Aids In The Shadow Of Biomedicine

The Bushbuckridge region of South Africa has one of the highest rates of HIV infection in the world. Having first arrived in the area in the early 1990s, the disease spread rapidly, and by 2008 life expectancies had fallen by 12 years for men and 14 years for women. Since 2005, public health facilities have increasingly offered free HAART (highly active antiretroviral therapy) treatment, offering a degree of hope, but uptake and adherence to the therapy has been sporadic and uneven. Drawing on his extensive ethnographic research, carried out in Bushbuckridge over the course of 25 years, Isak Niehaus reveals how the AIDS pandemic has been experienced at the village-level. Most significantly, he shows how local cultural practices and values have shaped responses to the epidemic. For example, while local attitudes towards death and misfortune have contributed to the stigma around AIDS, kinship structures have also facilitated the adoption and care of AIDS orphans. Such practices challenge us to rethink the role played by culture in understanding and treating sickness, with Niehaus showing how an appreciation of local beliefs and customs is essential to any effective strategy of AIDS treatment. Overturning many of our assumptions on disease prevention, the book is essential reading for practitioners as well as researchers in global health, anthropology, sociology, epidemiology and scholars interested in public health and administration in sub-Saharan Africa.

This book tells the story of the HIV epidemic in South Africa, and asks why, after more than three decades, it has not normalised. Despite considerable efforts to prevent infection, and ambitious targets set to end the epidemic by 2030, HIV infections are increasing among young women and treatment uptake and adherence have been uneven. Focusing on the years preceding and following treatment access, this book addresses why an end to AIDS may be misplaced optimism. By examining public discourses and private narratives about infection, illness and death, this work reveals the contradictions between the lived experiences of AIDS suffering on the one hand, and biomedical certainties on the other. Based on long-term ethnographic research in rural villages of the South African lowveld, and within HIV prevention interventions in South Africa more generally, this book offers an intimate perspective on the social and cultural responses to the epidemic.

Over the past decade, effective prevention and treatment policies have resulted in global health organizations claiming that the end of the HIV/AIDS crisis is near and that HIV/AIDS is now a chronic but manageable disease. These proclamations have been accompanied by stagnant or decreasing public interest in and financial support for people living with HIV and the organizations that support them, minimizing significant global disparities in the management and control of the HIV pandemic. The contributors to this edited collection explore how diverse communities of people living with HIV (PLHIV) and organizations that support them are navigating physical, social, political, and economic challenges during these so-called “post-crisis” times.

In this book, Rebekah Lee offers a critical introduction to the diverse history of health, healing and illness in sub-Saharan Africa from the 1800s to the present day. Its focus is not simply on disease but rather on how illness and health were understood and managed: by healthcare providers, African patients, their families and communities. Through a sustained interdisciplinary approach, Lee brings to the foreground a cast of actors, institutions and ideas that both profoundly and intimately shaped African health experiences and outcomes. This book guides the reader through a wide range of historical source material, and highlights the theoretical and methodological innovations which have enriched this scholarship. Part One delivers a concise historical overview of African health and illness from the long 'pre-colonial' past through the colonial period and into the present day, providing an understanding of broad patterns – of major disease challenges, experiences of illness, and local and global health interventions – and their persistence or transformation across time. Part Two adopts a 'case study' approach, focusing on specific health challenges in Africa – HIV/AIDS, mental illness, tropical disease and occupational disease – and their unfolding across time and space. Health, Healing and Illness in African History is the first wide-ranging survey of this key topic in African history and the history of health and medicine, and the ideal introduction for students.

Politics and Government in South Africa introduces readers to all aspects of government and politics in South Africa, from local, to provincial, national, and on to international considerations. The perfect guide for students and general readers, this textbook explains how South Africa’s key institutions are governed and interact with each other, and how important issues such as economics, gender, race, and class shape relations between citizens and government. Grounded in history and leading theories and debates, the book also brings in alternative perspectives from artists, writers, and popular culture, to demonstrate the diverse ways in which issues of politics and social justice are engaged with within South Africa. Written with the needs of students at the forefront, each chapter includes: Review and discussion questions Key terms and further resources Fun facts in a Did you know? section Supplementary sources and quotations in a The Past as Present section Interactive and engaging, Politics and Government in South Africa invites readers to consider what they would do in tackling issues such as land distribution, peacekeeping, South Africa’s role in the African Union, and military engagement abroad. It is an essential read for undergraduate students studying Political Science, International Relations, and African Studies, and for anyone looking to develop a deeper understanding of South Africa.

Entrepreneurs and Small and Medium-sized Enterprises (SMEs) have become the darlings of neoliberal development thinking, with the received wisdom being that such enterprises hold the key to the economic transformation of low-income countries. This thinking has profoundly influenced development policy in Rwanda, but has singularly failed to deliver the much anticipated emergence of a new class of entrepreneurs and a vibrant SME sector. This book deconstructs the myths around entrepreneurship and SMEs, and reveals how neoliberal approaches towards microcredit and related programmes have failed to address the economic challenges facing countries like Rwanda. Drawing on his study of successful and aspiring entrepreneurs, Poole identifies the factors associated with successful entrepreneurship. He uncovers the unintended consequences of the entrepreneurship and SME development prescription, and offers key policy insights which have implications for Rwanda and beyond.

Since the 1991-2002 civil conflict ended in Sierra Leone, the country has failed to translate the accomplishments of women's involvement in bringing the war to an end into meaningful political empowerment. This is in marked contrast to other post-conflict countries, which have increased the political participation of women in elected and appointed office, increased the representation of women in leadership positions, and enacted constitutional reforms promoting women's rights. Written by Sierra Leonean and Africanist scholars and experts from a broad range of disciplines, this unique volume analyses the historical and contextual factors influencing women's political, economic and social development in the country. In drawing on a diverse array of case studies – from health to education, refugees to international donors – the contradictions, successes and challenges of women's lives in a post-conflict environment are revealed, making this an essential book for anyone involved in women and development.

By demonstrating that Western conceptions of 'civil society' have provided the framework for interpreting societies in the Global South, Decolonizing Civil Society in Mozambique argues that it is only through a critical deconstruction of these concepts that we can start to re-balance global power relationships, both in academic discourse and in development practices. Examining the exclusionary discourses framing the support for Western-type NGOs in the development discourse - often to the exclusion of local social actors - this book dissects mainstream contemporary ideas about 'civil society', and finds a new means by which to identify local forms of social action, often based in traditional structures and spiritual discourses. Outlining new conceptual ideas for an alternative framing of Mozambique's 'civil society', Kleibl proposes a series of fresh theoretical issues and questions alongside empirical research, moving towards a series of new policy and practice arguments for rethinking and decolonizing civil society in the Global South.