shadow_tr
spacer
people
spacer

 

 Arachu Castro    

Arachu Castro, PhD, MPH
Samuel Z. Stone Chair of Public Health in Latin America
Department of Global Health Systems and Development
Tulane University School of Public Health and Tropical Medicine
1440 Canal Street, Suite 1900
New Orleans, LA 70112
Phone: (504) 988-7177
Fax: (504) 988-3783
acastro1@tulane.edu

 







Research Interests:

Infectious disease, women's health, primary health care in low- and middle-income countries, social inequality, health policy, medical anthropology, Latin America and the Caribbean.

 

Educational Background:

  • MA, University of Barcelona (History and Social Anthropology)
  • RD, Polytechnic Institute of Barcelona (Nutrition)
  • PhD, École des Hautes Études en Sciences Sociales, Paris (Ethnology and Social Anthropology)
  • PhD, University of Barcelona (Sociology)
  • MPH, Harvard School of Public Health (International Health)

Professional Achievements:

Among other awards, Dr. Castro is the recipient of the 2005 Rudolf Virchow Award of the Society for Medical Anthropology and the 2010 Guggenheim Fellowship for her work on Women and AIDS in Latin America and the Caribbean.  In 2012, she was named Fellow of the Society for Applied Anthropology.

Selected Publications:

Allison Ettenger, Till Bärnighausen, Arachu Castro, (*) Health insurance for the poor decreases access to HIV testing in antenatal care: Evidence of an unintended effect of health insurance reform in Colombia, Health Policy and Planning 1-7; doi: 10.1093/heapol/czt021; 2013.

Özge Tunçalp, Cynthia Stanton, Arachu Castro, Richard Adanu, Marilyn Heymann, Kwame Adu-Bonsaffoh, Samantha R. Lattof, Ann Blanc, Ana Langer, Validating Women’s Self-Report of Emergency Cesarean Sections in Ghana and the Dominican Republic, PLoS ONE 8(5): e60761. doi:10.1371/journal.pone.0060761; 2013.

Ari Johnson, Adeline Goss, Jessica Beckerman, Arachu Castro, (*) Hidden Costs: The Direct and Indirect Impact of User Fees on Access to Malaria Treatment and Primary Care in Mali, Social Science & Medicine 75:1786-1792; 2012.

Carlos Aragonés-López, Jorge Pérez-Ávila, Mary C. Smith Fawzi, Arachu Castro, (*) Quality of Life of People with HIV/AIDS Receiving Antiretroviral Therapy in Cuba: A Cross-Sectional Study of the National Population. American Journal of Public Health 102(5):884-892; 2012.

Multiple authors. 2010 Situation Analysis: Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis in the Americas. Washington, DC: Pan American Health Organization, 2011, 47 pp. (Note: Arachu Castro drafted the report and conducted data analysis).

Eddy Pérez-Then, Marija Miric, Arachu Castro. Integración de la Atención Prenatal con los Procesos de Detección y Manejo Clínico del VIH y de la Sífilis en la República Dominicana [Integration of Prenatal Care with the Diagnosis and Clinical Management of HIV and Syphilis in the Dominican Republic]. Santo Domingo: UNICEF, 2011, 178 pp.

Arachu Castro, Análisis Regional Consolidado de los Informes UNGASS Presentados por 17 Países de América Latina en 2011 [Consolidated Regional Analysis of the UNGASS Reports Submitted by 17 Latin American Countries]. Panama: UNAIDS Regional Support Team for Latin America, 2011, 130 pp.

Arachu Castro, “En estado de buena esperanza: Análisis de la experiencia reproductiva en mujeres con VIH en Cuba” [In state of good hope: Analysis of the reproductive experience of women with HIV in Cuba], in Jesús Armando Haro (ed.) El planteamiento de una epidemiología sociocultural: Un diálogo en torno a su sentido, métodos y alcances. Buenos Aires: Lugar Editorial and El Colegio de Sonora, 2011; pp. 155-168.

Arachu Castro, José Ramón Espinoza, María Esther Quintana, Alba Alvarado, Julio Piura, Yadira González. Integración de la Atención Prenatal con los Procesos de Detección y Manejo Clínico del VIH y de la Sífilis en Nicaragua [Integration of Prenatal Care with the Diagnosis and Clinical Management of HIV and Syphilis in Nicaragua]. Managua: UNICEF 2011.

Arachu Castro, Yasmin Khawja, and James Johnston, (*) “Social Inequalities and Dengue Transmission in Latin America,” in Ann Herring and Alan Swedlund (eds.) Plagues and Epidemics: Infected Spaces Past and Present. New York, Oxford: Berg Publishers, 2010; pp. 231-249.

Michael E. Herce, Jacob A. Chapman, Arachu Castro, Gabriel García Salyano, Kaveh Khoshnood, (*) “A Role for Community Health Promoters in Tuberculosis Control in the State of Chiapas, Mexico,” Journal of Community Health 35(2):182-9; 2010.

Maureen Connolly, Claudia Bautista, Arachu Castro, (*) “Utilización del Formulario de la Historia Clínica Perinatal y Neonatal en República Dominicana” [Use of the Perinatal and Neonatal Clinical History Form in the Dominican Republic], Boletín del Centro Nacional de Investigaciones en Salud Materno Infantil 19(3):17-23; 2009.

Arachu Castro and Utpal Sandesara, (*) Integración de la atención prenatal con los procesos de detección y manejo clínico del VIH y de la sífilis en el Perú / Integration of Prenatal Care with the Testing and Treatment of HIV and Syphilis in Peru. Lima: Socios En Salud, Ministry of Health of Peru (MINSA), UNAIDS, UNICEF, 2009, 154 pp. ISBN 978-612-45430-1-2.

Arachu Castro, “Prevention of Mother-to-Child Transmission of HIV and Syphilis in Latin America and the Caribbean,” in Challenges Posed by the HIV Epidemic in Latin America and the Caribbean 2009. Washington, DC: Pan American Health Organization, UNICEF, and UNAIDS, 2009; pp. 55-73. [Spanish translation: “Prevención de la Transmisión Maternoinfantil del VIH y de la Sífilis Congénita en América Latina y el Caribe”, in Retos planteados por la epidemia del VIH en América Latina y el Caribe 2009. Lima: Pan American Health Organization, UNICEF, and UNAIDS, 2009; pp. 57-75].

Michael Westerhaus and Arachu Castro, (*) “Inverting the Killer Commodity Model: Withholding Medicines from the Poor,” in Merrill Singer and Hans Baer (eds.) Killer Commodities: A Critical Anthropological Examination of Corporate Products and Public Health. Berkeley, CA: Altamira Press, 2008; pp. 367-397.

Arachu Castro, Yasmin Khawja, Ida González-Núñez, “Sexuality, reproduction, and HIV in women: The impact of ART in elective pregnancies in Cuba,” AIDS 21(S5):S49-S54; 2007.

Coeurlida Louis, Louise C. Ivers, Mary C. Smith Fawzi, Kenneth A. Freedberg, Arachu Castro, (*) “Late presentation for HIV care in Central Haiti: Factors limiting access to care,” AIDS Care 19(4):487-491; 2007.

Arachu Castro and Michael Westerhaus, (*) “Access to Generic Antiretrovirals: Inequality, Intellectual Property Law, and International Trade Agreements,” Cadernos de Saúde Pública 23(S1):585-596; 2007. [Spanish version: Arachu Castro and Michael Westerhaus“¿Libertad o monopolio? Patentes, tratados comerciales y acceso a tratamientos con antirretrovirales,” in Quaderns de l’Institut Català d’Antropologia 22:21-45; 2006].

Arachu Castro, “Ciencias sociales, medicina y salud pública: Un encuentro en torno al sida” [Social sciences, medicine, and public health: An encounter around AIDS], Temas 47:15-21; 2006.

Michael Westerhaus and Arachu Castro, (*) “How do Intellectual Property Law and International Trade Agreements Affect Access to Antiretroviral Therapy?” PLoS Medicine 3(8): e332; 2006.

César E. Abadía-Barrero and Arachu 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.

Arachu Castro, Renato Gusmão, M. Esperanza Martínez, Sarai Vivas (eds.), 2006, Barrio Adentro: Derecho a la salud e inclusión social en Venezuela. Caracas: Pan American Health Organization, 152 pp. ISBN 980-6678-02-8. [English translation: Mission Barrio Adentro: The Right to Health and Social Inclusion in Venezuela. 135 pp.; French translation: Barrio Adentro: Le droit à la santé et à l’inclusion sociale au Venezuela. 163 pp.].

Arachu Castro and Paul Farmer, “L’anthropologie médicale aux États-Unis” [Medical anthropology in the United States], in Francine Saillant and Serge Genest (eds.), Anthropologie médicale: ancrages locaux, défis globaux. Québec: Presses de l’Université Laval, 2005, pp. 91-112; Paris: Anthropos Economica, 2005. [English translation: Arachu Castro and Paul Farmer, “Medical anthropology in the United States,” in Francine Saillant and Serge Genest (eds.), Medical Anthropology: Regional Perspectives and Shared Concerns. Malden, MA: Blackwell, 2006, pp. 42-57.] [Portuguese translation: Arachu Castro and Paul Farmer, “Antropologia médica nos Estados Unidos,” in Francine Saillant and Serge Genest (eds.), Antropologia Médica: ancoragens locais, desafíos globais. Rio de Janeiro: Fiocruz, 2012].

Arachu Castro, “Adherence to antiretroviral therapy: Merging the clinical and social course of AIDS,” PLoS Medicine 2(12): 1217-1221(e338); 2005.

Arachu Castro and Paul 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. [Spanish version: Arachu Castro and Paul Farmer, “El estigma del sida y su evolución social: Una visión desde Haití,” Revista de Antropología Social 14:127-146; 2005].

Arachu Castro and Paul Farmer, “Health and Economic Development”, in Carol R. Ember and Melvin Ember (eds.), Encyclopedia of Medical Anthropology: Health and Illness in the World’s Cultures. New York: Springer, 2004, pp. 164-170.

Arachu Castro, “Contracepting at Childbirth: The Integration of Reproductive Health and Population Policies in Mexico,” in Arachu Castro and Merrill Singer (eds.), Unhealthy Health Policy: A Critical Anthropological Examination. Walnut Creek, CA: Altamira Press, 2004, pp. 133-144.

Paul Farmer and Arachu Castro, “Pearls of the Antilles? Public Health in Haiti and Cuba,” in Arachu Castro and Merrill Singer (eds.), Unhealthy Health Policy: A Critical Anthropological Examination. Walnut Creek, CA: Altamira Press, 2004, pp. 3-28. (Recipient of the 2005 Rudolf Virchow Award). [Spanish translation: Arachu Castro and Paul Farmer, “¿Perlas del Caribe? La salud pública en Haití y Cuba,” Revista Colombiana de Antropología 40:319-352; 2004].

(*) denotes a student involved in authorship

 

Personal Statement:

Arachu Castro, Ph.D., M.P.H., is Samuel Z. Stone Chair of Public Health in Latin America at Tulane University. 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, Dr. Castro works mostly in infectious disease and women's health in Latin America and the Caribbean. She has worked in Mexico, Argentina, Haiti, Cuba, Puerto Rico, Venezuela, Colombia, Peru, the Dominican Republic, and Nicaragua. Prior to joining Tulane in 2013, she was Associate Professor of Global Health and Social Medicine in the Department of Global Health and Social Medicine at Harvard Medical School, Senior Advisor for Mexico and Guatemala at Partners In Health, and Medical Anthropologist in the Division of Global Health Equity in the Department of Medicine at Brigham and Women’s Hospital in Boston.

In recent years, most of her work has been conducted through The Latin America and Caribbean Initiative for the Integration of Prenatal Care with the Testing and Treatment of HIV and Syphilis (ILAP), which she founded in 2007 in collaboration with UNICEF, UNAIDS, the Pan American Health Organization (PAHO), and several Latin American national AIDS programs. Published country reports include: Peru, Nicaragua, Brazil, Uruguay, and the Dominican Republic. The operational research objectives of ILAP were to: 1) qualitatively analyze the current status of prenatal care and services to diagnose and treat HIV and syphilis; 2) inform, support, and monitor the required changes to reach the integration of prenatal care with the testing and treatment of HIV and syphilis as countries implement their national strategy. The aim of ILAP was to contribute to the integration of prenatal care with the diagnosis and management of HIV and syphilis and to improve PMTCT efforts among participating countries. ILAP has worked in coordination with the PAHO and UNICEF Regional Initiative for the Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis in Latin America and the Caribbean.

In 2010, building on the research strategy and strong institutional collaborations developed through ILAP, Dr. Castro set in motion a research approach to prevent maternal mortality. The Maternal Mortality Prevention (MMP) Project in the Dominican Republic is conducted in collaboration with the Ministry of Public Health of the DR and UNICEF. In Peru, MMP is conducted in collaboration with the Ministry of Health of Peru, Dartmouth College, and Partners In Health.

Currently, Dr. Castro is focusing on the analysis of different models of primary health care throughout Latin America and the Caribbean and the different health outcomes they each achieve. The goal is to attain a better knowledge of which types of primary care arrangements and interactions with other levels of care are better suited to improve health indicators and, ultimately, to better serve the needs of the millions of people, urban and rural, who live in direst conditions.

 

Level of Instruction:

graduate
undergraduate

 

[ View all Global Health Systems and Development Faculty ]

 

spacer

1440 Canal Street | Suite 1900 | Box TB-46 | New Orleans, LA 70112 | 504-988-5428 | ghsd@tulane.edu