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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.
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.
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.
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.
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.

HIV/AIDS in Asia

United States. Congress. House. Committee on International Relations. Subcommittee on Asia and the Pacific

Published: 2004

Total Pages: 100


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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.
This work identifies significant factors influencing, on the one hand, the historical pattern of sexually acquired diseases in 12 countries in Asia and the Pacific and, on the other hand, factors shaping the government and community responses to that pattern. Contributors analyze the role of supranational forces such as colonialism and economic modernization as well as distinctive national factors. The geographic scope is wide, extending from India in the west, to China in the east, to Australia in the south. The chronological scope is equally ambitious and contributors review two centuries or more of history, while also addressing the effect of the AIDS pandemic in a region of great social and economic dynamism. A number of factors including gender and economic inequality, as well as colonialism and economic growth, have been identified as important to the historical spread of sexually transmitted diseases and to the collective response of the spread. Quantitative data on disease incidence and mortality are used extensively throughout the book as are demographic, economic, and social statistics.
This volume discusses the many advances in HIV research, new initiatives and their promise for application in the Asian region. It highlights the critical need for national commitment and adequate resources, and for addressing the underlying HIV-risk related behaviours and vulnerabilities. The contributors also examine the concept of comprehensive care - from home and from the community to the institutional level - as well as providing up to date information on HIV drug and vaccine development.