The hidden battle: HIV/AIDS in the household and community

The AIDS epidemic will cause significant increases in illness and death in prime‐age adults, which will manifest itself through negative social, economic and developmental impacts. The epidemics economic impacts at the household level are decreased income, increased health‐care costs, decreased productive capacity and changing expenditure patterns. Three coping strategies are observed: altering household composition; withdrawing savings or selling assets; and receiving assistance from other households. Following death, the impacts break out of the family into the community, primarily through orphaning. In the near future, the sheer number of orphans may overwhelm the capacity of existing community resources to cope. The distribution of the impacts of the AIDS epidemic falls unevenly among the genders. In Africa, women have higher infection rates and bear a disproportionate burden of the care of HIV‐positive people. Orphaned girls are more vulnerable to exploitation.     

HIV/AIDS: Developing a national strategy with a human rights approach

Currently, HIV/AIDS is Africa s most compelling challenge, owing in part to the initial lack of government commitment to deal with the epidemic. Responses should take into account the impact of HIV/AIDS on various sectors, as well as the role those sectors should play in supporting a national AIDS plan. Governments should develop national AIDS plans in consultation with non‐governmental organisations, civil society and people living with HIV/AIDS. Supported by all levels of government, such plans should use human rights concerns as the basis of their approach. This approach will take into account the reform of existing legislation, as well as the promotion of a supportive environment for both people living with HIV/AIDS and groups particularly vulnerable to infection.     

HIV/AIDS and sexual minorities in Mexico: a globalized struggle for the protection of human rights

The fight against HIV/AIDS is an example of a global struggle for the promotion of sexual health and the protection of human rights for all, including sexual minorities. It represents a challenge for the understanding of its impact on political, social, and economic processes. My central goal in this piece is twofold. First, I underline the importance of a political and human rights perspective to the analysis of the global response to the pandemic, and I introduce the concept of policy networks for a better understanding of these dynamics. Second, I argue that, in the case of Mexico, the constitution of HIV/AIDS policy networks, which incorporate civil society and state actors, such as sexual minority activists and public officials, and their actions—both domestic and international—have resulted in a more inclusive HIV/AIDS policy-making process. However, serious human rights violations of HIV/AIDS patients and sexual minorities still remain.     

Biomedical loopholes, distrusted state, and the politics of HIV/AIDS "cure" in Nigeria

As socio-medical phenomena, epidemics are revealing of the cultures in which they are experienced. The HIV/AIDS epidemic in Africa exposes antecedent tensions between state and society, and, on a broader canvas, between the global north and south. As a contribution to the emerging literature on the social ramifications of HIV/AIDS, this article examines the saga of the Nigerian physician and immunologist, Dr Jeremiah Abalaka, who like other innovators in sub-Saharan Africa claims to have developed a curative HIV vaccine. Whilst articulating the social conditions that enabled Abalaka to thrive, the article explores the marked differences in the reaction to his "discovery" among state representatives, the scientific establishment, the general public, people living with HIV, and the media. Finally, the article valorizes the emergence of new actors in the African health sector, and the diversity of strategies used by ordinary people to achieve and maintain wellness.     

Welfare States Facing HIV/AIDS. Organizational Responses in Western Europe (1981–91)

In this article the author analyzes comparatively several organizational models which were introduced in a dozen West European countries to address the problem of HIV/AIDS. Analyzing some aspects of the organizational design, the logic of intervention (sectorial or global), the type of actors (public or private) and the type of relations between actors, she elaborates a typology of responses. Three types are identified, presenting unexpected variants in respect to general typologies of the western welfare state. The author also notes that a form of social regulation based on private actors has been adopted in all countries under consideration. These results lead her to the hypothesis that the factors of innovation or modernization in administrations facing the management of such problems are grounded in new forms of collaboration between actors of different legal status.     

Non-governmental organisations and the management of HIV and AIDS in refugee camps: A comparison of Marratane Camp in Mozambique and Kakuma Camp in Kenya

In recent years, a number of sub-Saharan African states appear to have placed restrictions on the operations of international non-governmental organisations (NGOs) within their state boundaries. Indeed, some commentators and academics have questioned the role NGOs should play in providing humanitarian aid to refugees and to what extent they are, or should be, involved in the political, cultural, economic and healthcare concerns and agendas of any state. However, the high HIV/AIDS prevalence in refugee camps in sub-Saharan Africa creates negative economic, social, political and security implications for their host states and many states lack the knowledge, experience and funds to manage the problem successfully. Within this context, this article examines and compares the role and effectiveness of two separate NGOs involved since 2001 in HIV/AIDS management programmes in two distinct refugee camps: Save the Children in Marratane Refugee Camp in Mozambique and the International Rescue Committee in Kakuma Refugee Camp in Kenya. NGO success in managing HIV/AIDS programmes is analysed according to UNHCR guidelines and specifically against four key aspects of HIVAIDS management; HIV/AIDS awareness, HIV/AIDS prevention, access to HIV healthcare services and the provision of treatment.     

Land Reform: Unfulfilled Obligation in Southern Africa and Beyond

ABSTRACT

Land reform remains a relevant but contentious issue in southern Africa. It nearly caused the collapse the Southern African Development Community (SADC) after its tribunal ruled against the Zimbabwe land reform programme (which resulted in the removal of white settlers from land they had occupied for decades and, in some cases, for over a century). The major challenge for southern Africa and most of the African continent is to untangle itself from the provocative and salient legacy of social, economic and psychological apartheid on its territory for almost a century without disrupting development endeavours (Chigara 2012). This article exposes the theoretical foundations influencing the powers at play that compromise most of the efforts that have been directed at trying to facilitate transitions from colonialism and its legacies to societies egalitarian. Land rights have suddenly become very important and it appears that these rights only apply to those whose ownership of land has been legitimised by colonialism. The article recommends the application of already existing legal frameworks at domestic, regional, continental and global levels to meaningfully engage land reform challenges that confront SADC and the continent of Africa as whole as a consequence of the general non-compliance to the rule of law and justice itself.     

Beyond the Deficit Model: Social Welfare in Post-Soviet Georgia

Two researchers examine several crucial features of the transformation of Soviet welfare provision in post-Soviet Georgia. Institutional analysis and household surveys in two industrial cities in Georgia are used to identify determinants of distribution and access to three sectors of social welfare: water, heat, and education. The data are used to develop a multidimensional conceptional framework for change.