FIEBRE  – Social Science Study

Principal Investigators: Dr Clare Chandler, Dr Justin Dixon and Salome Manyau (PhD Candidate)

The FIEBRE social science study, sponsored by the London School of Hygiene and Tropical Medicine, aims to explore the connections between fever and antimicrobial use (AMU) in Zimbabwe, across a variety of formal and informal settings including clinics, hospitals, pharmacies, markets and homes. By conducting social research, we aim to broaden the debates around AMU and febrile illness from individual decision-making to the wider social and economic processes that give antimicrobials their prominence in everyday life.  In doing so, we will offer valuable insights towards devising ways of better using antimicrobials in fever case management and for limiting the impact of antimicrobial resistance (AMR) on care, lives and livelihoods. Three key themes will form the starting point for our investigations:

Fever. Fever is defined clinically as an abnormally high body temperature. But it is important to know how fever is actually experienced, conceptualized and acted upon in order to understand its utility as a category in fever case management.

Care. Antimicrobials often take the form of care in everyday life. They are objects that ‘care’ for our sick and vulnerable. It is important to further our understanding of how AMU is linked to institutional, ethical and everyday forms of care

Pharmaceuticals and Markets. Our use of antimicrobials is shaped by the multitude of contexts within which they are prescribed, sold and traded. It is important to explore

both the nature and scale of markets that antimicrobials are traded in, and how these markets are shaped by specific historical, social, economic and regulatory factors (e.g. exploring the factors that shape and influence access and use of medicines).

The FIEBRE social science study is conducted by the London School of Hygiene and Tropical Medicine, in collaboration with the Biomedical Research and Training Institute.