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Case Study from the year 2009 in the subject Politics - Region: Africa, grade: A, University of Oslo (Oslo University College, Norway), course: M.Phil in Multicultural and International Education, Module 4, language: English, abstract: This paper explores the discourses in circulation in relation to HIV/AIDS in Africa and the reasons why the pandemic is still on the increase in certain parts of Africa. Finally, it discusses the impact of HIV/AIDS in the education sector on the continent, with a particular focus on South Africa. In the first part of this paper I have chosen to categorise the discourses in circulation in relation to HIV/AIDS into three. Although political, historical and other discourses abound, I shall limit myself to three others to be able to discuss them fully and develop convincing arguments. The three categories shall be: medical or scientific discourse, socio-economic discourse and traditional discourse. The terms “medical” or “scientific” would therefore be used interchangeably, as the case may be, to mean the same discourse. Under the medical discourse I shall elucidate on the name, nature, mode of transmission and prevention. The socio-economic discourse shall revolve around poverty and social pressure. The final category, which is the traditional discourse, shall embody discourses surrounding patriarchal authority and certain mythological ideas embedded in most African cultures, which underpin the spread of HIV/AIDS in South Africa. The second part, which is a further development of this paper, I shall demonstrate how lack of sufficient attention regarding the above discourses, as discussed in the first part, has contributed to worsening the already bad situation of the HIV/AIDS pandemic in South Africa, not mentioning its neighbour countries of Sub-Saharan Africa. In this second part of the paper I shall explore some other reasons encouraging the increase in the spread of HIV/AIDS in South Africa. These reasons shall include the issue of gender roles favouring hegemonic masculinity, rape and certain myths and misconceptions that appear difficult to eradicate from the cultural fabric of the South African society.
African AIDS, in the West, is often associated with media images of skeletal, forlorn-looking and dying Africans inviting the sympathy of the viewer or reader. Associated with these images are often motleys of subtly hidden narratives - poverty, promiscuity, failed leadership, impending Armageddon, and lately the greed and heartlessness of Western drugs companies who are harangued for prioritising profits over African lives.But how do Africans themselves see AIDS? What do they believe causes the disease? How do those affected by the undeniable epidemic really live with it? And how has the disease affected the Africans' sense of who they are?With the possible exception of the perspectives espoused by President Thabo Mbeki of South Africa - much of which is distorted - the African AIDS discourse, has, as with most things African, been severely marginalized, if not completely kept away from the Western media.Dr Raymond Downing, an American medical doctor, who with his wife (also a medical doctor) have been living and practising medicine in different African countries for over fifteen years, seeks to plug this lacuna with this book. Based on personal observations, interviews, the reading of African press, books and AIDS narrative in African fiction, as well as in academic papers, Dr Downing charts the development of the African AIDS discourse. He invites the reader to look beyond the AIDS epidemic to see how Africans view health and diseases in general.
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.
This book will be a vital resource for researchers in the field of health communication, especially in the aftermath of COVID-19, as we begin confronting the reality of which countries can afford to declare an 'end to the pandemic', and which ones can't A unique feature of this book is that its center and focus is on persons living with HIV - It highlights their experiences and voices It examines the discourse of a "post-AIDS" culture using a range of methodological tools, and the medical-discursive shift from crisis and death to survival and living It includes contributions from a diverse group of international scholars, and interrogates and engages with the cultural, social, political, scientific, historical, global, and local consumptions of the term "post-AIDS" from the perspective of meaning-making on health, illness, and well-being This book will be an essential read for scholars and students of health communication, sociology of health and illness, medical humanities, political science, and medical anthropology, as well as for policy makers and activists
Across Africa, HIV/AIDS is slowly killing millions of people in the prime of their lives, weakening state structures, deepening poverty and reversing the gains in life expectancy achieved over the past century. Although many who study the dynamics of Africas AIDS crisis accept that, to some degree, its entrenchment is a socially produced phenomenon, few have examined how the course and intensity of the epidemic have been affected by the continents ubiquitous poverty, the impact of the pervasive structural adjustment programmes or Africas marginalization in the process of globalization until now. This book explores the socio-economic context of Africas vulnerability to HIV/AIDS as well as assessing the politics of domestic and global response. Using primary and secondary data, it charts the power relations driving Africas HIV/AIDS epidemic, frustrating the possibility of alleviation and recovery as well as working to relegate the continent to a bleak and vulnerable future. In this sense, the book marks a radical departure by providing a comprehensive analysis of Africas vulnerability to AIDS and the challenges confronting policy makers as they seek to reverse its escalating prevalence on the continent. AIDS in Africa is an immensely valuable introduction to the greatest pandemic facing the world today.
Sub-Saharan Africa is a region devastated by HIV/AIDS. The extent of the epidemic is only now becoming clear, as increasing numbers of people with HIV are becoming ill. In the absence of massively expanded prevention, treatment and care efforts, the AIDS death toll on the continent is set to escalate rapidly. Despite progress being achieved in localized settings, the alarming statistics reflect the continuing failure of advanced countries to mount a response that matches the scale and severity of the African HIV/AIDS crisis. Over and above the colossal personal suffering, the dire social and economic consequences for fragile nation-states are already being felt, not only in health but in education, industry, agriculture, transport, human resources and economies in general. Countries already crippled by drought, poverty, debt, forced migration and civil war must now contend with massive deterioration in child survival rates and life expectancy, the erosion of the economic family base, massive and insupportable demands on health and public services, chronic labour shortages and volatile national security. Through a critical and detailed exploration of specific case studies, this invaluable volume brings together an unparalleled array of international contributors to redefine the political and economic contours of this calamitous epidemic. It examines the impact of the shortfalls in the 'Global Fund' allocation, the slow pace of administrative processing of aid and the weaknesses of institutional responses to the crisis from African countries and their partners in the global health community. It is essential reading for all concerned with public health, epidemiology, HIV/AIDS research, globalization, development, Africa and indeed our shared future. Features include: ” Unique assessments of HIV/AIDS and its impact on democracy and governance in African states ” Wide-ranging regional and country studies by the foremost thinkers in their fields ” Multi-disciplinary contributions from areas including: Politics, Sociology, Public Health and Development Studies ” Compelling and convincing evidence, thematic in approach ” Innovative and culturally specific insights for long-term planning, care and support
Popular understanding of the HIV/AIDS pandemic in Sub-Saharan Africa is riddled with contradiction and speculation. This is revealed in HIV/AIDS in Sub-Saharan Africa, which explores the various contexts in which debate about HIV/AIDS takes place and examines how the pandemic is perceived by scholars, religious leaders and traditional healers, among others -- in communities in and around South Africa. Using a social theory lens, the book focuses on not only the cultural and contextual practices, but also the methodological and epistemological orientations around HIV/AIDS in education that shape community and individual interpretations of this disease. The book avoids a simplistic approach to the pandemic, by exploring the complex and sometimes contradictory spaces in which HIV/AIDS discourses are negotiated, and thus goes some way to present a more hermeneutic profile of the HIV/AIDS problem. HIV/AIDS in Sub-Saharan Africa is as much about identity construction as it is about HIV/AIDS. The authors recognise the interrelatedness of sex, sexuality, identity and HIV/AIDS in the shaping of individual and collective identities and have thus gone beyond merely asking questions about what people know.
Since the early 20th century, when HIV began to circulate among humans, blood exposures during healthcare have contributed to the transmission of the virus. Despite all the money and attention directed at HIV/AIDS in the past several decades, these risks have remained. The book asks why, and seeks answers to a number of crucial questions: How much of the worst HIV epidemics are from blood exposures? Why have these risks persisted? And what is to be done? Points To Consider looks to the future and recommends new strategies that people and governments can adopt to ensure that healthcare and cosmetic services do not transmit HIV, and to reliably stop the worst HIV/AIDS epidemics. _______________________________ David Gisselquist has published more than a dozen articles in medical journals on HIV epidemics in Africa and India, with special attention to risks to transmit HIV through health care. He has traveled and worked in Africa and Asia, and has assisted field research on HIV in India and Kenya. He co-edited a collection of country studies on injection practices (Pilot-Testing the WHO Tools to Assess and Evaluate Injection Practices, published by WHO, 2003), and has spoken at WHO and at international AIDS conferences. Dr Gisselquist holds a PhD in economics, with experience in anthropology and rural development. He is an independent consultant