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AIDS and Africa are indelibly linked in popular consciousness, but despite widespread awareness of the epidemic, much of the story remains hidden beneath a superficial focus on condoms, sex workers, and antiretrovirals. Africa gets lost in this equation, Daniel Jordan Smith argues, transformed into a mere vehicle to explain AIDS, and in AIDS Doesn’t Show Its Face, he offers a powerful reversal, using AIDS as a lens through which to view Africa. Drawing on twenty years of fieldwork in Nigeria, Smith tells a story of dramatic social changes, ones implicated in the same inequalities that also factor into local perceptions about AIDS—inequalities of gender, generation, and social class. Nigerians, he shows, view both social inequality and the presence of AIDS in moral terms, as kinds of ethical failure. Mixing ethnographies that describe everyday life with pointed analyses of public health interventions, he demonstrates just how powerful these paired anxieties—medical and social—are, and how the world might better alleviate them through a more sensitive understanding of their relationship.
"AIDS has been a devastating plague in much of Sub-Saharan Africa, yet the long-term implications for gender and sexuality are just emerging. This book examines how AIDS has altered the ways masculinity is lived in Uganda, a country known as Africa's great AIDS success story. Based on extensive ethnographic research in an urban slum community called Bwaise, this book reveals the persistence of masculine privilege in the age of AIDS and the implications such privilege has for men's and women's health and wellbeing in Uganda and beyond"--
Over the past decade, effective prevention and treatment policies have resulted in global health organizations claiming that the end of the HIV/AIDS crisis is near and that HIV/AIDS is now a chronic but manageable disease. These proclamations have been accompanied by stagnant or decreasing public interest in and financial support for people living with HIV and the organizations that support them, minimizing significant global disparities in the management and control of the HIV pandemic. The contributors to this edited collection explore how diverse communities of people living with HIV (PLHIV) and organizations that support them are navigating physical, social, political, and economic challenges during these so-called “post-crisis” times.
This book concerns HIV prevention. In it the authors argue that until the world focuses its attention on the social issues carried and revealed by AIDS, it is unlikely that HIV transmission will be eradicated or even significantly reduced. The book argues that we are currently witnessing the remedicalisation or the continuing biomedicalisation of HIV prevention, which began in earnest after the development of successful HIV treatment, and that this biomedical trajectory continues with the increasing push to use HIV treatments as prevention, undermining what has been in many countries a successful prevention response. This wide-ranging study argues that HIV prevention involves enabling people and communities to discuss sex, sexuality and drug use and, informed by these discussion, devising locally effective strategies for promoting safe sexual and drug injection practices.
A timely inquiry into how domestic politics and global health governance interact in Africa. Global health campaigns, development aid programs, and disaster relief groups have been criticized for falling into colonialist patterns, running roughshod over the local structure and authority of the countries in which they work. Far from powerless, however, African states play complex roles in health policy design and implementation. In Africa and Global Health Governance, Amy S. Patterson focuses on AIDS, the 2014–2015 Ebola outbreak, and noncommunicable diseases to demonstrate why and how African states accept, challenge, or remain ambivalent toward global health policies, structures, and norms. Employing in-depth analysis of media reports and global health data, Patterson also relies on interviews and focus-group discussions to give voice to the various agents operating within African health care systems, including donor representatives, state officials, NGOs, community-based groups, health activists, and patients. Showing the variety within broader patterns, this clearly written book demonstrates that Africa's role in global health governance is dynamic and not without agency. Patterson shows how, for example, African leaders engage with international groups, attempting to maintain their own leadership while securing the aid their people need. Her findings will benefit health and development practitioners, scholars, and students of global health governance and African politics.
Africa faces several major development challenges that have adversely affected the political and material well being of the majority of the people living there. This collection of new essays rigorously analyzes those frontier development issues--including democracy, leadership, the economy, poverty alleviation through microfinance schemes, food security, education, health and political instability--and offers prescriptions that differ from the dominant neoliberal solutions.
This book describes how Christian communities in South Africa have responded to HIV/AIDS and how these responses have affected the lives HIV-positive people, youth and broader communities. Drawing on Foucault and the sociology of knowledge, it explains how religion became influential in reshaping ideas about sexuality, medicine and modernity.
This Handbook offers an array of internationally recognized experts’ essays that provide a current and comprehensive examination of all dimensions of international population policies. The book examines the theoretical foundations, the historical and empirical evidence for policy formation, the policy levers and modelling, as well as the new policy challenges. The section Theoretical Foundations reviews population issues today, population theories, the population policies’ framework as well as the linkages between population, development, health, food systems, and the environment. The next section Empirical Evidence discusses international approaches to design and implement population policies on a regional level. The section Policy Levers and Modelling reviews the tools and the policy levers that are available to design, implement, monitor, and measure the impact of population policies. Finally, the section New Policy Challenges examines the recurrent and emerging issues in population policies. This section also discusses prospects for demographic sustainability as well as future considerations for population policies. As such this Handbook provides an important and structured examination of contemporary population policies, their evolution, and their prospects.
This book examines the structural dynamics of HIV among populations at heightened vulnerability to infection as the result of stigma, discrimination and marginalization. It first examines how the socio-structural context shapes HIV risk and how affected populations and national governments and programs have responded to these structural constraints. Chapters focus on structural determinants of HIV risk among transgender women in Guatemala, migrant workers in Mexico, Nigeria and Vietnam, and people who inject drugs in Tanzania. Next, the book examines resilience and community empowerment and mobilization among key populations such as female sex workers in the Dominican Republic and India, and young women and girls in Botswana, Malawi and Mozambique. A third set of chapters explores how national responses to HIV have addressed the role of structural factors in diverse political, geographic and epidemic settings including: Brazil, South Africa, Ukraine and the USA. Ultimately, effective and sustainable responses to HIV among marginalized groups must be grounded in an in-depth understanding of the factors that create vulnerability and risk and impede access to services. Throughout, this book brings together a rigorous social science research perspective with a strong rights-based approach to inform improvements in HIV programs and policies. It offers new insights into how to better address HIV and the health and human rights of historically excluded communities and groups.
Introduction -- Uneven Anthropological and Epidemiological Stories in Historical HIV Context -- HIV and Legacies of Racism, Political Violence, and Ethnic Conflict -- Stigma and the Cultural Politics of Uncertainty -- Economic Inequalities, Social Change, and the Politics of Gender and Sexuality -- (Re)Imagining Stigma at the Intersection of HIV and Mental Health Statuses -- HIV and the (Re)Making of Moral Personhood -- Conclusion.