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The Republic of Therapy - Triage and Sovereignty in West Africa's Time of AIDS (Paperback)
Loot Price: R817
Discovery Miles 8 170
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The Republic of Therapy - Triage and Sovereignty in West Africa's Time of AIDS (Paperback)
Series: Body, Commodity, Text
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The Republic of Therapy tells the story of the global response to
the HIV epidemic from the perspective of community organizers,
activists, and people living with HIV in West Africa. Drawing on
his experiences as a physician and anthropologist in Burkina Faso
and Cote d'Ivoire, Vinh-Kim Nguyen focuses on the period between
1994, when effective antiretroviral treatments for HIV were
discovered, and 2000, when the global health community acknowledged
a right to treatment, making the drugs more available. During the
intervening years, when antiretrovirals were scarce in Africa,
triage decisions were made determining who would receive lifesaving
treatment. Nguyen explains how those decisions altered social
relations in West Africa. In 1994, anxious to "break the silence"
and "put a face to the epidemic," international agencies
unwittingly created a market in which stories about being HIV
positive could be bartered for access to limited medical resources.
Being able to talk about oneself became a matter of life or death.
Tracing the cultural and political logic of triage back to colonial
classification systems, Nguyen shows how it persists in
contemporary attempts to design, fund, and implement mass treatment
programs in the developing world. He argues that as an enactment of
decisions about who may live, triage constitutes a partial, mobile
form of sovereignty: what might be called therapeutic sovereignty.
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