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Based upon national reviews of current policies, strategic plans, and actual programs, as well as key informant interviews conducted with staff of governmental departments, this study is a detailed analysis of in-country drug policies in relation to the prevention and treatment of HIV/AIDS. One of the first scientific reviews of disease policy, legislation, and financing, this comprehensive research study not only reviews HIV/AIDS policy but also provides recommendations for strengthening programs that deal with this disease.
HIV/AIDS continues to take a tremendous toll on the populations of many countries, especially in sub-Saharan Africa. In some countries with high HIV prevalence rates, life expectancy has declined by more than a decade and in a few cases by more than two decades. Even in countries with HIV prevalence of around 5 percent (close to the average for sub-Saharan Africa), the epidemic can reverse gains in life expectancy and other health outcomes achieved over one or two decades. This volume highlights work conducted under the umbrella of a World Bank work program on “The Fiscal Dimension of HIV/AIDS,” including country studies on Botswana, South Africa, Swaziland, and Uganda. It covers four aspects of the fiscal dimensions of HIV/AIDS: First, it aims for a comprehensive analysis of the fiscal costs of HIV/AIDS, with a wider scope than a costing analysis focusing on only the policy response to HIV/AIDS. Second, it embeds the analysis of HIV/AIDS costs in a discussion of the fiscal context, and interprets these costs as a quasi-liability, not a debt de jure, but a political and fiscal commitment that binds fiscal resources in the future and cannot easily be changed, and very similar to a pension obligation or certain social grants or services. Third, it develops tools to assess the (fiscal dimensions of) trade-offs between HIV/AIDS policies and measures that take into account the persistence of these spending commitments. Fourth, most of the fiscal costs of HIV/AIDS are ultimately caused by new infections, and this study estimates the fiscal resources committed (or saved) by an additional (or prevented) HIV infection. Building on these estimates, the analysis here is able to assess the evolving fiscal burden of HIV/AIDS over time.
AIDS and Development in Africa: A Social Science Perspective is the first book-length treatment of both the impact of AIDS in Africa and an assessment of intervention strategies in varying cultural situations. Developed from revised selected papers from the nineteenth Southern African Universities Social Science Conference, AIDS and Development in Africa will be of interest to counselors, medical and development practitioners, Africanists, and AIDS researchers. From this book, you will find wide analytical coverage of the issues and country case studies related to the contributory factors and development impact of the HIV/AIDS pandemic in Africa. You will also explore the ability of countries to willingly promote and cope with the pandemic in the context of their different economic circumstances. Specifically in AIDS and Development in Africa, you will read about: socioeconomic context of AIDS social scientific explanations of the AIDS pandemic in Africa HIV/AIDS and the status of women in Botswana and Swaziland sexual abuse and HIV/AIDS law and HIV/AIDS orphans of the AIDS pandemic media and the African context of social construction human resource development and training in relation to HIV/AIDS in Zambia AIDS and Development in Africa uses a multidisciplinary social science perspective in case studies of such countries as Botswana, Swaziland, Zimbabwe, South Africa, Malawi, and Zambia to reveal contributory factors and the developmental impact of HIV/AIDS in Africa. This book demonstrates the human consequences of AIDS and the efforts being made by governments, individuals, families, villages, communities, and national government organizations to respond to the pandemic. For example, you will learn about information campaigns and peer education approaches that are successfully increasing transmission awareness and condom use. You will read beyond the usual analysis of demographics and receive much more substantial assessments and analyses of the burden on people, economies, and health care systems of the African countries. AIDS and Development in Africa is indispensable to anyone who is involved with HIV/AIDS prevention/intervention in Africa. This comprehensive book provides you with essential and up-to-date research on the many issues surrounding Africa’s HIV/AIDS pandemic.
The disproportional loss of individuals to HIV/AIDS in their most productive years raises concerns over the welfare of surviving members of affected families and communities. One consequence of the rapid increase in adult mortality is the rise in the proportion of children who are orphaned. Sub-Saharan Africa, accounts for about 90 percent of these. Mainly due to the staggering toll of HIV/AIDS, research effort has focused on treatment and prevention. Children have received attention primarily in relation to 'mother to child transmission' and paediatric AIDS. These issues are important and compelling but fail to capture the whole story - the unprecedented surge in the number of children made vulnerable by HIV/AIDS. In this book we reflect on the plight of children classified as vulnerable, review interventions implemented to improve their welfare and grapple with the concept of vulnerability as it relates to human rights and the African child.
This anthology of articles collected by a cast of award-winning scholars in the field of public health illustrates that promoting and protecting human rights is fundamental to promoting and protecting health. New issues covered in this volume include: emerging technologies; family and health; responding to violence; and methods and strategies.
This history of the African AIDS epidemic is a much-needed, accessibly written historical account of the most serious epidemiological catastrophe of modern times. The African AIDS Epidemic: A History answers President Thabo Mbeki’s provocative question as to why Africa has suffered this terrible epidemic. While Mbeki attributed the causes to poverty and exploitation, others have looked to distinctive sexual systems practiced in African cultures and communities. John Iliffe stresses historical sequence. He argues that Africa has had the worst epidemic because the disease was established in the general population before anyone knew the disease existed. HIV evolved with extraordinary speed and complexity, and because that evolution took place under the eyes of modern medical research scientists, Iliffe has been able to write a history of the virus itself that is probably unique among accounts of human epidemic diseases. In giving the African experience a historical shape, Iliffe has written one of the most important books of our time. The African experience of AIDS has taught the world much of what it knows about HIV/AIDS, and this fascinating book brings into focus many aspects of the epidemic in the longer context of massive demographic growth, urbanization, and social change in Africa during the latter half of the twentieth century. The African AIDS Epidemic: A History is a brilliant introduction to the many aspects of the epidemic and the distinctive character of the virus.
Record breaking hurricane seasons, tornados, tsunamis, earthquakes, and intentional acts of mass-casualty violence, give lie to the delusion that disasters are the anomaly and not the norm. Disaster management is rooted in the fundamental belief that we can protect ourselves. Even if we cannot control all the causes, we can prepare and respond. We