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South Asia's HIV epidemic is severe in magnitude and scope, with at least 60% of all people with HIV in Asia living in India. Because the HIV epidemic is highly heterogeneous, designing informed, prioritized, and effective responses necessitates an understanding of the epidemic's diversity between and within countries. This review was undertaken to provide a basis for rigorous, evidence-based HIV policy and programming in South Asia.
From Thailand's open debate about and readiness to deal with its HIV problem to the relationship between the Burmese regime and the drug trade, this book investigates the way that the HIV epidemic has taken its course in seven countries of Southeast Asia. The author shows how the cultural and political landscapes of these countries have affected the often devastating progress of the disease. The way that the epidemic has spread is seen as being vitally linked to the general condition of human rights in the societies, while being specifically mediated by sexual behaviour, drug use and the state of health care.
Southeast Asian sex workers are stereotypically understood as passive victims of the political economy, and submissive to western men. The advent of HIV/AIDS only compounds this image. Sex Work in Southeast Asia is a cultural critique of HIV/AIDS prevention programmes targetting sex tourism industries in Southeast Asia.
This book offers an original perspective on AIDS as a development issue in South Asia, a region with a heterogeneous epidemic and estimated national HIV prevalence rates of up to 0.5 percent. The analysis challenges the common perception of HIV and AIDS which has been shaped to a large extent by analysis of HIV and AIDS in other regions with much higher prevalence rates. Three risks to development are associated with HIV and AIDS in South Asia: the risk of escalation of concentrated epidemics, the economic welfare costs, and the fiscal costs of scaling up treatment.
Birth in the Age of AIDS is a vivid and poignant portrayal of the experiences of HIV-positive women in India during pregnancy, birth, and motherhood at the beginning of the 21st century. The government of India, together with global health organizations, established an important public health initiative to prevent HIV transmission from mother to child. While this program, which targets poor women attending public maternity hospitals, has improved health outcomes for infants, it has resulted in sometimes devastatingly negative consequences for poor, young mothers because these women are being tested for HIV in far greater numbers than their male spouses and are often blamed for bringing this highly stigmatized disease into the family. Based on research conducted by the author in India, this book chronicles the experiences of women from the point of their decisions about whether to accept HIV testing, through their decisions about whether or not to continue with the birth if they test HIV-positive, their birthing experiences in hospitals, decisions and practices surrounding breast-feeding vs. bottle-feeding, and their hopes and fears for the future of their children.
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.
The contributors to this volume show how the practices of health in Southeast Asia over the past two centuries were mediated by local medical traditions, colonial interests, range of health agents and intermediaries.
Providing an introduction to HIV/AIDS, this book explains the science, the international and local politics, the demographics and the devastating consequences of the disease. This book is aimed at general readers interested in the science, the epidemiology and the social effects of the disease which has killed 20 million.
Using case-studies from East and Southeast Asia, this book examines sexuality and AIDS-related sexual risk in the context of Asian cultures. It offers a complementary perspective, documented with sociological and anthropological data, to historical studies and looks at commercial sex work, kinship systems, matrimonial strategies, gender, power relations, and the relevance of cultural constructs such as Confucianism and Taoism for the analysis of sexual cultures in Asia.
In the mid-1990s, experts predicted that India would face the world's biggest AIDS epidemic by 2000. Though a crisis at this scale never fully materialized, global public health institutions, donors, and the Indian state initiated a massive effort to prevent it. HIV prevention programs channeled billions of dollars toward those groups designated as at-risk—sex workers and men who have sex with men. At Risk captures this unique moment in which these criminalized and marginalized groups reinvented their "at-risk" categorization and became central players in the crisis response. The AIDS crisis created a contradictory, conditional, and temporary opening for sex-worker and LGBTIQ activists to renegotiate citizenship and to make demands on the state. Working across India and Kenya, Gowri Vijayakumar provides a fine-grained account of the political struggles at the heart of the Indian AIDS response. These range from everyday articulations of sexual identity in activist organizations in Bangalore to new approaches to HIV prevention in Nairobi, where prevention strategies first introduced in India are adapted and circulate, as in the global AIDS field more broadly. Vijayakumar illuminates how the politics of gender, sexuality, and nationalism shape global crisis response. In so doing, she considers the precarious potential for social change in and after a crisis.