HIV/AIDS, beersellers and critical community health psychology in Cambodia: a case study

This case study illustrates a participatory framework for confronting critical community health issues using ‘grass-roots’ research-guided community-defined interventions. Ongoing work in Cambodia has culturally adapted research, theory and practice for particular, local health-promotion responses to HIV/AIDS, alcohol abuse and other challenges in the community of Siem Reap. For resource-poor communities in Cambodia, we recycle such ‘older’ concepts as ‘empowerment’ and ‘action research’. We re-imagine community health psychology, when confronted with ‘critical’, life-and-death issues, as adjusting its research and practices to local, particular ontological and epistemological urgencies of trauma, morbidity and mortality

A glimpse into genetic diversity and symbiont interaction patterns in lichen communities from areas with different disturbance histories in białowieża forest, Poland

Anthropogenic disturbances can have strong impacts on lichen communities, as well as on individual species of lichenized fungi. Traditionally, lichen monitoring studies are based on the presence and abundance of fungal morphospecies. However, the photobionts, as well photobiont mycobiont interactions also contribute to the structure, composition, and resilience of lichen communities. Here we assess the genetic diversity and interaction patterns of algal and fungal partners in lichen communities along an anthropogenic disturbance gradient in Białowieża Forest (Poland). We sampled a total of 224 lichen thalli in a protected, a managed, and a disturbed area of the forest, and sequenced internal transcribed spacer (ITS) ribosomal DNA (rDNA) of both, fungal and algal partners. Sequence clustering using a 97% similarity threshold resulted in 46 fungal and 23 green algal operational taxonomic units (OTUs). Most of the recovered photobiont OTUs (14 out of 23) had no similar hit in the NCBI-BLAST search, suggesting that even in well studied regions, such as central Europe, a lot of photobiont diversity is yet undiscovered. If a mycobiont was present at more than one site, it was typically associated with the same photobiont OTU(s). Generalist species, i.e., taxa that associate with multiple symbiont partners, occurred in all three disturbance regimes, suggesting that such taxa have few limitations in colonizing or persisting in disturbed areas. Trebouxia jamesii associated with 53% of the fungal OTUs, and was generally the most common photobiont OTU in all areas, implying that lichens that associate with this symbiont are not limited by the availability of compatible photobionts in Central European forests, regardless of land use intensity

Social and behavioural factors associated with condom use among direct sex workers in Siem Reap, Cambodia

Methods: Using a structured behavioural questionnaire, interviews were conducted with 140 direct sex workers attending a health centre in Siem Reap for HIV screening. Results: Consistent condom use with their clients was reported by 78% of sex workers compared to only 20% with their non-paying partners. Consistent condom use with clients was significantly higher among higher income than lower income sex workers (adjusted prevalence ratio: 1.91, 95% CI: 1.15 to 3.18) and those with good rather than poor negotiation skills (adjusted prevalence ratio: 1.51, 95% CI: 1.01 to 2.26), after adjustment for age, educational level, marital status, number of sexual encounters per week, and knowledge of AIDS/HIV and sexually transmitted infections. The most frequently reported reason for not using condoms with clients was not being able to persuade them (66.7%), while for non-paying partners, the reason was that they loved them (60.0%). Conclusion: To complement the government's current programme of client education, 100% condom policy and brothel administrative measures, additional strategies to increase condom use among clients and non-paying partners should be directed at (i) the social policy and community levels to address sex workers' economic and cultural barriers to condom use, and (ii) personal level empowerment through developing sex workers' condom negotiation skills

HIV/AIDS and alcohol risks in Cambodia: Confronting challenges and policy-making through research-guided actions

This chapter describes how researchers, practitioners and interns from social sciences, medicine, public health and global development have collaborated in Cambodia with local health providers, employers, NGOs, grass-roots stakeholders and volunteers to confront HIV/AIDS and the co-risk of alcohol overuse. Results from research-driven interventions engage the local community and also seek to effect national and global policy and practices. The grass-roots NGO SiRCHESI (Siem Reap Citizens for Health, Educational and Social Issues) uses local health workers and peer educators to provide interventions and evaluate their impact. These health-promotion interventions involve contacts with local partners, global business headquarters, government policy-makers and relevant decision-makers.Strategies are discussed for changing policy or practices by directly “making data matter” or “indirectly”, by providing the data to others (e.g., press, unions, international organizations) whose mandates involve greater “activism” than permitted Cambodian NGOs