Scientific journal paper Q1
Medicines and therapeutic pluralism in Maputo: exploring modalities of trust and the (un)certainties of everyday users
Carla F. Rodrigues (Rodrigues, C. F.);
Journal Title
Health, Risk and Society
Year (definitive publication)
2016
Language
English
Country
United Kingdom
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Abstract
The increased accessibility of medicines across the globe has expanded choice in medicine consumption. These changes give rise to increasing complexity and new uncertainties regarding the repertoire of therapeutic resources available for everyday users. This raises questions of how individuals evaluate different therapeutic re-sources and how they choose among such diversity in their daily lives. Using ongoing research in Maputo, Mozambique, in this article I explore how different modalities of trust influence decision-making processes concerning medicine use for minor ailments, particularly the role of trust in the management of perceived uncertainty and risk in a context of therapeutic pluralism. The research included eight months of ethnographic fieldwork in 2013 and 2014 plus seven focus group discussions with a total of 42 participant. I found that three main layers of trust framed individuals’ relations to medicine use: trust in medical systems, trust in health organisations and providers and trust in personal and socially shared experiences. Despite being strongly intertwined, these different layers played different roles in decision-making. The third layer, grounded on ‘lay’ bases of knowledge and experience, played a major role when individuals chose between the available repertoire of therapeutic resources for minor ailments.
Acknowledgements
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Keywords
Risk,Trust,Medicines,Therapeutic pluralism,Maputo,Mozambique
  • Sociology - Social Sciences
Funding Records
Funding Reference Funding Entity
SFRH/BD/78172/2011 Fundação para a Ciência e a Tecnologia