title: Beyond faith-based organizations: using comparative institutional ethnography to understand religious responses to HIV and AIDS in Brazil.
abstract: Religious institutions, which contribute to understanding of and mobilization in response to illness, play a major role in structuring social, political, and cultural responses to HIV and AIDS. We used institutional ethnography to explore how religious traditions--Catholic, Evangelical, and Afro-Brazilian--in Brazil have influenced HIV prevention, treatment, and care at the local and national levels over time. We present a typology of Brazil's division of labor and uncover overlapping foci grounded in religious ideology and tradition: care of people living with HIV among Catholics and Afro-Brazilians, abstinence education among Catholics and Evangelicals, prevention within marginalized communities among Evangelicals and Afro-Brazilians, and access to treatment among all traditions. We conclude that institutional ethnography, which allows for multilevel and interlevel analysis, is a useful methodology.
authors.affiliation: Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 W 168th St, 5th Floor, New York, NY 10032, USA. mam172@columbia.edu
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Muñoz-Laboy
authors.forename: Laura
authors.initials: L
authors.lastname: Murray
authors.forename: Natalie
authors.initials: N
authors.lastname: Wittlin
authors.forename: Jonathan
authors.initials: J
authors.lastname: Garcia
authors.forename: Veriano
authors.initials: V
authors.lastname: Terto
authors.forename: Richard G
authors.initials: RG
authors.lastname: Parker
mesh_terms: D000884:Anthropology, Cultural; D001938:Brazil; D002410:Catholicism; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology* / Q000628:therapy*; D006297:Health Services Accessibility; D006801:Humans; D009939:Organizations, Nonprofit; D033303:Protestantism; D036301:Qualitative Research; D012067:Religion; D013240:Stereotyping