During the eleven year long Sierra Leonean civil war, reports of systematic sexual violence against women and girls during the war resulted in international concern over a potential ‘crisis’ of HIV/AIDS in the country. In order to manage the imagined impending outbreak, the Ministry of Health and Sanitation (MoHS) in Sierra Leone received $15 million from the World Bank to create the Sierra Leone HIV/AIDS Response Program [SHARP]. In this paper, I point to the work that the global crisis narrative of HIV/AIDS does to shape specific forms of intervention. In Sierra Leone, the global health interventions associated with HIV/AIDS are further targeted at vulnerable populations, particularly war-affected women and girls, who are often framed as both abject victims in need of care (read: at risk) and potential vehicles of HIV/AIDS transmission in need of control (read: risky). In my conclusion, I ask whether the vision of HIV/AIDS vulnerability communicated by SHARP is indicative of an uneven or differential landscape of health citizenship in post-war Sierra Leone.
The contemporary model of global health intervention is rooted in colonial and post-colonial histories of debt, structural adjustment, the devolution of the state and the rise of multilateral aid-driven health development. As Sparke (2013) illustrates, the growing global health industry increasingly relies on a ‘new Washington Consensus,’ which frames improvements in population health as integral to social and economic development in nations of the Global South. Combating ‘diseases of poverty,’ such as HIV/AIDS, global health interventions often take the form of short-term ‘technocentric’ solutions that are limited in scope and vertical in implementation (Foley & Henrixson 2...
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...ent-funded initiatives act as ‘quasi states’ that produce state-like effects of control, regulation and legitimacy. The involvement of these entities in the creation and implementation of HIV/AIDS policies in Sierra Leone simultaneously disrupts national narratives of health citizenship and creates a global moral politics of intervention (Benton 2012; Kenworthy forthcoming). Through the continued utilization of a crisis model of care to address global health emergencies, the international community perpetuates the mobilization of differential forms of health citizenship that are envisioned at the global scale yet enacted and negotiated in a variety of ways at the national and local scales. In the context of the global health industry, such differential health citizenships are practiced through the prioritization of certain bodies for care to the detriment of others.
Stephanie Nolen was already known for her work as the Globe and Mail’s Africa correspondent, ranging from the effects of war on women and children, to Stephen Lewis’ fight to end AIDS in Africa, when she published 28 Stories of AIDS in Africa in 2007. 28 is Nolen’s attempt to reflect the 28 million Africans who had HIV in 2007. Nolen gathered the testimonies of 28 individuals including orphans, miners, grandmothers, soldiers, the clergy, and Nelson Mandela. In this book, Nolen seamlessly integrates personal stories of the victims with shocking statistics and engrossing quotes, effortlessly bring a ‘human face’ to the HIV/AIDS epidemic. This is a great piece of work demanding both empathy and immediate action.
The HIV epidemic hits nowhere else in the world harder than Sub-Saharan Africa, which accounts for more than two-thirds of the entire world’s cases of HIV. In her book, “The Invisible Cure”, writer Helen Epstein explores the myriad of reasons as to why the HIV outbreak is so alarming as well as differentiated than any other area of the world. Epstein explores how cultural factors influence individual behaviors as well as generations that grow up under these cultural conditions, how political involvement (or lack thereof) can often misinform people, and how structural levels of privilege allows less opportunity for those in poverty to obtain the help that they may need.
While the moral backing for public health in its current state may be sound, what many researchers fail to understand is that the many moral failings of its predecessors that color the legacy of public health internationally and at home. As discussed in the chapter “Colonial Medicine and its Legacies” within the textbook Reimagining Global Health arranged by Paul Farmer, before the conception of global health there was international health which sought to distribute health as a good horizontally across international, political lines. Under the framework of international health, public health workers became agents of a cold war enmeshed in the fiscal, geopolitical, and territorial struggles between two hegemons rather than the holistic value of community health. While international health as a framework has largely been abandoned, much of its rhetoric can be found within our current framework of public health such as the enumeration of certain parts of the world as "1st world", "2nd world",
As recently as 1990, there were some regions of the world that had remained relatively unscathed by AIDS. Today, however, there is not a single country around the world which has wholly escaped the AIDS epidemic. As the epidemic has matured, some of the developed nations which were hard hit by the epidemic in the 1980s such as the United States have reported a slowing in the rate of new infections and a stabilization among existing cases with lower mortality rates and an extension of post-diagnosis lifespan. However, despite the changing face of the global AIDS pandemic, one factor remains unchanged: no region of the world bears a higher AIDS-related burden than sub-Saharan Africa. This paper examines the demographic effects of AIDS in Africa, focusing on the hardest-hit countries of sub-Saharan Africa and considers the present and future impact of the AIDS epidemic on major demographic measures such as fertility, mortality, life expectancy, gender, age, and family structure.
In 1981 the U.S. Centers for Disease Control and Prevention report first rare cases of what is seemingly pneumonia in young gay men. These cases were then grouped together and the disease known as AIDS (Acquired Immune Deficiency Syndrome) takes its root in American Society. This disease spread quickly and the events following are responses to the spread of the disease in America known as the AIDS Crisis, where the response of both the people and the government would impact and change society and American culture and lead to emergence of a gay identity, persecution and fear of those with the disease, marketing of safe sex, and the deterioration of class barriers.
Studies had shown that, racial disparities, political and socioeconomic status are one of the most determinants of the use of preventive services. Whereas, public programs of international development agencies during this period were also targeting means of eradicating specific diseases such as malaria, cholera, yaws, smallpox, influenza, cancer and the like. After several years of investment in the vertical interventions, preventable diseases remained a major challenge. Therefore, the international health agencies including experts around the globe began examining other alternative approaches to health improvement which brought ‘’health for all’’ through World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) to practioners and the global health planners at the International conference on primary health care in Alma Ata in Kazakhstan. Relative to this, the conference also intended to revolutionize and reform previous health
The AIDS epidemic has reached disastrous proportions on the continent of Africa. Over the past two decades, two thirds of the more than 16 million people in the world infected with Human Immunodeficiency Virus (HIV), which causes AIDS, live in sub-Saharan Africa. It is now home to the largest number of people infected, with 70 percent of the world’s HIV infected population. The problem of this ongoing human tragedy is that Africa is also the least equipped region in the world to cope with all the challenges posed by the HIV virus. In order understand the social and economic consequences of the disease, it is important to study the relationship between poverty, the global response, and the effectiveness of AIDS prevention, both government and grass roots.
HIV is a battle that has existed for a long time and is still an uphill battle for those affected. This sickness has not only hurt the people but it has grown to affect the economy and politics of numerous countries and regions like America and South Africa. Therefore, the stance on the resilience has grown over the past forty years. It has existed and grown and has come to be one of the biggest social issues in the world. It has become so intertwined with society that it has had lasting affects on all divisions of the world and those divisions are economic divisions, political division, and social divisions within Africa, America, and Asia.
Over 33 million people around the world have AIDS (“Global Statistics.”). The disease, caused by the virus HIV, attacks the immune system, which is meant to protect your body from illness. Currently, there is no cure for AIDS, and 25 million have lost their lives due to it. AIDS is a serious issue affecting many people around the world today as they struggle with the disease, research for medicines, and attempt to reduce new infections
HIV and AIDS have affected millions of people throughout the world. Since 1981, there have been 25 million deaths due to AIDS involving men, women, and children. Presently there are 40 million people living with HIV and AIDS around the world and two million die each year from AIDS related illnesses. The Center for Disease Control estimates that one-third of the one million Americans living with HIV are not aware that they have it. The earliest known case of HIV was in 1959. It was discovered in a blood sample from a man in Kinshasa, Democratic Republic of the Congo. Looking further into the genetics of this blood sample researchers suggested that it had originated from a virus going back to the late 1940’s or early 1950’s. In 1999, researchers had discovered that HIV is derived from chimpanzees native to west equatorial Africa. This epidemic is spreading throughout countries and infecting 14 thousand victims every day. Learning about HIV includes knowing how to contract the virus, understanding most of the people it affects, how to prevent the spread of it, and knowing what treatments are available.
By the year 2000, 58 million people have been infected by HIV/AIDS and alarming numbers such as 22 million would have already died. And the epidemic continues to spread. HIV/AIDS historically is considered to be one of the longest running worldwide epidemics that we have ever seen, and figures cannot be placed on the true death tolls or estimation of the damage as the cycle still is yet to reach an end (Whiteside 2002). With Africa being the worst hit continent in the world in terms of the HIV/AIDS epidemic and the severity of it’s prevalence; one can only begin to question whether HIV/AIDS and poverty and directly connected or the inter-linkages exacerbate one or the other. This paper aims to argue that HIV/AIDS is a manifestation of poverty, and simultaneously poverty contributes to growing HIV/AIDS epidemic. Development in response both to poverty reduction and to HIV/AIDS is complicated when both have multi-dimensional and multi-faceted impacts on a society, whether it be social, economic or human development impacts. This paper will argue that pre-existing socio economic conditions within a country such as high levels of poverty, poor sanitation, malnutrition, environmental degradation and poor public healthcare systems and limited access to preventative care are crucial factors in contributing to the transfer of the infection (Pasteur: 2000, Mann: 1999).
In “The Problem of Global Justice”, author Thomas Nagel establishes that there are various moral responsibilities nations within the international community have toward one another. He does this by claiming “the duties governing relations among peoples include not only nonaggression and fidelity to treaties, but also some developmental assistance to ‘peoples living under unfavorable conditions that prevent their having a just or decent political and social regime,’” (Nagel 124). Following from this premise, I will briefly explain why malaria is a significant public health issue that inherently constrains poorer nations to unfavorable conditions. After explaining this, I will then argue that wealthier nations have moral obligations based upon justice, cosmopolitan ideologies and moderate statist ideologies to help facilitate in the eradication of malaria globally.
The Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome, commonly known as HIV/AIDS is a disease, with which the human immune system, unlike in other disease, cannot cope. AIDS, which is caused by the HIV virus, causes severe disorder of the immune system and slowly progresses through stages which disable the body’s capability to protect and instead makes it vulnerable for other infections. The first blood sample to contain HIV was drawn in 1959 in Zaire, Africa while molecular genetics have suggested that the epidemic first began in the 1930s (Smallman & Brown, 2011). Currently, according to the Joint UN Program on HIV/AIDS, 35.3 million people worldwide are living with HIV. In 2012, an estimated 2.3 million people became newly infected with the virus and 1.6 million people lost their lives to AIDS (Fact Sheet, UNAIDS). It is due to the globalized international society that a disease which existed in one part of the world has managed to infect so many around the world. Globalization is narrowly defined by Joseph Stiglitz as "the removal of barriers to free trade and the closer integration of national economies" (Stiglitz, 2003). Globalization has its effects in different aspects such as economy, politics, culture, across different parts of the world. Like other aspects, globalization affects the health sector as well. In a society, one finds different things that connect us globally. As Barnett and Whiteside point out (2000), “health and wellbeing are international concerns and global goods, and inherent in the epidemic are lessons to be learned regarding collective responsibility for universal human health” (Barnett & Whiteside, 2000). Therefore, through all these global connections in the international society, t...
World health organisation cited in Haralambos and Holborn (2009) sociology themes and perspectives: students hand book, seventh edition, London Collins Publishers.
London, England. The.. London School of Hygiene and Tropical Medicine n.d., Session 5: The role of the state. in global health, London School of Hygiene and Tropical Medicine, London, England. Ricci J.