À partir d’une approche anthropologique des prises en charge médicales de la tuberculose et du paludisme, ainsi que des conceptions et usages de la prévention dans des milieux urbains d’Afrique de l’Ouest , ce texte interroge la nature du métier de soignant. Après nous être penchés sur les spécificités de ce type d’étude anthropologique en milieu médical, nous nous attachons à décrypter les processus d’occultations des singularités du malade qui caractérisent les messages et discours de prévention. Dans les structures de (...) santé, sont étudiées les négociations des normes de diagnostic et de traitement à l’œuvre ; les attitudes des soignants qui oscillent entre sur- et sous-estimations des risques sanitaires ; et le hiatus entre la demande et les besoins réels de formations continues. Enfin, nous nous penchons sur la rencontre entre les soignants et les malades qui peut se trouver transformée par les spécificités de la maladie et de son traitement. On constate alors que les fondements de la professionnalisation tendent à disparaître au profit d’un mode de régulation du rapport au malade, au collègue et plus largement au savoir médical qui témoigne de l’émergence d’une culture soignante qui est, de fait, une culture organisationnelle. Elle se caractérise à la fois par la délégation des tâches à des non-professionnels, la production et la résolution des conflits mettant en évidence des réseaux clientélistes ainsi que par une routinisation des gestes.Drawing on an anthropological approach of tuberculosis and malaria care in West African cities , and on an analysis of prevention modes, this paper examines the characteristics of medical work. We first examined the conditions of an anthropological field study in health care centres. The concealment of both patients’ singularities and populations’ specificities targeted in the prevention messages were then studied. The negotiation of diagnosis and treatment standards, and the under- and over-estimations of nosocomial risks were also analysed. We also focused on the gap between demands and actual needs for training, and on the relationships between health care providers and patients, which can be modified by the specificities of the disease. We noticed a decay of professionalization, a kind of regulation of relationships between health care workers and patients, and among medical staff, which expresses an emerging medical culture, which is also an organizational culture. Its main features are the delegation of tasks to non-professionals workers, a strategy of conflict management based on clientelism, and the development of routine action. (shrink)

Background Universities in Cameroon are playing an active part in HIV/AIDS research and much of this research is carried out by students, usually for the purpose of a dissertation/thesis. Student theses/dissertations present research findings in a much more comprehensive manner and have been described as the stepping-stone of a budding scientist’s potential in becoming an independent researcher. It is therefore important to verify how students handle issues of research ethics. Method Theses/dissertations on HIV/AIDS that described research studies involving the use (...) of human research participants were screened to verify if research ethics approval and informed consent were obtained and documented. The contents of the consent forms were also qualitatively analyzed. Results Of 174 theses/dissertations on HIV, ethics approval was documented in 17 and informed consent in 77. Research ethics approval was first mentioned at all in 2002 and highly reported in the year 2007. Evidence of ethics approval was found for the first time in 2005 and informed consent first observed and evidenced in 1997. Ethics approval was mostly reported by students studying for an MD and was not reported in any Bachelors’ degree dissertation. Informed consent was also highly reported in MD theses followed by undergraduate theses. Voluntary participation and potential benefits of the study were some of the common aspects dealt with in most of the consent forms. The right to discontinue participation in the study and management of residual samples were scarcely ever mentioned. Conclusions Overall, and given the current state of the art of research ethics around the world, student-scientists in Cameroon would seem to be merely kidding with research ethics. It is thus essential that training in health research ethics be incorporated in the curriculum of universities in Cameroon in order that the next generation of scientists may be better equipped with thorough knowledge and practice of HRE. This, we believe, would be one way of fighting the occurrence of research scandals, which have not yet abated significantly, especially those arising from negligence or inexcusable ignorance. (shrink)

In Anthropology in the Making, Laurent Vidal takes the reader into the world of research in the fields of health and development, providing a fresh and provocative perspective on the practice of anthropology. This volume investigates the "science of otherness" across four multi-disciplinary research projects in Africa, examining the practices of health workers, the behaviors of patients, and the organization and management of health systems struggling with AIDS, tuberculosis, and malaria. Balancing epistemological considerations with the practical concerns thrown up by (...) real-life situations, Vidal explores the researcher's choices - of method, objective, and terrain. (shrink)

Le programme de recherche que l'on trouvera ci-dessous nous semble particulièrement original et utile d'un point de vue rythmanalytique – et cela à double titre. D'une part, alors que la vitesse, l'accélération et l'urgence sont, depuis quelques années, les objets d'une littérature pléthorique et désormais assez répétitive, Laurent Vidal et les chercheurs regroupés dans l'ANR TERRIAT s'intéressent, quant à eux, à la « lenteur » et à l'« attente ». De l'autre, ils orientent leur attention vers la question du « (...) (...) - 4. Rythmes du social – Nouvel article. (shrink)

Le programme de recherche que l'on trouvera ci-dessous nous semble particulièrement original et utile d'un point de vue rythmanalytique – et cela à double titre. Alors que la vitesse, l'accélération et l'urgence sont, depuis quelques années, les objets d'une littérature pléthorique et désormais assez répétitive, Laurent Vidal et les chercheurs regroupés dans l'ANR TERRIAT s'intéressent, quant à eux, à la « lenteur » et à l'« attente ». Second point fort, ils orientent leur attention vers la question des « (...) (...) - 4. Rythmes du social – Nouvel article. (shrink)