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This book aims to show the conditions and behaviors of vulnerable and marginalized people in Bangladesh which put them at risk of HIV/AIDS infection, and what their adopted coping strategies are and how these play out. In addition, the book seeks to gain an understanding of the perceptions of civil society and policy planners with respect to vulnerability to HIV, and the necessary mitigation measures. While there is much published literature on the epidemiology and etiology for the most at-risk groups in the region, there has not yet been any in-depth research concerning the socio-cultural and geographic impacts of HIV issues in Bangladesh. Almost all of the literature shows HIV as an epidemiological problem rather than investigating it from a social or cultural point of view, and still less using qualitative methods. The present work is an endeavor to fill these gaps by providing valuable qualitative field data to demonstrate the causes of HIV risk and vulnerability, and to examine the nature of the social and locational context of HIV/AIDS in Bangladesh and to assist with health care policy planning. The book will be of use to students and researchers, studying public health, health geography, medical sociology, medical anthropology, social psychology and social epidemiology, and to professionals in the fields of development, community medicine, health management and social policy.
A flame-throwing epidemiologist talks about sex, drugs, and the mistakes (dismal), ideologies (vicious), and hopes (realistic) of international AIDS prevention. When people ask Elizabeth Pisani what she does for a living, she says, "sex and drugs." As an epidemiologist researching AIDS, she's been involved with international efforts to halt the disease for fourteen years. With swashbuckling wit and fierce honesty, she dishes on herself and her colleagues as they try to prod reluctant governments to fund HIV prevention for the people who need it most—drug injectors, gay men, sex workers, and johns.Pisani chats with flamboyant Indonesian transsexuals about their boob jobs and watches Chinese streetwalkers turn away clients because their SUVs aren't nice enough. With verve and clarity, she shows the general reader how her profession really works; how easy it is to draw wrong conclusions from "objective" data; and, shockingly, how much money is spent so very badly. "Exhibit A": the 45 billion taxpayer dollars the Bush administration is committing to international AIDS programs.
Reproductive tract infections (RTis) have become a silent epidemic that is devastating women's lives. Each year, thousands of women die needlessly from the consequences of these infections, including cervical cancer, ectopic pregnancy, acute and chronic infections of the uterus and the fallopian tubes, and puerperal infections. For many women, this happens because they receive medical attention too late, if at all. The terrible irony of this tragedy is that early diagnosis of and treatment for many RTis do not require high-technology health care. For the hundreds of millions of women with chronic RTis acquired from their sexual partners, life can become a living hell. Infection is a major cause of infertility, and it leads to scorn and rejection in many countries. These women may experience constant pain, have festering lesions of the genital tract, be at enhanced risk of second ary diseases, and endure social ostracism. The problems associated with RT!s have grown even greater in the past decade with the emergence of human immunodeficiency virus (HIV) and AIDS. Preexisting sexually transmitted disease, particularly when associated with genital tract ulcers, raises women's vulnerability to the transmission of HIV 3-5 fold.
In recent decades, advances in biomedical research have helped save or lengthen the lives of children around the world. With improved therapies, child and adolescent mortality rates have decreased significantly in the last half century. Despite these advances, pediatricians and others argue that children have not shared equally with adults in biomedical advances. Even though we want children to benefit from the dramatic and accelerating rate of progress in medical care that has been fueled by scientific research, we do not want to place children at risk of being harmed by participating in clinical studies. Ethical Conduct of Clinical Research Involving Children considers the necessities and challenges of this type of research and reviews the ethical and legal standards for conducting it. It also considers problems with the interpretation and application of these standards and conduct, concluding that while children should not be excluded from potentially beneficial clinical studies, some research that is ethically permissible for adults is not acceptable for children, who usually do not have the legal capacity or maturity to make informed decisions about research participation. The book looks at the need for appropriate pediatric expertise at all stages of the design, review, and conduct of a research project to effectively implement policies to protect children. It argues persuasively that a robust system for protecting human research participants in general is a necessary foundation for protecting child research participants in particular.
Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.
This report, the ninth edition of the biennial OECD overview of social indicators, addresses the growing demand for quantitative evidence on social well-being and its trends. This year's edition presents 25 indicators, several of which are new, and includes data for 36 OECD member countries and, where available, key partners (Brazil, China, India, Indonesia, Russia and South Africa) and other G20 countries (Argentina and Saudi Arabia). The report features a special chapter on lesbian, gay, bisexual and transgender (LGBT) people: their numbers, how they fare in terms of economic outcomes and well-being, and what policies can improve LGBT inclusivity. It also includes a special section based on the 2018 OECD Risks That Matter Survey on people's perceptions of social and economic risks and the extent to which they think governments address those risks. In addition, the report provides a guide to help readers in understanding the structure of OECD social indicators.
Throughout history, communicable diseases have devastated armies and weakened the capacity of state institutions to perform core security functions. Today, the HIV/AIDS epidemic in Africa has prompted many of the affected countries to initiate policies aimed at addressing its impact on their armed forces, police, and prisons. This volume explores the dynamics of how the security sectors of selected African states have responded to the complex and multifaceted challenges of HIV/AIDS. Current and impending African HIV/AIDS policies address a range of security-related issues: * The role of peacekeepers in the spread or control of HIV * The dilemma of public health (the need to control HIV) versus human rights (protection against mandatory medical testing) needs * The gender dimensions of HIV in the armed forces * The impact of HIV on the police and prisons The chapters in HIV/AIDS and the Security Sector in Africa are written by African practitioners, including commissioned officers who are currently serving in the armed forces, medical officers and nurses working in the military, and African policy and academic experts. While the book does not comprehensively address all aspects of the impact of HIV/AIDS on the security sector, the contributors nonetheless highlight the potentials and limits of existing policies.
"What is women's empowerment, and how and why does it matter for women's health? Despite the rise of a human rights-based approach to women's health and increasing awareness of the synergies between women's health and empowerment, a lack of consensus remains as to how to measure empowerment and successfully intervene in ways that improve health. Women's Empowerment and Global Health provides thirteen detailed, multidisciplinary case studies from across the globe and through the course of a woman's life to show how science and advocacy can be creatively merged to enhance the agency and status of women. Accompanying short videos provide background about programs on the ground in India, the United States, Mexico, Nicaragua, Zimbabwe, and South Africa. Women's Empowerment and Global Health explores the promises and limits of programmatic, scientific, and rights-based work in real-world settings and provides the next generation of researchers and practitioners, as well as students in global and public health, sociology, anthropology, women's studies, law, business, and medicine, with cutting edge and inspirational examples of programs that point the way toward achieving women's equality and fulfilling the right to health."--Provided by publisher.