Project acronym CEAD
Project Contextualizing Evidence for Action on Diabetes in low-resource Settings: A mixed-methods case study in Quito and Esmeraldas, Ecuador.
Researcher (PI) Lucy Anne Parker
Host Institution (HI) UNIVERSIDAD MIGUEL HERNANDEZ DE ELCHE
Country Spain
Call Details Starting Grant (StG), SH3, ERC-2018-STG
Summary The relentless rise in diabetes is one of the greatest global health emergencies of the 21st century. The increase is most pronounced in low and middle income countries where today three quarters of people with diabetes live and over 80% of the deaths attributed to non-communicable diseases occur. In light of the wealth of knowledge already available about how to tackle the problem, most major international organizations call for the adoption healthy public policies and initiatives to strengthening health systems. However, implementation of recommended action remains limited in many settings. Most evidence comes from high-income settings and may generate recommendations that cannot be successfully implemented in other settings without careful consideration and contextualization. I propose here that this “know-do” gap can be reduced by revealing the barriers to implementing evidence-based recommendations, engaging local stakeholders in developing context-led innovations and developing a tool-kit for contextualizing and implementing diabetes recommendations in low-resource settings. I plan the research in two carefully selected settings in Ecuador, with mixed-methods combining quantitative epidemiological research and qualitative methodology to generate the rich and varied knowledge that is required to trigger policy action and/or changes in care models. Furthermore, I will engage patients, community members, health workers and decision makers in the process of knowledge generation, interpretation and use. The overarching objective is hence, to explore the process by which global recommendations can be translated into context-specific, evidence-informed action for diabetes prevention in low-resource settings. The findings will support the global endeavour to bridge the global “know-do” gap, one of the most important public health challenges this century and a great opportunity for strengthening health systems and achieving health equity.
Summary
The relentless rise in diabetes is one of the greatest global health emergencies of the 21st century. The increase is most pronounced in low and middle income countries where today three quarters of people with diabetes live and over 80% of the deaths attributed to non-communicable diseases occur. In light of the wealth of knowledge already available about how to tackle the problem, most major international organizations call for the adoption healthy public policies and initiatives to strengthening health systems. However, implementation of recommended action remains limited in many settings. Most evidence comes from high-income settings and may generate recommendations that cannot be successfully implemented in other settings without careful consideration and contextualization. I propose here that this “know-do” gap can be reduced by revealing the barriers to implementing evidence-based recommendations, engaging local stakeholders in developing context-led innovations and developing a tool-kit for contextualizing and implementing diabetes recommendations in low-resource settings. I plan the research in two carefully selected settings in Ecuador, with mixed-methods combining quantitative epidemiological research and qualitative methodology to generate the rich and varied knowledge that is required to trigger policy action and/or changes in care models. Furthermore, I will engage patients, community members, health workers and decision makers in the process of knowledge generation, interpretation and use. The overarching objective is hence, to explore the process by which global recommendations can be translated into context-specific, evidence-informed action for diabetes prevention in low-resource settings. The findings will support the global endeavour to bridge the global “know-do” gap, one of the most important public health challenges this century and a great opportunity for strengthening health systems and achieving health equity.
Max ERC Funding
1 475 334 €
Duration
Start date: 2019-01-01, End date: 2023-12-31
Project acronym MULTIPALEOIBERIA
Project Population dynamics and cultural adaptations of the last Neandertals and first Modern humans in inland Iberia: a multi-proxy investigation
Researcher (PI) Manuel ALCARAZ-CASTAnO
Host Institution (HI) UNIVERSIDAD DE ALCALA
Country Spain
Call Details Starting Grant (StG), SH6, ERC-2018-STG
Summary The relations between cultural developments and environmental change among hunter-gatherers are crucial for studying population dynamics during the last glaciation (110,000–11,700 years ago). However, proposing solid interpretations on how climate and environment variability affected the social and techno-economic organisation of hominins, requires robust geoarchaeological, chronological, and palaeoecological evidence. In the Iberian Peninsula, a key area for this period due to its geographic position and ecological variability, models on these topics are biased by the poor quality of available evidence for its interior lands. The Iberian interior has been traditionally depicted as a marginal and few populated region due to its harsh ecological conditions compared to the coastal areas. Based on preliminary data suggesting that this picture could be wrong, I hypothesize (1) that the human settlement of interior Iberia during this period was more stable than previously thought and (2) that his has relevant implications at the European scale for problems such as the replacement of Neandertals by modern humans, the first modern human peopling of Europe, and the patterns of land use and mobility during the coldest stages of the last glacial. To test these hypotheses, this project will investigate population dynamics and human-environment interactions of the last Neandertals and first modern humans in interior Iberia based on completely unprecedented evidence gathered by means of a macro-regional and interdisciplinary research project. This involves the participation of a wide team of scholars coordinated by the PI, and a network of methods including field surveys, geoarchaeological excavations and chronometric, paleoecological, zooarchaeological, techno-economic and symbolic studies. The results will significantly change our views on key biocultural and ecological processes of the European prehistory, and the way human societies have dealt with challenging environments.
Summary
The relations between cultural developments and environmental change among hunter-gatherers are crucial for studying population dynamics during the last glaciation (110,000–11,700 years ago). However, proposing solid interpretations on how climate and environment variability affected the social and techno-economic organisation of hominins, requires robust geoarchaeological, chronological, and palaeoecological evidence. In the Iberian Peninsula, a key area for this period due to its geographic position and ecological variability, models on these topics are biased by the poor quality of available evidence for its interior lands. The Iberian interior has been traditionally depicted as a marginal and few populated region due to its harsh ecological conditions compared to the coastal areas. Based on preliminary data suggesting that this picture could be wrong, I hypothesize (1) that the human settlement of interior Iberia during this period was more stable than previously thought and (2) that his has relevant implications at the European scale for problems such as the replacement of Neandertals by modern humans, the first modern human peopling of Europe, and the patterns of land use and mobility during the coldest stages of the last glacial. To test these hypotheses, this project will investigate population dynamics and human-environment interactions of the last Neandertals and first modern humans in interior Iberia based on completely unprecedented evidence gathered by means of a macro-regional and interdisciplinary research project. This involves the participation of a wide team of scholars coordinated by the PI, and a network of methods including field surveys, geoarchaeological excavations and chronometric, paleoecological, zooarchaeological, techno-economic and symbolic studies. The results will significantly change our views on key biocultural and ecological processes of the European prehistory, and the way human societies have dealt with challenging environments.
Max ERC Funding
1 387 515 €
Duration
Start date: 2019-01-01, End date: 2023-12-31
Project acronym RIVERS
Project Water/human rights beyond the human? Indigenous water ontologies, plurilegal encounters and interlegal translation
Researcher (PI) Lieselotte VIAENE
Host Institution (HI) UNIVERSIDAD CARLOS III DE MADRID
Country Spain
Call Details Starting Grant (StG), SH2, ERC-2018-STG
Summary RIVERS’s main challenge is to produce ground-breaking knowledge, from an empirical, interdisciplinary and dialoguing perspective, about the contentions and challenges intrinsic to reconceptualising human rights with different ways of understanding and relating to water. Worldwide, indigenous peoples are mobilising against the neoliberalisation of nature, demonstrating radically different ways of knowing, being and living. At the same time, in 2010 the UN acknowledged water as a human right, while in 2017 New Zealand, India and Colombia established ground-breaking legal precedents by granting rivers human rights. RIVERS’s overarching research question is: To what extent can international human rights law come to grips with plurilegal water realities? This project engages with one of the most pressing questions of this century: the relationship between humans and nature. RIVERS tackles two intertwined core objectives: 1) analysing different ways of knowing and relating to water and life among indigenous peoples and their understanding of its (potential) violation by extractive projects; 2) discussing the contributions, challenges and pitfalls of interlegal translation of differing water natures in plurilegal encounters at domestic and international levels. RIVERS will develop a multi-sited analysis and empirical case-studies in three contexts: Colombia, Nepal and the UN human rights protection system. Through the lens of legal pluralism, this will foreground competing political and legal water realities that interrogate dominant understandings of the modern world. RIVERS will address two interrelated research challenges: 1) indigenous visions/practices: beyond water as a natural resource and human right; 2) the UN human rights system: towards counter-hegemonic water knowledge production. This project will pioneer new ways of thinking about water beyond the modern divides of nature/culture, providing clues about future paths towards reconceptualising human rights.
Summary
RIVERS’s main challenge is to produce ground-breaking knowledge, from an empirical, interdisciplinary and dialoguing perspective, about the contentions and challenges intrinsic to reconceptualising human rights with different ways of understanding and relating to water. Worldwide, indigenous peoples are mobilising against the neoliberalisation of nature, demonstrating radically different ways of knowing, being and living. At the same time, in 2010 the UN acknowledged water as a human right, while in 2017 New Zealand, India and Colombia established ground-breaking legal precedents by granting rivers human rights. RIVERS’s overarching research question is: To what extent can international human rights law come to grips with plurilegal water realities? This project engages with one of the most pressing questions of this century: the relationship between humans and nature. RIVERS tackles two intertwined core objectives: 1) analysing different ways of knowing and relating to water and life among indigenous peoples and their understanding of its (potential) violation by extractive projects; 2) discussing the contributions, challenges and pitfalls of interlegal translation of differing water natures in plurilegal encounters at domestic and international levels. RIVERS will develop a multi-sited analysis and empirical case-studies in three contexts: Colombia, Nepal and the UN human rights protection system. Through the lens of legal pluralism, this will foreground competing political and legal water realities that interrogate dominant understandings of the modern world. RIVERS will address two interrelated research challenges: 1) indigenous visions/practices: beyond water as a natural resource and human right; 2) the UN human rights system: towards counter-hegemonic water knowledge production. This project will pioneer new ways of thinking about water beyond the modern divides of nature/culture, providing clues about future paths towards reconceptualising human rights.
Max ERC Funding
1 498 446 €
Duration
Start date: 2019-05-01, End date: 2024-04-30
