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Arachu
Castro, Ph.D., MPH, is
Assistant Professor of Social Medicine in the Department of Social Medicine
at Harvard Medical School, Project Manager for Mexico and Guatemala at
Partners In Health, and Medical Anthropologist in the Division of Social
Medicine and Health Inequalities in the Department of Medicine at Brigham
and Women’s Hospital in Boston, Massachusetts. Her major interests
are how social inequalities are embodied as differential risk for pathologies
common among the poor and how health policies may alter the course of
epidemic disease and other pathologies afflicting populations living in
poverty. As a medical anthropologist trained in public health, she works
mostly in infectious disease and sexual and reproductive health in Latin
America and the Caribbean. She has worked in Mexico, Argentina, Haiti,
Cuba, Puerto Rico, Venezuela, and Colombia, and is expanding her research
to Brazil and other countries through the Latin American and Caribbean
Prenatal Testing Initiative for HIV and Syphilis, developed in collaboration
with UNICEF, UNAIDS, the Pan American Health Organization (PAHO), and
the Center for International Cooperation on HIV/AIDS of the Ministry of
Health of Brazil. The Initiative aims to scale up screening and diagnostic
testing of HIV, syphilis, and other sexually transmitted diseases during
pregnancy in Latin America and the Caribbean.
Dr. Castro teaches social medicine at Harvard Medical
School and has previously taught in Spain, Argentina, France, Mexico,
Cuba, and the Dominican Republic. At the David Rockefeller Center for
Latin American Studies at Harvard, she serves on its Policy Committee
and is Co-Director of the Cuban Studies Program and Co-Chair of the
Committee on Social Policy in Latin America.
Dr. Castro has been actively involved in designing several
international health policy documents on tuberculosis, AIDS, and access
to health care in conjunction with the World Health Organization (WHO)
and the Pan American Health Organization, such as The Global Plan
to Stop Tuberculosis (Geneva: World Health Organization, 2001),
Scaling Up Health Systems to Respond to the Challenge of HIV/AIDS
in Latin America and the Caribbean (Washington, DC: Pan American
Health Organization, 2003, 100 pp.), and Barrio Adentro: Derecho
a la salud e inclusión social en Venezuela [Barrio Adentro:
Right to health and social inclusion in Venezuela] (Pan American
Health Organization, 2006) of which she was co-author and editor.
Dr. Castro is a member of the Steering Committee on
Social, Economic, and Behavioral Research at the UN Special Programme
for Research and Training in Tropical Diseases (TDR) and has served
on the WHO Team on Development of Appropriate Research Strategies for
Scale Up of Antiretroviral Therapy in Resource-Constrained Settings
(Department of HIV/AIDS and TDR), on the Scientific Working Group on
Tuberculosis (TDR), and on the Public Health Watch International Advisory
Board (Open Society Institute). At the Society for Medical Anthropology,
Dr. Castro was the Secretary-Treasurer (2003-2006) and chair of the
Critical Anthropology of Health Caucus (1998-2002). She is on the editorial
boards of PLos Medicine, PLoS ONE, and the Open Health
Services & Policy Journal.
Dr. Castro received her Ph.D. in Ethnology and Social
Anthropology from the École des Hautes Études en Sciences
Sociales in Paris, a Ph.D. in Sociology from the University of Barcelona,
a Masters in Public Health from Harvard School of Public Health, and
a professional degree in Nutrition from the Polytechnic Institute of
Barcelona. She is the recipient of the 2005 Rudolf Virchow Award of
the Critical Anthropology of Health Caucus of the Society for Medical
Anthropology.
Dr. Castro has published a book on social and nutritional
anthropology (Saber bien: Cultura y prácticas alimentarias
en la Rioja, Instituto de Estudios Riojanos 1998), an edited volume
on medical anthropology (Unhealthy Health Policy: A Critical Anthropological
Examination, Altamira Press 2004) and several articles in medical,
public health, and anthropology journals. Some of her recent publications
include:
- A. Castro and P. Farmer, "Understanding
and Addressing AIDS-Related Stigma: From Anthropological Theory to
Clinical Practice in Haiti," American Journal of Public Health,
95(1):53-59; 2005. http://www.ajph.org/cgi/reprint/95/1/53
- A. Castro, "Adherence
to antiretroviral therapy: Merging the clinical and social course
of AIDS," PLoS Medicine 2(12):1217-1221(e338); 2005.
http://medicine.plosjournals.org/perlserv?request=get-document&doi=10.1271/journal.pmed.0020338
- C. Abadia-Barrero and A. Castro,
"Experiences of Stigma and Access to HAART in Children and Adolescents
Living with HIV/AIDS in Brazil, Social Science & Medicine
62:1219-1228; 2006. http://www.ncbi.nlm.nih.gov/pubmed/16099573?dopt=Citation
- A. Castro, "Sobre el derecho
a la salud," Revista Cubana de Salud Publica 32(1);
2006.http://scielo.sld.cu/pdf/rcsp/v32n1/spu11106.pdf
- M. Westerhaus and A. Castro, “How do Intellectual
Property Law and International Trade Agreements Affect Access to Antiretroviral
Therapy,” PLoS Medicine 3(8): e332; 2006.
http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371%2Fjournal.pmed.0030332
- A. Castro, “Ciencias sociales, medicina y
salud pública: Un encuentro en torno al sida”, Temas
47:15-21; 2006.
http://www.temas.cult.cu/revistas/47/02_Arachu.pdf
- A. Castro, “Sexualidad y relaciones de género
en la transmisión de VIH: Propuestas de investigación
en el área de la prevención,” in Maria Cristina
Álvarez, Esther Leandro, Susan DiGiacomo, Yamina Guidoum (eds.),
Mujer, Sida y Acceso a la Salud en África Subsahariana:
Enfoque crítico desde las ciencias sociales. Barcelona:
Medicus Mundi Catalunya, 2007, pp. 88-93.
http://www.sidafrica.net/publicaciones/
(in English, Spanish, and Portuguese)
- A. Castro, M. Westerhaus, “Access to Generic
Antiretrovirals: Inequality, Intellectual Property Law, and International
Trade Agreements,” Cadernos de Saúde Pública
23(S1):585-596; 2007.
http://www.scielosp.org/pdf/csp/v23s1/10.pdf
- C. Louis, L.C. Ivers, M.C. Smith Fawzi, K. Freedberg,
A. Castro, “Late presentation for HIV care in Central Haiti:
Factors limiting access to care,” AIDS Care 19(4):487-491;
2007.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=17453588&query_hl=19&itool=pubmed_docsum
- A. Castro, Y. Khawja, I. González-Núñez,
“Sexuality, reproduction, and HIV in women: The impact of ART
in elective pregnancies in Cuba,” AIDS 21(S5):S49-S54;
2007.
http://www.ncbi.nlm.nih.gov/pubmed/18090268?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum
- A. Castro, “In and Out: User Fees and Other
Unfortunate Events during Hospital Admission and Discharge,”
in Cadernos de Saúde Pública 24; 2008 (in press).
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