Disaffection and Revolts in Nigeria During the First World War, 1914–1918

In 2012, roughly 23 million people in sub-Saharan Africa were infected with HIV, the virus that causes AIDS. Religious responses to the disease have ranged from condemnation of people with HIV to the development of innovative AIDS-related services. This article utilises insights from the social movement literature about collective identity, framing, resources, and opportunity structures to interrogate religious mobilisation against HIV/AIDS. It demonstrates that mobilisation cannot be divorced from factors such as state–civil society relations, Africa's dependence on foreign aid, or the continent's poverty. Religious HIV/AIDS activities must be analysed in a conceptual space between a civil society/politics approach and a service-provider/anti-politics framework. That is, religious mobilisation may at times seek to engage the public realm to shape policies, while at other times it may shun politics in its provision of services. Case studies that illustrate these themes and demonstrate the multi-faceted interactions between religion and HIV/AIDS are included.     

Confronting the Reality

SUMMARY

The most recent UNAIDS report (December 2003) estimates that approximately 5 million persons became infected with the HIV virus globally in 2003 alone, while 3 million persons died as a result of HIV/AIDS. What do these staggering numbers mean for the Caribbean population? Is the impact of HIV/AIDS the same among Caribbean immigrants in the United States as among the Caribbean population in the countries of origin? If so, what are the factors that promote the spread of HIV/AIDS among this population regardless of their geographic location? Finally, what can be done to reverse the growing infection rate that has made the Caribbean the second largest population to suffer from HIV/AIDS globally? In this paper the authors explore sociocultural, attitudinal and gender-specific factors that place the Caribbean population at risk of the ongoing spread of HIV/AIDS. The authors make recommendations for a community involvement response to the HIV/AIDS epidemic that targets the individual, family and community to address the problem of HIV/AIDS in the Caribbean population. A community involvement model with its potential to reduce the negative impact of socio-structural factors, and attitudes towards victims of HIV/AIDS is recommended as a meaningful response to HIV/AIDS among the Caribbean population.     

Health,Need and Politics: The Determinants of Bilateral HIV/AIDS Assistance

Over the last 10 years foreign aid for HIV/AIDS control has grown from ‘millions to billions’. This study investigates donor motivations in the targeting of bilateral HIV/AIDS assistance. Are donors selecting recipients primarily based on level of need or are political and merit-based considerations at play as well? The results of our two-stage statistical analysis of bilateral HIV/AIDS assistance flows over the period 2002–2007 suggests that recipient need is an important determinant of aid flows. We also find limited evidence of dyadic political relationships having an effect on assistance targeting, while the quality of recipient policy environments seems to have a minimal impact on donor allocation decisions.     

The Effects of Heavily Indebted Poor Countries Initiative on the Millennium Development Goals for Health

The objective of this study is to investigate the impact of Heavily Indebted Poor Countries Initiative (HIPC) on the attainment of the health millennium development goals (MDGs) in Africa and identify other correlates of health MDGs. This way, the paper uses data from the World Bank and employs the difference in difference (DID) approach to estimate the impact of HIPC on health MDGs and to identify other determinants of health MDG attainment. The results show that the impact of HIPC on health MDGs is positive. Specifically, due to HIPC, the level of the following health MDG indicators decreased: mortality rate (infant); mortality rate (neonatal); incidence of tuberculosis; prevalence of HIV/AIDS, and mortality rate under five. However, the incidence of tuberculosis (all forms) registered an increase in Africa, even in treated groups. Our findings also indicate that MDGs for health will not be attained simultaneously because some variables that reduce mortality such as GDP per capita, natural resources and education cause HIV/AIDS.     

New Hispanic Migration and HIV Risk in New York

Abstract

This paper reports on research designed to assess access to care by Latino immigrant populations in the New York area. A qualitative approach and methods were employed, involving focus groups with PWAs and affected men and women from Mexico, the Dominican Republic and Central America to explore the perceptions, beliefs, experience and knowledge of HIV care issues and the issues affecting health-seeking behavior. Among the data collected to provide context, depth and detail to the issue of access and utilization of services, was the detailed information on migration and HIV risk reported here.

A total of 57 men and women participated, ranging in age from 19-61. Results included information on migration patterns, obstacles for Latino immigrants living in the U.S., social networks, community resources, knowledge of HIV/AIDS, risk behavior and access to information. Data support the conclusion that to be effective in reaching and providing services to these immigrant groups, it is crucial to understand the environment from which they come and the impact of immigration. Poverty; repressive governments; lack of education/literacy; ethnicity, class; color-based stigma; and cultural norms are crucial factors in determining their attitudes, motivations, decisions and behavior. The key elements for the provision of services to this population appear to be those which build on cultural norms and which network human and institutional resources.     

Politics in the hot zone: Aids and national security in Africa

Traditional security studies and international relations theory do little to address the security issues associated with the HIV/AIDS pandemic. Because security studies and international relations have been preoccupied with conditions affecting the major powers, little of the long history of international relations and national security has practical application to Africa and the HIV/AIDS epidemic it is experiencing. From a theoretical perspective many fields of security studies and international relations do not adequately address critical dimensions in dealing with security. Dimensions of time, scope and depth are often overlooked. This point is important regarding the AIDS epidemic because time and extent often determine the security threat and whether it is a short-run threat (which is subject to greater political expediency) or a long-run threat (which is subject to less political expediency). In the short run the epidemic threatens the security of political institutions, the military and military operations. In the long run the security of populations and national economic performance are at risk.     

The Impact of the AIDS Epidemic on Teachers in Sub-Saharan Africa

This is the first of two articles that consider the impact of the AIDS epidemic on the education sector in sub-Saharan Africa. Teachers are regularly singled out as being particularly vulnerable to HIV infection and as such they are considered to be a ' high-risk group'. However, this study presents recent evidence from high HIV prevalence countries in eastern, central and southern Africa that suggests that this is not the case. Teacher mortality rates are considerably lower than those for the adult population as a whole. Furthermore, while demographic projections show AIDS-related mortality for teachers increasing very sharply during the next 5-10 years, teacher mortality rates are in fact declining in a number of high prevalence countries mainly as a result of behaviour change and the increasing availability of anti-retroviral drugs. The second article critically reviews the available evidence on the impact of the epidemic on the education of orphans and other directly affected children.     

Awareness and quality of knowledge regarding HIV/AIDS among women in India

This paper examines the determinants of women's knowledge regarding HIV/AIDS using data from a nationally representative survey in India. Although around 45 per cent of sample women had heard about the disease, their knowledge regarding its modes of transmission and prevention is found to be limited. To explore the possibility that there may be a different process that determines awareness as opposed to quality of knowledge regarding HIV/AIDS, a negative binomial hurdle model and a two-stage ordered probit model are estimated. The results show that the effect of several covariates, such as education and mass media, on awareness is different from their effect on quality of knowledge.     

Containing Conflict or Instigating Unrest? A Test of the Effects of State Infrastructural Power on Civil Violence

Several scholars argue that state infrastructural power affects the likelihood of civil violence yet make competing claims. Some propose that states with high levels of infrastructural power instigate violence by reducing local autonomy, while others suggest infrastructural power endows states with the capacity to contain civil violence. We test these claims using both qualitative and quantitative methods. Through a pooled time-series analysis of 32 former British colonies, we find that infrastructural power is not significantly related to civil violence, suggesting either that infrastructural power has no effect or no net effect. Then, through case studies of Burma and Botswana, we investigate the impact of infrastructural power on civil violence, focusing on mechanisms and causal conditions. The case studies provide evidence that infrastructural power produces competing mechanisms that negate any net effect and that different conditions and policies affect whether a state’s level of infrastructural power contains conflict or instigates unrest.     

The politics of HIV/AIDS in South Africa: government action and public response

A decade ago it seemed likely that African governments would be destabilised by the impact of the HIV/AIDS epidemic. This article tests some of the presumptions in such forecasting with an examination of the South African case. It begins with an assessment of the effects on the public health system of the South African government’s efforts to cope with the illness. Efforts to implement universal treatment of people who are HIV-positive appear to have strengthened government, while the costs have been affordable. The efforts have extended the embrace of the public health system and prompted the engagement of civil society in policy formation and implementation. Survey evidence suggests that the government has gained public approval and that its health service delivery has become more socially accountable. Civil protest to engender political reforms in the treatment of AIDS patients has enhanced the role of constitutional checks on executive authority.     

East African Economic Development Over the Next Twenty Years: Some Forecasts About Qualitative Changes

Combining social movement approaches to resource mobilization and collective identity, this article investigates the role of external material resources in shaping the direction of collective action against HIV/AIDS within the Kamwokya Christian Caring Community (KCCC), a Catholic community-based initiative in Kampala. From its origins in the late 1980s as a community of Christians providing “holistic care” to people living with HIV/AIDS, the KCCC has in the wake of increasing external funding been transformed into a professional development non-governmental organization (NGO). In the process, the ideals of holistic care have gradually been overshadowed by neo-liberal development rationalities and bio-political concerns. The article therefore argues that successfully mobilizing donor funding can have unintended consequences for the nature of religious collective action against HIV/AIDS.     

The Changing Relationships of Co-wives Over Time in Rural Southern Uganda

Co-wives are often portrayed both as being rivals for their husband's affections and resources as well as collaborators in managing the family. I explore a further dimension: historical time. The life trajectories of individual women in rural Uganda show how co-wife relationships are established, change, endure or end. In addition to ageing, which plays a part in women's changing conjugal arrangements, political upheavals and HIV and AIDS have also had a profound impact on their lives, affecting not only their relationship and attitude towards their husbands but also towards their children, as well as each other.     

The 'nameless fever': The HIV/AIDS pandemic and China's women

HIV/AIDS is fundamentally an issue of human rights. To the right to medical provision must be added rights to the provisions of social justice necessary to the prevention and alleviation of HIV/AIDS. China has become the focus of international concern over HIV/AIDS. Applying the concepts of 'capabilities poverty', 'discursive democracy', gender construction, 'structural violence' and the 'hypermasculine state', the study identifies the threat to China's women from HIV/AIDS; evaluates the factors contributing to this threat with reference to issues of human rights; and assesses the quality of the national and international response to the HIV/AIDS threat. It is argued that there is a growing threat to women from HIV infection in China; that there are gender-specific factors that render women in China especially vulnerable; that the belated epidemiological response is weak and its capability to meet the threat seriously weakened by social patriarchy; and that, ultimately, the HIV/AIDS threat to China's women is an issue that can only be resolved through political reform leading to discursive democracy and social justice.     

Child Income Appropriations as a Disease-Coping Mechanism: Consequences for the Health-Education Relationship

This paper analyses the relationships between HIV/AIDS and education taking into account the appropriative nature of child income. Using a theoretical model, we show that considering remittances from one’s child as an insurance asset can reverse the usual negative relationship between disease prevalence and educational investment. This prediction confirms the results of an empirical study conducted on data compiled from the Demographic and Health Survey (DHS) database for 12 sub-Sahara African countries for children aged between 7 and 22-years-old. Using regional HIV prevalence as a measure of health risk, we find that the ‘sign of the slope’ between health risk and the enrolment of children is not constant. Splitting the data based on expected remittance patterns (for example rural versus urban), we obtain that the effect is most likely driven by household characteristics related to child income appropriation.     

Progress in Health around the World

Health is a key component of human development. This article looks at how health is measured, and the convergence of health across countries. We argue that health measures should account for illness as well as mortality, but in practice life expectancy is a reasonable proxy for population health. While health is improving we see two distinct groups of countries in the data, clustering around different long run steady states. Many countries have experienced large health gains without prior income gains and in countries not affected by HIV/AIDS the last 40 years have been a success story in terms of health.     

Predictors of Electronic Government Services Adoption: The African Students’ Perspective in China

This study investigated the willingness of African students in China to adopt and use e-government services. The Unified Theory of Acceptance and Use of Technology (UTAUT) was used as the theoretical framework for this study while the data were analyzed with SPSS. The results indicate that performance expectancy, social influence, culture, and facilitating conditions were significant in determining the willingness to use e-government services. Contrarily to our expectations, effort expectancy, trust in the internet and perceived service quality were not significant in influencing the willingness to use e-government services. Also, while social influence had a significant influence on the trust in the internet, it was, however, demonstrated that social influence does not have a significant impact on both the effort expectancy and performance expectancy of e-government services. The implications of these and other result findings of this study are thoroughly discussed.     

Changing Resource Profiles: Aspirations Among Orphans in Central Mozambique in the Context of an AIDS Mitigation Intervention

In this article the resource profile approach is used as a framework to explore wellbeing and future aspirations among orphans and vulnerable children in Central Mozambique who took part in an AIDS mitigation project aimed at shoring up rural livelihoods. It is shown that participation in the project has altered the resource profile of participants, not least in terms of shoring up cultural resources and enhancing the capacity to aspire. This has wider implications for individuals' resource profile dynamics more generally and strengthens the case for interventions into HIV/AIDS based on a holistic understanding of people's wellbeing.     

Social Change and Interest in Family Planning in Ghana: an Exploratory Analysis

This article examines the ways that pastors have mobilised their religious followers to address the issue of HIV and AIDS in Ghana and Zambia. The work argues that successful pastors have utilised church organisational structures to support and empower their activities, they have framed HIV and AIDS mobilisation messages in a way that is acceptable to their congregants and to their broader societies, and they have capitalised on changing political opportunities, particularly those opportunities for collaboration with external actors such as donors and Western churches. The work situates the analysis in Zambia and Ghana, two countries that contrast in their HIV prevalence rates and the amount of donor attention and funding they have received for combating HIV and AIDS. The article asserts that while pastors have agency in the social mobilisation process, they are also affected by the broader social and cultural contexts in which they operate.     

AIDS costs in Trinidad and Tobago

This article examines the dramatic emergence of HIV/AIDS as a major public health problem in Trinidad and Tobago. While there were only eight registered cases of AIDS in 1983, by the beginning of 1992 Trinidad and Tobago had arrived at an incidence that put it in the 17th spot in the world, according to the World Health Organisation (WHO). The disease, which was first evinced among homosexuals, quickly spread to the heterosexual population. The cost of the disease, estimated in a human capital approach, has already made a dent on the GDP. Even the most conservative of projections suggests that the number of cases will rise by a factor of between four and five by the year 2000. Although there is little by way of comparative cost data on other diseases, AIDS/HIV, in all probability, could be very costly to the country. Ralph Henry received his B.A. at the University of the West Indies and his Ph.D. at the University of Alberta. He is currently senior lecturer and head of the Department of Economics at the University of the West Indies, Trinidad and specializes in human resource economics. Elizabeth Newton received her Bachelor and Master degrees at the Massachusetts Institute of Technology, Cambridge. She is currently a visiting scientist at the Caribbean Epidemiology Centre in Port of Spain, Trinidad. Her main research interests include biostatistics and infectious disease modelling.