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This open access book introduces the theoretical frameworks and academic debates concerning sexual cultural practices and HIV/AIDS in Africa. It shows how these frameworks have been applied in a practical sense in Africa to investigate sexual cultural practices and their link with HIV/AIDS. The author provides an overview of both the field of study and the methods used during fieldwork. Finally, it assesses the implications of the findings for the conceptualization and provision of current and future HIV/AIDS policies and programs in Africa. This monograph will appeal to policy makers and practitioners working in the field of HIV/AIDS in the Global South as well as academics and students.
This open access book introduces the theoretical frameworks and academic debates concerning sexual cultural practices and HIV/AIDS in Africa. It shows how these frameworks have been applied in a practical sense in Africa to investigate sexual cultural practices and their link with HIV/AIDS. The author provides an overview of both the field of study and the methods used during fieldwork. Finally, it assesses the implications of the findings for the conceptualization and provision of current and future HIV/AIDS policies and programs in Africa. This monograph will appeal to policy makers and practitioners working in the field of HIV/AIDS in the Global South as well as academics and students. This work was published by Saint Philip Street Press pursuant to a Creative Commons license permitting commercial use. All rights not granted by the work's license are retained by the author or authors.
AIDS and Development in Africa demonstrates the human consequences of AIDS and the efforts being made by governments, individuals, families, villages, communities, and non-governmental organizations to respond to the pandemic. 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.
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.
This book provides a timely contribution to the field of gender and development in the face of the looming failure of international development targets, the deepening HIV/AIDS pandemic and the increased incidence of civil conflict in Sub-Saharan Africa.
This book brings together multiple voices and positions from Africa. These voices, assembled during a 2003 Soap Summit held in Nairobi, are powerful and varied and suggest ways in which issues of health could be tackled in an entertaining manner. The summit organised by Population Communications International - Africa. highlighted the critical role that the arts can play in ensuring better health, especially among the youth. It resulted from the recognition that young people in Africa are faced with a myriad of problems and complications as they struggle to deal with growth and identity formation, within a globalising social and economic setup. They are in dire need of information on their own sexuality and how to deal with it and are getting conflicting signals from the mass media, as well as their immediate environment. The youth are under intense pressure from their peers to engage in premarital sex, which is in most cases unprotected. The HIV/AIDS epidemic presents frightening challenges and all health programs should look for ways of dealing with it. Of great to concern is the vulnerability of women and girls in Africa due to rising poverty, gender violence, lack of access to youth-friendly reproductive health facilities, and lack of a conducive infrastructure especially in informal settlements and in the rural areas. The myriad problems presented by the pandemic require a multi-sectoral approach. This book brings together a number of strategies being undertaken in Africa that combine entertainment and education in a positive way. The voices from the Soap Summit are interspersed with those of the Editor to create a dialogue on entertainment-education that contributes to the discussion on the way social change might be undertaken.
The study explored constructions of sexuality among young people of Venda in Limpopo, South Africa, and cultural practices that can be used to develop context-specific HIV prevention programmes. HIV prevention can be promoted by including some cultural practices in prevention programmes and changing some aspects of culture that may contribute negatively to health. Six focus group discussions were held with school-going young people (Grades 10 to 12) in urban and rural areas to explore their constructions of sexuality and HIV risk. Four focus group discussions were held with community leaders in the same areas to explore their constructions of young people’s sexuality and cultural practices relevant to HIV prevention. Through discourse analysis, the following dominant discourses that influence young people’s sexual risk behaviour were identified: rite of passage, the male sexual drive discourse (sex is natural and unavoidable); discourse of hegemonic masculinity (sex to prove masculinity); sex as a commodity; non-adherence to cultural practices; and HIV is normalised (AIDS is like flu). Some alternative constructions and shifts in gender norms were noticed, especially among female participants. The constructions of young people were not culture-specific but similar to those identified in other South African cultures. Community leaders identified a few cultural practices that could be considered in HIV prevention, for example, reinstating the rite of passage to provide age-appropriate sex and HIV education (behavioural intervention), and promoting traditional male circumcision (biological intervention). Cultural practices that contribute negatively to health should be challenged such as current constructions of gender roles (masculinity and femininity) and the practice that parents do not talk to young people about sex (both structural interventions).
In the wake of the AIDS pandemic, legions of organizations and compassionate individuals from faraway places descended on Africa to offer help and save lives. Ann Swidler and Susan Cotts Watkins vividly describe the often mismatched expectations and fantasies of altruists who dream of transforming lives, of the villagers who desperately seek help, and of the brokers on whom both Western altruists and impoverished villagers must rely. Based on years of fieldwork in the heavily AIDS-affected country of Malawi, this incisive, irreverent book digs into the sprawling AIDS enterprise and unravels the paradoxes of policy and practice. All who want to do good—from idealistic volunteers to world-weary development professionals—depend on brokers as guides, fixers, and cultural translators. The mutual misunderstandings among these players create all the drama of a romance: longing, exhilaration, disappointment, heartache, and sometimes an enduring connection. A Fraught Embrace unveils the tangled relations of those involved in the collective struggle to contain an epidemic.
Moving beyond the boundaries of HIV scholarship, Modernizing Sexuality shows how Western idealizations of normative sexuality and the power of modernity intersect in U.S. HIV prevention policy. In this book, Anne Esacove gathers interview, archival, and ethnographic data from the United States and Malawi to reveal failing U.S. prevention efforts. As seen in the promotion of "love matches" and women's right to "say no" to sex, modernization embedded within U.S. policy actually limits action against this widespread epidemic, and even exacerbates HIV risk among women. Instead, by illuminating the collective solutions and multiple paths of prevention used by Malawians, Esacove's analysis expertly exposes these fundamental flaws and provides direction for potentially more effective strategies. Through this analysis, Modernizing Sexuality not only reveals major U.S. health policy flaws, but asks important questions about prevention narratives, medicalizing social justice advocacy, and feminist and sexuality theories as a guide for HIV prevention policy. Closing with an alternative narrative, Esacove reimagines risk and offers readers innovative prevention strategies to guide future policy endeavors.
This report presents three hypothetical case studies for how the AIDS epidemic in Africa could evolve over the next 20 years based on policy decisions taken today by African leaders and the rest of the world; and considers the factors likely to drive the future responses of African countries and the international community. The scenarios draw on the age-old tradition of story-telling, rather than using data projections, to explore the wider context of the AIDS epidemic, reflecting the complexity of the subject matter.