This volume examines how local actors respond to Africa's high dependence on donor health funds. It focuses on the large infusion of donor money to address HIV and AIDS into Malawi and Zambia and the subsequent slow-down in that funding after 2009. How do local people respond to this dynamic aid architecture and the myriad of opportunities and constraints that accompany it? This book conceptualizes dependent agency, and the condition in which local actors can simultaneously act and be dependent, and investigates conditions under which dependent agency occurs. Drawing upon empirical data from Malawi and Zambia collected between 2005 and 2014, the work interrogates the nuanced strategies of dependent agency: performances of compliance, extraversion, and resistance below the line. The findings elucidate the dynamic interactions between actors which often occur "off stage" but which undergird macro-level development processes.

The much-praised writing team of Adrian and Bridget Plass looks at the extent of the AIDS pandemic in Zambia. On visiting this colorful country they saw the problem and what is being done about it from many angles: from preventative projects with sex-workers to the care of orphans. The desperation there left them determined to make westerners see how ordinary families are affected. The stories aren't all negative; however, Adrian and Bridget tell of the World Vision rehabilitation program for girls forced into prostitution enabling training in alternative occupations including hairdressing and tailoring. There were no miracles in Zambia--only the miracle of people allowing God to use them. God acts through us and the truth is that if we do nothing, we withhold His love from them. This is a heart-warming, inspiring, and sometimes even humorous account with a serious message: God won't act to lessen the HIV/AIDS crisis if we don't.

This comprehensive reference book addresses the unique challenges facing many African nations as poor infrastructure and economics continue to obstruct access to advanced treatments and AIDS care training. It takes into account the context of settings with limited resources. Information on how to best utilize existing resources and prioritize scaling-up of infrastructure is a critical aspect of this book for those working in HIV/AIDS-related fields in Africa.

Anti-Black Racism and the AIDS Epidemic: State Intimacies argues that racial disparities in HIV rates reflect the organization of racialized poverty and structural violence. Challenging the popular perception of HIV, black vulnerability to HIV in the US is shown to be created by the violent intimacy of the state.

This wide-ranging volume reviews the experience and treatment of HIV/AIDS in rural America at the clinical, care system, community, and individual levels. Rural HIV-related phenomena are explored within healthcare contexts (physician shortages, treatment disparities) and the social environment (stigma, the opioid epidemic), and contrasted with urban frames of reference. Contributors present latest findings on HIV medications, best practices, and innovative opportunities for improving care and care settings, plus invaluable first-person perspective on the intersectionality of patient subpopulations. These chapters offer both seasoned and training practitioners a thorough grounding in the unique challenges of providing appropriate and effective services in the region. Featured topics include: Case study: Georgia's rural vs. non-rural populations HIV medications: how they work and why they fail Pediatric/adolescent HIV: legal and ethical issues Our experience: HIV-positive African-American women in the Deep South Learning to age successfully with HIV Bringing important detail to an often-marginalized population, HIV/AIDS in Rural Communities will interest and inspire healthcare practitioners including physicians, nurse practitioners, physician assistants, pharmacists, case managers, psychologists, social workers, counselors, and family therapists, as well as educators, students, persons living with HIV, advocates, community leaders, and policymakers.

O'Manique critically examines the evolution of the policy response to AIDS in Sub Saharan Africa through a feminist political economy lens, focusing on the relationship between neo liberalism, the spread of AIDS and the hegemonic policy response. It explores the ways in which AIDS has been constructed as a 'development' problem and how AIDS knowledges and institutions have evolved and have shaped interventions in the AIDS sector. Central to the analysis is a historical case study of Uganda. MARKET 1: Postgraduates studying Political Science; International Studies and Gender Studies

Asia has become the new battle ground for the war against HIV/AIDS. The magnitude of the potential public health problems caused by AIDS in this populous continent may become a catastrophic disaster. A 10% rate of prevalence of HIV-1 in India and China alone would mean more than 200 million people are infected with HIV.
AIDS in Asia is useful as a comprehensive, up-to-date AIDS reference book for public health and medical professionals. This volume provides concrete information on the diagnosis, treatment, care, prevention and impact of AIDS. Part I contains 'Snapshots of HIV/AIDS in Asia.' Countries and regions included in this section are: Thailand, India, China, Japan, Vietnam, Laos, Cambodia, Myanmar, Malaysia, Indonesia, the Philippines, Pakistan, Nepal, Sri Lanka, Hawaii and the Pacific Islands, Hong Kong and Taiwan. Part II addresses the molecular epidemiology of HIV/AIDS. Part III deals with the diagnosis, surveillance and projected scenarios of the AIDS epidemic. Part IV outlines prevention efforts and treatment options. Part V provides an overview of the ongoing collaborative efforts involved in several different nations in the worldwide war against AIDS.
This volume will be invaluable to all the public health professionals and researchers working in this field.

..".the book is a useful addition to the HIV/AIDS literature."

"AIDS in Asia offers a comprehensive, interesting overview of the epidemic there and of general issues that will influence its progression."

-Roger Detels, MD, MS, University of California-Los Angeles

The Journal of the American Medical Association, Book Review, 293:15

O'Brien describes the coping strategies that long-term survivors of HIV employ to promote positive quality of life. She also explores the impact of the virus on family members, friends, and caregivers; their strategies for dealing with HIV are identified as well.

This book has two unique features. First, the creative coping strategies developed to deal with HIV are explored primarily through the words of those living and/or working with the virus. O'Brien utilized more than 350 hours of tape-recorded interviews to glean the insightful and poignant anecdotes which describe their walk with HIV. Second, the HIV-positive individuals described are long-term survivors of the virus. Although that population consists primarily of gay men, the case is made that they are the first group of people with HIV to experience long-term survival; thus, their coping strategies and those of the people close to them provide a model for others moving into the survivor category. An important resource for nurses, social workers, chaplains, others in fields working with HIV/AIDs patients, and their families and friends.

Exploring the implications of the internet and bio-technologies for intimate and sexual life, this book discusses the concept of citizenship in relation to the extension of public health through the internet, and reveals concerns that sexually transmitted infections and HIV are associated with such technologies.

Informal folk narrative genres such as gossip, advice, rumor, and urban legends provide a unique lens through which to discern popular formations of gender conflict and AIDS beliefs. This is the first book on AIDS and gender in Africa to draw primarily on such narratives. By exploring tales of love medicine, gossip about romantic rivalries, rumors of mysterious new diseases, marital advice, and stories of rape, among others, it provides rich, personally grounded insights into the everyday struggles of people living in an era marked by social upheaval.

South Africa is the richest and most developed country on the African continent, yet it has failed to arrest the dramatic progression of its domestic AIDS epidemic. This book analyzes successive governments' management (and mismanagement) of the AIDS epidemic in South Africa. The book covers the years 1982-2005, using expert thinking regarding public policy making to identify gaps in the public sector's handling of the epidemic. The book highlights critical lessons for policy makers and other public health managers.

Facing up to AIDS is a novel and incisive study of a global plague which continues to threaten to engulf South Africa at this crucial moment in its history. Economists, demographers and health planners present a range of new methods of understanding the likely course of the disease, drawn from the most recent research and thinking by social scientists on the relationship between epidemic disease, economic growth and human resources. South Africa presents a unique opportunity for understanding AIDS, combining as it does Third World problems with a sophisticated infrastructure: the models of demographic projection and economic linkages which are explored here will be of major relevance for examining the socio-economic impact of AIDS in a range of countries in Asia and Latin America. Until medical science comes up with a miracle vaccine, the modification of behaviour is the only defence, and the essays in this volume make a powerful case for putting further resources into the research needed to bring this about.

Based on several years of ethnographic fieldwork, the book explores life in and around a Luo-speaking village in western Kenya during a time of death. The epidemic of HIV/AIDS affects every aspect of sociality and pervades villagers' debates about the past, the future and the ethics of everyday life. Central to such debates is a discussion of touch in the broad sense of concrete, material contact between persons. In mundane practices and in ritual acts, touch is considered to be key to the creation of bodily life as well as social continuity. Underlying the significance of material contact is its connection with growth - of persons and groups, animals, plants and the land - and the forward movement of life more generally. Under the pressure of illness and death, economic hardship and land scarcity, as well as bitter struggles about the relevance and application of Christianity and 'Luo tradition' in daily life, people find it difficult to agree about the role of touch in engendering growth, or indeed about the aims of growth itself.

Russia and a few other Eurasian countries have been home to the fastest growing epidemics of HIV in the world over the last several years. This volume offers country-specific accounts, authored by the leading players in the analysis of the situation and the fight against the virus.

In industrialized countries, HIV/AIDS is now increasingly perceived as a chronic condition. Yet initially, before combination therapy became available, this pandemic was widely associated with premature or even imminent death. Receiving the diagnosis typically led to a dramatic biographical disruption. This highly original book turns this basic feature of life with HIV into the vantage point for a fascinating analysis of Western subjectivity. Combining a host of empirical observations with the debate on the modern self, the author argues that the self-construction of people with HIV highlights the precarious yet indispensable status of the self in contemporary Western society. Constructing one's biography in terms of self-actualization is in fact a manifestation of nihilism: it evokes a standard of certainty which, on closer examination, cannot be sustained. Written in a lucid style, this unique book will appeal to scholars and students in the fields of sociology, social psychology, social anthropology, social theory and philosophy, as well as anybody interested in the relationship between the self and society or the experience of living with HIV/AIDS.

This volume brings together a collection of essays from researchers engaged in, or concerned with, the politics of global health. It addresses the power relations which drive global health strategies, frustrate the possibility of effective engagement and operate to relegate billions of people to a vulnerable and bleak future. From a broad engagement with the global health system, the volume focuses on arguably the most pressing public health issue of modern times - the effective global governance of HIV/AIDS. The underlying objective is to help generate a timely debate and understanding of the impact of globalization on health and the plight of the vulnerable.

This user-friendly, comprehensive guide places evaluation in the context of HIV to give all health care professionals the necessary tools for developing and implementing successful HIV interventions. Every aspect of evaluation is discussed, including: the social and political context of evaluation coding and inter-rater reliability procedures barriers to evaluation and solution the dissemination of results the application of theory to HIV interventions. Case studies and examples from both the US and abroad to illustrate practical issues, and numerous tables and figures complement the text.

"We have come to expect that an emergent disease, once the initial hysteria it sparks has died down, will either be eradicated by money and medicine, or it will settle into the prosaic landscape of ordinary maladies with attendant routines, inconveniences, and bureaucratic exasperations. In Africa, AIDS has not followed either pathway. This outstanding collection of essays takes explicit aim at the tensions that this 'non-resolution' has generated in the world region that has felt the greatest impact of the disease: eastern and southern Africa. In these papers, we see vividly how the potential death warrant that AIDS presents to couples, households, children, has institutionalized new forms of social stigma and, at the same time, new levels of collective resilience and courage." . Caroline Bledsoe, Northwestern University

"This volume brings together some of the best, most thoughtful scholarship on AIDS in Africa. The essays are grounded in the troubling economic realities and intimate moral politics of daily life amid widespread existential angst. Together they offer novel insights into contemporary African social processes and experiences. Paying careful attention to the ways people create and tend to local moral worlds, Dilger and Luig have made a compelling, important book." . Julie Livingston, Rutgers University

" This book offers] a set of reports on how a whole range of issues in daily social life in Africa have been shaped by the presence of AIDS. Even more powerfully, these chapters about experience in the age of AIDS tell us about how ordinary people have re-created their social and cultural worlds under the threat of a new disease, and also in the face of extremely challenging economic conditions...an extremely valuable book." . Steven Feierman, University of Pennsylvania

The HIV/AIDS epidemic in sub-Saharan Africa has been addressed and perceived predominantly through the broad perspectives of social and economic theories as well as public health and development discourses. This volume however, focuses on the micro-politics of illness, treatment and death in order to offer innovative insights into the complex processes that shape individual and community responses to AIDS. The contributions describe the dilemmas that families, communities and health professionals face and shed new light on the transformation of social and moral orders in African societies, which have been increasingly marginalised in the context of global modernity.

Hansjorg Dilger is Junior Professor of Social and Cultural Anthropology at the Freie Universitat Berlin. Between 1995 and 2003, he carried out long-term fieldwork on AIDS and social relationships in rural and urban Tanzania. He is the author of Living with Aids. Illness, Death and Social Relationships in Africa. An Ethnography (Campus, 2005 in German). His recent research has focused on histories of social and religious inequality and the growing presence of Christian and Muslim schools in Dar es Salaam.

Ute Luig Ute Luig is Professor of Social Anthropology at the Freie Universitat Berlin. She has conducted long-term field work in Uganda, Ivory Coast and Zambia on gender, AIDS, religion and modernity. She is co-editor of Spirit Possession, Modernity and Power in Africa (University of Wisconsin Press, 1999). At present she is involved in a project analysing the role of Buddhism in the reconciliation process in Cambodia after the civil war."

This book explains how issues of governance lie at the heart of understanding and combating the HIV/AIDS crisis in Africa. It reviews the debates surrounding the root causes of the pandemic and its continuing proliferation and examines the local and global socio-political forces that have contributed to the spread and impact of the disease.

Three decades into the HIV pandemic, the goals remain clear: reduce the number of infections, improve the health outcomes of those who are infected, and eliminate disparities in care. And one observation continues to gain credence: families are a powerful resource in preventing, adapting to, and coping with HIV. Recognizing their complex role as educators, mentors, and caregivers, Family and HIV/AIDS assembles a wealth of findings from successful prevention and intervention strategies and provides models for translating evidence into effective real-world practice. Chapters spotlight the differing roles of mothers and fathers in prevention efforts, clarify the need for family/community collaborations, and examine core issues of culture, ethnicity, gender, and diagnosis (e.g., minority families, adolescents with psychological disorders). Throughout, risk reduction and health promotion are shown as a viable public health strategy A reference with considerable utility across the health, mental health, and related disciplines, Family and HIV/AIDS will be a go-to resource for practitioners working with families, researchers studying at-risk populations, administrators seeking to create new (or evaluate existing)prevention and care programs, and policymakers involved in funding such programs."

This book examines the structural dynamics of HIV among populations at heightened vulnerability to infection as the result of stigma, discrimination and marginalization. It first examines how the socio-structural context shapes HIV risk and how affected populations and national governments and programs have responded to these structural constraints. Chapters focus on structural determinants of HIV risk among transgender women in Guatemala, migrant workers in Mexico, Nigeria and Vietnam, and people who inject drugs in Tanzania. Next, the book examines resilience and community empowerment and mobilization among key populations such as female sex workers in the Dominican Republic and India, and young women and girls in Botswana, Malawi and Mozambique. A third set of chapters explores how national responses to HIV have addressed the role of structural factors in diverse political, geographic and epidemic settings including: Brazil, South Africa, Ukraine and the USA. Ultimately, effective and sustainable responses to HIV among marginalized groups must be grounded in an in-depth understanding of the factors that create vulnerability and risk and impede access to services. Throughout, this book brings together a rigorous social science research perspective with a strong rights-based approach to inform improvements in HIV programs and policies. It offers new insights into how to better address HIV and the health and human rights of historically excluded communities and groups.

This volume is a call to re-examine assumptions about what care is and how it be practised. Rather than another demand for radical reform, it makes the case for thinking clearly and critically. It urges people living with HIV to become full partners in designing and implementing their own care and for caregivers to accept them in this role.

In the mid-1990s new treatment options introduced a new era of AIDS. This book is a sophisticated study of the shaping of this new era. Well informed by ethnographic as well as statistical data, it reveals the complex and ambiguous processes of change in the field of HIV/AIDS and beyond. The investigation leads from the changing conceptions of disease and body to the re-defined roles of patients and physicians, and eventually treats the shifts in the production and diffusion of knowledge that the health care system underwent. In doing so, the book captures the new era of AIDS from multiple perspectives and through the voices of physicians as well as people with HIV. It offers an accessible and engaging account of the wide-ranging responses this illness caused.

As an original and timely contribution to questions of considerable currency in medicine and the social sciences, the book meets the interests of specialists, professionals, researchers and students alike.