guinea: The Office of Legislative Council. hmapa2003313.pdf(paclii.org)
  • Hirsch, J. S., H. Wardlow, and D. J. Smith 2009 The Secret: Love, Marriage, and HIV. Nashville: Vanderbilt University Press.
  • Hughes, S. D., and H.-H. Truong 2017 Sero-discovering versus sero-cognisant: Initial challenges and needs of HIV-serodiscordant couples in Porto Alegre, Brazil. Culture, Health & Sexuality 19(8):888–902. doi:10.1080/13691058.2016.1269366.
  • Human Rights Watch 2015 Bashed Up: Family Violence in Papua New Guinea. New York: Human Rights Watch.
  • Kaplan, R. L., J. Sevelius, and K. Ribeiro 2016 In the name of brevity: The problem with binary HIV risk categories. Global Public Health 11(7–8):824–34. doi:10.1080/17441692.2015.1136346.
  • Kelly, A., H. Worth, M. Kupul, V. Fiya, L. Vallely, R. Neo, and S. Ase, et al. 2013 HIV, Pregnancy and Parenthood: A Qualitative Study of the Prevention and Treatment of HIV in Pregnant Women, Parents and Their Infants in Papua New Guinea. Sydney, Sydney: Australia: Papua New Guinea Institute of Medical Research and UNSW.
  • Kelly, A., M. Kupul, A. Frankland, H. Worth, S. Nosi, A. Mek, B. Kepa, L. Walizopa, R. Emori, L. Pirpir, F. Akuani, B. Cangah, P. Siba, et al. 2011 Living serodiscordantly in Papua New Guinea: Sexual practices of HIV-positive people on ART by serostatus of regular heterosexual partner. Aids Care-Psychological & Socio-Medical Aspects of Aids/Hiv 23(6):734–40. doi:10.1080/09540121.2010.532533.
  • Kelly-Hanku, A. 2016 Situating serodiscordance: Living in relationships with mixed HIV status in different local, historical and biomedical realities. In Cross-Cultural Perspectives on Couples with Mixed HIV Status: Beyond Positive/Negative. A. Persson and S. Hughes, eds. Pp. 71–84. Cham, Switzerland: Springer.
  • Kelly-Hanku, A., P. Aggleton, and R. Boli-Neo 2020 Practical justice as an innovative approach to addressing inequalities facing gender and sexually diverse people: A case example from Papua New Guinea. Culture, Health & Sexuality 22(7):822–37. doi:10.1080/13691058.2020.1736633.
  • Kelly-Hanku, A., P. Aggleton, and P. Shih 2014 “We call it a virus but I want to say it’s the devil inside”: Redemption, moral reform and relationships with God among people living with HIV in Papua New Guinea. Social Science and Medicine 119:106–13. doi:10.1016/j.socscimed.2014.08.020.
  • Kelly-Hanku, A., P. Aggleton, and P. Shih 2018 “I shouldn’t talk of medicine only”: Biomedical and religious frameworks for understanding antiretroviral therapies, their invention and their effects. Global Public Health 13(10):1454–67. doi:10.1080/17441692.2017.1377746.
  • Kelly-Hanku, A., M. Redman-MacLaren, R. Boli-Neo, S. Nosi, S. Ase, and H. Aeno, et al. 2020 Confidential, accessible point-of-care sexual health services to support the participation of key populations in biobehavioural surveys: Lessons for Papua New Guinea and other settings where reach of key populations is limited. PLoS ONE 15(5):e0233026. doi:10.1371/journal.pone.0233026.
  • Kelly-Hanku, A., B. Willie, D. A. Weikum, R. Boli Neo, M. Kupul, and K. Coy, et al. 2018 Kauntim mi tu: Multi-site summary report from the key population integrated bio-behavioural survey, Papua New Guinea. Goroka, Papua New Guinea: Papua New Guinea Institute of Medical Research and Kirby Institute, UNSW Sydney.
  • Law, J. 2004 After Method: Mess in Social Science Research. New York: Routledge.
  • Law, J., G. Afdal, K. Asdal, W.-Y. Lin, I. Moser, and V. Singleton 2013 Modes of syncretism: Notes on noncoherence. Common Knowledge 20(1):172–92. doi:10.1215/0961754X-2374817.
  • Lepani, K. 2016 Proclivity and prevalence: Accounting for the dynamics of sexual violence in the response to HIV in Papua New Guinea. In Gender Violence & Human Rights: Seeking Justice in Fiji, Papua New Guinea &. Vanuatu. A. Biersack, M. Jolly, and M. Macintyre, eds. Pp. 159–96. Canberra: ANU Press.
  • Lorway, R., and S. Khan 2014 Reassembling epidemiology: Mapping, monitoring and making-up people in the context of HIV prevention in India. Social Science & Medicine 112:51–62. doi:10.1016/j.socscimed.2014.04.034.
  • Luluaki, J. Y. 2014 Customary polygamy, human rights and the constitution in Papua New Guinea. International Survey of Family Law 395:395–418.
  • Ly, A. T., P. A. Wilson, C. M. Parker, L. M. Giang, J. S. Hirsch, T. Pham, and R. G. Parker 2020 Categorical dilemmas: Challenges for HIV prevention among men who have sex with men and transgender women in Vietnam. Culture, Health & Sexuality 22(10):1161–76. doi:10.1080/13691058.2019.1662089.
  • Macintyre, M. 2012 Gender violence in Melanesia and the problem of Millennium Development Goal No. 3. In Engendering Violence in Papua New Guinea. M. Jolly and C. Stewart, eds. Pp. 239–66. Canberra: ANU Press.
  • Mek, A., A. Kelly-Hanku, S. Bell, L. Wilson, and A. Vallely 2018 “I was attracted to him because of his money”: Changing forms of polygyny in contemporary Papua New Guinea. The Asia Pacific Journal of Anthropology 19(2):120–37. doi:10.1080/14442213.2018.1440626.
  • Mek, A. K., A. Kelly-Hanku, R. Eves, and V. Thomas 2021 Resource extraction, gender and the sexual economy in Hela Province, Papua New Guinea: “Everything has changed”. Sexuality & Culture 25(5):1852–70. doi:10.1007/s12119-021-09854-5.
  • Mitchell, E., A. Kelly-Hanku, A. Mek, R. Naketrumb, A. Persson, H. Worth, and S. Bell 2021 Caring masculinities in the context of HIV serodiscordant relationships in Papua New Guinea. Men and Masculinities 24(2):326–44. doi:10.1177/1097184X19889659.
  • Morrill, A. C., and C. Noland 2006 Interpersonal issues surrounding HIV counseling and testing, and the phenomenon of “testing by proxy”. Journal of Health Communication 11(2):183–98. doi:10.1080/10810730500526745.
  • Moyer, E. 2019 Becoming a target of HIV intervention: The science and politics of anthropological reframing. Medicine Anthropology Theory 6(4):315–24. doi:10.17157/mat.6.4.756.
  • Moyer, E., and V.-K. Nguyen 2019 The spaces in-between: Anthropological engagements with classifying, boundary making, and epistemological closure. Medicine Anthropology Theory 6(4):i–iv. doi:10.17157/mat.6.4.774.
  • Muessig, K. E., and M. S. Cohen 2014 Advances in HIV prevention for serodiscordant couples. Current HIV/AIDS Reports 11(4):434–46. doi:10.1007/s11904-014-0225-9.
  • NACS 2018 Papua New Guinea: National STI and HIV strategy 2018-2022. Port Moresby: National AIDS Council Papua New Guinea. Papua New Guinea National STI and HIV Strategy 2018–2022 (aidsdatahub.org)
  • Parker, R. 2019 Beyond categorical imperatives: Making up MSM in the global response to HIV and AIDS. Medicine Anthropology Theory 6(4):265–75. doi:10.17157/mat.6.4.752.
  • Parker, R., P. Aggleton, and A. G. Perez-Brumer 2016 The trouble with “categories”: Rethinking men who have sex with men, transgender and their equivalents in HIV prevention and health promotion. Global Public Health 11(7–8):819–23. doi:10.1080/17441692.2016.1185138.
  • Persson, A. 2013 Notes on the concepts of “serodiscordance” and “risk” in couples with mixed HIV status. Global Public Health 8(2):209–20. doi:10.1080/17441692.2012.729219.
  • Persson, A., and S. Hughes 2016 Making “difference”: New perspectives on HIV serodiscordance. In Cross-Cultural Perspectives on Couples with Mixed HIV Status: Beyond Positive/Negative. A. Persson and S. Hughes, eds. Pp. 1–14. Cham, Switzerland: Springer.
  • Persson, A., A. Kelly-Hanku, S. Bell, A. Mek, H. Worth, and R. Naketrumb 2019 “Vibrant entanglements”: HIV biomedicine and serodiscordant couples in Papua New Guinea. Medical Anthropology 38(3):267–81. doi:10.1080/01459740.2018.1530670.
  • Persson, A., A. Kelly-Hanku, A. Mek, E. Mitchell, R. Naketrumb, H. Worth, and S. Bell 2020 Polygyny, serodiscordance and HIV risk in Papua New Guinea: A qualitative exploration of multiple configurations. The Asia Pacific Journal of Anthropology 21(3):248–63. doi:10.1080/14442213.2020.1758202.
  • Persson, A., A. Kelly-Hanku, A. Mek, E. Mitchell, R. Naketrumb, H. Worth, and S. Bell 2021 Making sense of serodiscordance: Pathways and aftermaths of HIV testing among couples with mixed HIV status in Papua New Guinea. The Asia Pacific Journal of Anthropology 22(4):298–314. doi:10.1080/14442213.2021.1942184.
  • Persson, A., A. Kelly-Hanku, A. Mek, E. Mitchell, R. Naketrumb, H. Worth, and S. Bell 2022 “We live just like a normal family”: Exploring local renderings of the global HIV normalisation discourse among serodiscordant couples in Papua New Guinea. Sexuality & Culture 27(1):19–37. doi:10.1007/s12119-022-10001-x.
  • Pupu, N., and P. Wiessner 2018 The challenges of village courts and operation Mekim Save among the Enga of Papua New Guinea today: A view from the inside. Discussion Paper 2008/1. Canberra: Department of Pacific Affairs, Australian National University. DPA DP2018_1 Pupu and Wiessner to publish.pdf (anu.edu.au)
  • Rodger, A. J., V. Cambiano, T. Bruun, P. Vernazza, S. Collins, et al. 2019 Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): Final results of a multicentre, prospective, observational study. The Lancet 393(10189):2428–38. doi:10.1016/S0140-6736(19)30418-0.
  • Schramm, K., and C. Beaudevin 2019 Sorting, typing, classifying: The elephants in our ethnographic rooms. Medicine Anthropology Theory 6(4):276–90. doi:10.17157/mat.6.4.767.
  • Strathern, M. 1988 The Gender of the Gift: Problems with Women and Problems with Society in Melanesia. Berkeley: University of California Press.
  • Truong, N., A. Perez-Brumer, M. Burton, J. Gipson, and D. Hickson 2016 What is in a label? Multiple meanings of “MSM” among same-gender-loving Black men in Mississippi. Global Public Health 11(7–8):937–52. doi:10.1080/17441692.2016.1142593.
  • UNAIDS 2020 Prevailing against pandemics: By putting people at the centre. UNAIDS: Geneva, Switzerland. prevailing-against-pandemics_en.pdf (unaids.org)
  • UNAIDS 2022 In Danger: UNAIDS Global AIDS Update. Geneva, Switzerland: UNAIDS. Intro.pdf (unaids.org)
  • UNAIDS 2023 Papua New Guinea 2022. UNAIDS: Geneva, Switzerland. Papua New Guinea | UNAIDS
  • UNDP 2023 Gender equality strategy 2023-2025. Papua New Guinea. undp_png_genderstrategy_2023.pdf
  • Wardlow, H. 2017 The (extra)ordinary ethics of being HIV-positive in rural Papua New Guinea. Journal of the Royal Anthropological Institute 23(1):103–99. doi:10.1111/1467-9655.12546.
  • WHO 2012 Guidance on Couples HIV Testing and Counselling, Including Antiretroviral Therapy for Treatment and Prevention in Serodiscordant Couples: Recommendations for a Public Health Approach. Geneva: World Health Organization. http://apps.who.int/iris/bitstream/10665/44646/1/9789241501972_eng.pdf.
  • WHO 2016 Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key Populations – 2016 Update. Geneva: World Health Organization. Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations (who.int).
  • WHO 2021 Papua New Guinea HIV Country Profile 2021. Geneva: World Health Organization. HIV Country Profiles (hivci.org).
  • Wilson, B. D. M., and A. Miyashita 2016 Sexual and gender diversity within the Black men who have sex with men HIV epidemiological category. Sexuality Research and Social Policy 13(3):202–14. doi:10.1007/s13178-016-0219-z.