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HIV/AIDS is a catastrophe globally but nowhere more so than in sub-Saharan Africa, which in 2008 accounted for 67 percent of cases worldwide and 91 percent of new infections. The Institute of Medicine recommends that the United States and African nations move toward a strategy of shared responsibility such that these nations are empowered to take ownership of their HIV/AIDS problem and work to solve it.
This collection of essays provides a provocative critique of leadership on HIV/AIDS in Africa from the 1980s to the present. The book examines the rhetoric on HIV/AIDS which has influenced culture and behavior, service delivery, policy, the design of national interventions, and the varied success of different countries in containing the pandemic. African scholars put into context a host of public and scholarly disputes ranging from AIDS exceptionalism and Thabo Mbeki's 'denialism,' to the racist debates on 'African promiscuity' and the recent revival of assertions that homosexuality is not an 'African' behavior. The book refers to the records of governments in a wide range of African countries, with case studies drawing on the rhetoric of governments and the nature of government leadership in South Africa, The Gambia, Morocco, Zambia, and Ethiopia, as well as the African Union's declarations on HIV/AIDS. What emerges is that the rhetoric is diverse, occasionally logical, and effective in terms of informing systemic HIV/AIDS interventions that improve the welfare of people, and sometimes it is contradictory to the point of absurdity. *** "...the editors have put together a book that wil intrigue many readers... They address common myths, such as the belief that HIV/AIDS is part of a Western plot to destroy Africans. Credit is also given where it is due, as in the case of Morocco, where the government instituted initiatives at local, regional, and national levels as early as 1986 and now has a prevalence of HIV infection of 0.1 percent. Recommended." C. Apt., South Carolina State University, Choice, February 2013, Vol. 50, No. 6.
This book examines HIV/AIDS vulnerabilities, impacts and responses in the socioeconomic and cultural context of Sub-Saharan Africa. With contributions from social scientists and public health experts, the volume identifies gender inequality and poverty as the main causes of the HIV epidemic in sub-Saharan Africa.
This book examines HIV/AIDS vulnerabilities, impacts and responses in the socioeconomic and cultural context of Sub-Saharan Africa. With contributions from social scientists and public health experts, the volume identifies gender inequality and poverty as the main causes of the HIV epidemic in sub-Saharan Africa.
The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.
Sub-Saharan Africa is a region devastated by HIV/AIDS. The extent of the epidemic is only now becoming clear, as increasing numbers of people with HIV are becoming ill. In the absence of massively expanded prevention, treatment and care efforts, the AIDS death toll on the continent is set to escalate rapidly. Despite progress being achieved in localized settings, the alarming statistics reflect the continuing failure of advanced countries to mount a response that matches the scale and severity of the African HIV/AIDS crisis. Over and above the colossal personal suffering, the dire social and economic consequences for fragile nation-states are already being felt, not only in health but in education, industry, agriculture, transport, human resources and economies in general. Countries already crippled by drought, poverty, debt, forced migration and civil war must now contend with massive deterioration in child survival rates and life expectancy, the erosion of the economic family base, massive and insupportable demands on health and public services, chronic labour shortages and volatile national security. Through a critical and detailed exploration of specific case studies, this invaluable volume brings together an unparalleled array of international contributors to redefine the political and economic contours of this calamitous epidemic. It examines the impact of the shortfalls in the 'Global Fund' allocation, the slow pace of administrative processing of aid and the weaknesses of institutional responses to the crisis from African countries and their partners in the global health community. It is essential reading for all concerned with public health, epidemiology, HIV/AIDS research, globalization, development, Africa and indeed our shared future. Features include: ” Unique assessments of HIV/AIDS and its impact on democracy and governance in African states ” Wide-ranging regional and country studies by the foremost thinkers in their fields ” Multi-disciplinary contributions from areas including: Politics, Sociology, Public Health and Development Studies ” Compelling and convincing evidence, thematic in approach ” Innovative and culturally specific insights for long-term planning, care and support
This book is for students and scholars studying political economy, public policy, and global health, and all those who are interested in knowing how ordinary Africans think about the response to the AIDS epidemic. It studies the divergent priorities of donors and citizens in response to AIDS intervention in Africa.
This edited volume analyzes African state responses to the AIDS epidemic. Institutionally weak, limited in resources and lacking power in the international system, the African state has been characterized as inefficient, corrupt and illegitimate. The volume questions how aspects of the African state have affected policy responses to AIDS. It highlights how African states must initiate, develop and/or implement the long-term policy solutions necessary to combat AIDS. It employs empirical studies from the international and national arena to illustrate why some African states have been able (and willing) to address AIDS while others have not. Contributions analyze how international actors, civil society organizations, state ideology, patriarchy and state capacity have influenced policies to fight AIDS. Examining AIDS policies through the prism of African state development and linkages to domestic and international actors, this book provides a nuanced understanding of the variety of responses to AIDS in Africa.
Across Africa, HIV/AIDS is slowly killing millions of people in the prime of their lives, weakening state structures, deepening poverty and reversing the gains in life expectancy achieved over the past century. Although many who study the dynamics of Africas AIDS crisis accept that, to some degree, its entrenchment is a socially produced phenomenon, few have examined how the course and intensity of the epidemic have been affected by the continents ubiquitous poverty, the impact of the pervasive structural adjustment programmes or Africas marginalization in the process of globalization until now. This book explores the socio-economic context of Africas vulnerability to HIV/AIDS as well as assessing the politics of domestic and global response. Using primary and secondary data, it charts the power relations driving Africas HIV/AIDS epidemic, frustrating the possibility of alleviation and recovery as well as working to relegate the continent to a bleak and vulnerable future. In this sense, the book marks a radical departure by providing a comprehensive analysis of Africas vulnerability to AIDS and the challenges confronting policy makers as they seek to reverse its escalating prevalence on the continent. AIDS in Africa is an immensely valuable introduction to the greatest pandemic facing the world today.
Since the early 20th century, when HIV began to circulate among humans, blood exposures during healthcare have contributed to the transmission of the virus. Despite all the money and attention directed at HIV/AIDS in the past several decades, these risks have remained. The book asks why, and seeks answers to a number of crucial questions: How much of the worst HIV epidemics are from blood exposures? Why have these risks persisted? And what is to be done? Points To Consider looks to the future and recommends new strategies that people and governments can adopt to ensure that healthcare and cosmetic services do not transmit HIV, and to reliably stop the worst HIV/AIDS epidemics. _______________________________ David Gisselquist has published more than a dozen articles in medical journals on HIV epidemics in Africa and India, with special attention to risks to transmit HIV through health care. He has traveled and worked in Africa and Asia, and has assisted field research on HIV in India and Kenya. He co-edited a collection of country studies on injection practices (Pilot-Testing the WHO Tools to Assess and Evaluate Injection Practices, published by WHO, 2003), and has spoken at WHO and at international AIDS conferences. Dr Gisselquist holds a PhD in economics, with experience in anthropology and rural development. He is an independent consultant