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Using the experiences of Malawi, one of the poorest countries on the African continent, to illustrate both the challenges that poverty creates, and the opportunities for change that exist. Poverty, AIDS and Hunger outlines an easily-replicable model, at modest cost, that could lift people quickly out of poverty, with sustainable benefits.
"The global AIDS epidemic has caused over 25 million deaths since 1981, and there is no end in sight. It is a multidimensional, phased, long-wave crisis with impacts that will be felt for decades to come. Attempts to defeat the epidemic are conventionally grounded in the three core pillars of AIDS policy: prevention, treatment and care, and mitigation. But there is also an urgent need for a deeper understanding of the integral role that food and nutrition can and should play, and a corresponding urgency to use that understanding to improve responses at all levels.The 18 essays in AIDS, Poverty, and Hunger: Challenges and Responses contribute to such an understanding by examining the impacts of HIV and AIDS on labor markets and wages, household income and consumption dynamics, and the agricultural sector as a whole; by studying the ways in which households respond to prime-age illness, death, and food insecurity; and by exploring the implications of local responses for the roles that national and international actors must play in addressing the AIDS-hunger nexus.This book creates an opportunity for development professionals to build the conceptual links lacking in current multisectoral frameworks, assess impacts and costs, propose indicators and monitoring systems, and design appropriate food- and nutrition-related interventions and policies."
All I Eat Is Medicine charts the lives of individuals and the operation of institutions in the thick of the AIDS epidemic in Mozambique during the global scale-up of treatment for HIV/AIDS at the turn of the twenty-first century. Even as the AIDS treatment scale-up saved lives, it perpetuated the exploitation and exclusion that was implicated in the propagation of the epidemic in the first place. This book calls attention to the global social commitments and responsibilities that a truly therapeutic global health requires.
The HIV/AIDS pandemic is a global crisis with consequences that will be felt for decades to come. Thirty-nine million people are currently infected with the virus, including more than 25 million from Sub-Saharan Africa.Many millions more are affected in different ways. The ability of households and communities to ensure their own food and nutrition security is increasingly being threatened. With the most detailed evidence base yet assembled, this review systematically maps our growing knowledge of the interactions between HIV/AIDS and food and nutrition security, pointing to where and how future policy needs to change to remain relevant and effective.
Persistent malnutrition is contributing not only to widespread failure to meet the first MDG--to halve poverty and hunger--but to meet other goals in maternal and child health, HIV/AIDS, education, and gender equity. The choice is now between continuing to fail, or to finally make nutrition central to development. Underweight prevalence among children is the key indicator for measuring progress on non-income poverty and malnutrition remains the world's most serious health problem and the single biggest contributor to child mortality. Nearly a third of children in the developing world are either.
Some people suffer from chronic, debilitating disorders for which no conventional treatment brings relief. Can marijuana ease their symptoms? Would it be breaking the law to turn to marijuana as a medication? There are few sources of objective, scientifically sound advice for people in this situation. Most books about marijuana and medicine attempt to promote the views of advocates or opponents. To fill the gap between these extremes, authors Alison Mack and Janet Joy have extracted critical findings from a recent Institute of Medicine study on this important issue, interpreting them for a general audience. Marijuana As Medicine? provides patientsâ€"as well as the people who care for themâ€"with a foundation for making decisions about their own health care. This empowering volume examines several key points, including: Whether marijuana can relieve a variety of symptoms, including pain, muscle spasticity, nausea, and appetite loss. The dangers of smoking marijuana, as well as the effects of its active chemical components on the immune system and on psychological health. The potential use of marijuana-based medications on symptoms of AIDS, cancer, multiple sclerosis, and several other specific disorders, in comparison with existing treatments. Marijuana As Medicine? introduces readers to the active compounds in marijuana. These include the principal ingredient in Marinol, a legal medication. The authors also discuss the prospects for developing other drugs derived from marijuana's active ingredients. In addition to providing an up-to-date review of the science behind the medical marijuana debate, Mack and Joy also answer common questions about the legal status of marijuana, explaining the conflict between state and federal law regarding its medical use. Intended primarily as an aid to patients and caregivers, this book objectively presents critical information so that it can be used to make responsible health care decisions. Marijuana As Medicine? will also be a valuable resource for policymakers, health care providers, patient counselors, medical faculty and studentsâ€"in short, anyone who wants to learn more about this important issue.
NEW YORK TIMES BESTSELLER • “[A] masterpiece . . . an astonishing book that will leave you questioning your own life and political views.”—USA Today “If any one person can be given credit for transforming the medical establishment’s thinking about health care for the destitute, it is Paul Farmer. . . . [Mountains Beyond Mountains] inspires, discomforts, and provokes.”—The New York Times (Best Books of the Year) In medical school, Paul Farmer found his life’s calling: to cure infectious diseases and to bring the lifesaving tools of modern medicine to those who need them most. Tracy Kidder’s magnificent account shows how one person can make a difference in solving global health problems through a clear-eyed understanding of the interaction of politics, wealth, social systems, and disease. Profound and powerful, Mountains Beyond Mountains takes us from Harvard to Haiti, Peru, Cuba, and Russia as Farmer changes people’s minds through his dedication to the philosophy that “the only real nation is humanity.” WINNER OF THE LETTRE ULYSSES AWARD FOR THE ART OF REPORTAGE This deluxe paperback edition includes a new Epilogue by the author
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
This book is the fifth in the AWLAE series. The AWLAE titles address the issue of gendered impacts of HIV/AIDS in sub-Saharan Africa. The present book is based on research in a village in Tanzania about the role of social capital in mitigating AIDS impacts, at the level of the household and within the local community. It contributes to the current knowledge base on social capital by questioning general assumptions on the role of social capital in rural livelihoods in a context of high HIV/AIDS prevalence. Using a combination of qualitative and quantitative methods, the research yielded empirical evidence about the limitations of social capital as a resource for the poor. Both the generation and sustenance of social capital at household level are severely challenged by declining access to other livelihood assets as a consequence of HIV/AIDS. In a situation where HIV/AIDS is still shrouded in secrecy and stigma at the community level, a decline of trust in social relations and community institutions as well as a proliferation of witchcraft accusations, could be observed. This insightful publication provides a timely contribution to the discourse on the significance of social capital for the poor, ensuring that social scientists will never look at social capital in quite the same way.
Hunger and Poverty in South Africa: The Hidden Faces of Food Insecurity explores food insecurity as an issue of socioeconomic, political, cultural and environmental inequity and inequality. Based on extensive original research in Free State Province, South Africa, the book explores how people living in poverty make meaning of their food circumstances within the socio-cultural, political and economic contexts of post-apartheid South Africa, how they view the government’s food security policies and programs and their perceived agency to affect change. The personal narratives contained in the book show that food insecurity is shaped by many issues, among which are structural poverty, racism, attempts or non-attempts at reconciliation during and after apartheid, public health issues such as HIV/AIDS, and environmental circumstances. At a time when most discourse around food insecurity focuses on how to provide more food to people facing hunger, this book's multidimensional approach is a valuable contribution to the contemporary dialogue on poverty, food security/insecurity, sustainability and democratic agency both within South Africa and around the world. This book will be of interest to researchers in the areas of food security, multidimensional poverty, democratic agency and sustainable development, both in South Africa and internationally.