Tag Archives: Public health

Their goal is inclusive, so why not the app?

Recently, while searching for a story to report about world-changing, I read a press release about MyGIHealth, which seemed quite promising. As I understood it, people with gastrointestinal problems could use a free app or website to record their symptoms, get meaningful medical feedback, and share a rich record with their physicians. This seemed like a great way to help.

And probably it is for thousands of people. But it works fully only as an iOS app, so large numbers of potential users, including me, are shut out. Surely this results from a mismatch of goals and activities. Continue reading

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Garbology for research on condom use

Recently I completed a systematic review of research explaining patterns of condom use in five East African countries. The most basic conclusion is that researchers failed to answer this vital question. The most informative projects employed ethnographic participant-observation, and future researchers should emphasize this methodology – as opposed to the current focus on surveys, on which people demonstrably lie in large numbers. All of this is detailed in my comprehensive report, which is freely available online.

Nonetheless, participant-observation has its weaknesses, and one of these is in producing stats. Numerical evidence of trends is important for understanding whether a public-health program is working, and it’s something that policymakers and journalists expect. Since asking people directly about their sex lives yields disastrously unreliable answers, less-direct methods are needed. Continue reading

Condoms haven’t ended HIV – but reduce it

A recent article in the New York Times included a dangerously misleading passage:

Funding decisions for H.I.V. prevention have long been mired in an ideological battle pitting condoms versus abstinence. But experts note that the conflict is fading: Neither condoms nor abstinence has stopped the AIDS epidemic among gay Americans or heterosexual Africans.

What’s wrong here? Continue reading