Almost four decades after the scientific discovery of HIV/AIDS, the world continues to grapple with this public health challenge. A successful response requires thinking differently about the epidemic, but what type of thinking can facilitate effective change? Thinking Differently about HIV/AIDS explores the limits of mainstream approaches to the HIV/AIDS epidemic and challenges readers to develop alternate solutions, placing particular emphasis on the value of critical social science perspectives. The contributors investigate traditions of inquiry – governmentality studies, institutional ethnography, Indigenous knowledges, conversation analysis, actor-network theory, critical ethnography, and others – to determine what these perspectives can bring to HIV/AIDS research, policy, and prevention programming. Engaging with various knowledge frameworks, they examine the criminalization of HIV, epidemiological and media constructions of the epidemic, HIV non-disclosure, treatment adherence, and other topics. This book is the first Canadian anthology of critical social science perspectives on HIV/AIDS, demonstrating how and why critical social science is necessary for rethinking research and action required to address the epidemic.

As we approach the 25th anniversary of the first recognition of HIV/AIDS in 1981, this book reflects on the international impact of the disease. It has persistently remained a global issue, with more than 50 million people worldwide estimated to have been infected since that date. This ambitious book, written by 165 authors from 30 countries, offers a multi-country comparative study that examines how the response to the common, global threat of HIV is shaped by the history, culture, institutions and health systems of the individual countries affected. Increasingly the shift of health systems has been from prevention only as the main containment strategy, to a strategy that includes scaling up HIV treatment, and care and prevention services, including antiretroviral therapy. Thus, all parts of the health system must be involved; policy makers, healthcare professionals and users of the services have been forced to think differently about how services are financed, how resources are allocated, how systems are structured and organized, how services are delivered to patients, and how the resulting activity is monitored and evaluated in order to improve the effectiveness, efficiency, equity and acceptability of the response. This book is unique in attempting to describe and assess a range of responses across the globe by situating them within the characteristics of each country and its health system. Most chapters combine a health policy expert with an HIV specialist, allowing both a 'top down' health system approach and a 'bottom up' HIV-specific perspective. There are thematic and analytical sections, which provide an overview and some suggestions for solutions to the most serious outstanding issues, and chapters which analyse specific country and organisational responses. There is no perfect health system, but the evidence provided here allows the sharing of knowledge, and a opportunity to assess the impact and reactions, to an epidemic that must be considered a long term issue.

AIDS has a unique political history. As fears grew of a global pandemic on the scale of AIDS in sub-Saharan Africa, AIDS was briefly treated as an issue of high politics in the international arena and generated significant resources for country programmes. That initial commitment is now declining, and if AIDS is to maintain its visibility and contribution to global solidarity, human rights and dignity, its politics will have to evolve to reflect the profound geo-political, economic and social transformations underway today. This volume brings together leading scholars from a variety of disciplines who work at the intersection of politics and HIV. They reflect on the lessons learned from the past thirty years of the politics of AIDS and how political science, writ large, can further contribute to the understanding and practice of political mobilization around AIDS. Through case studies and analysis, new insights into identity politics and social movements in countries as diverse as Brazil, Switzerland, Vietnam and Zambia are offered alongside new approaches to understanding the determinants and incentives which generate political will and commitment. This book was published as a special issue of Contemporary Politics.

Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.

For young gay men who came of age in the United States in the 1980s, the HIV/AIDS epidemic was a formative experience in fear, hardship, and loss. Those who were diagnosed before 1996 suffered an exceptionally high rate of mortality, and the survivors -- both the infected individuals and those close to them -- today constitute a "bravest generation" in American history. The AIDS Generation: Stories of Survival and Resilience examines the strategies for survival and coping employed by these HIV-positive gay men, who together constitute the first generation of long-term survivors of the disease. Through interviews conducted by the author, it narrates the stories of gay men who have survived since the early days of the epidemic; documents and delineates the strategies and behaviors enacted by men of this generation to survive it; and examines the extent to which these approaches to survival inform and are informed by the broad body of literature on resilience and health. The stories and strategies detailed here, all used to combat the profound physical, emotional, and social challenges faced by those in the crosshairs of the AIDS epidemic, provide a gateway for understanding how individuals cope with chronic and life-threatening diseases. Halkitis takes readers on a journey of first-hand data collection (the interviews themselves), the popular culture representations of these phenomena, and his own experiences as one of the men of the AIDS generation. This riveting account will be of interest to health practitioners and historians throughout the clinical and social sciences -- or to anyone with an interest in this important chapter in social history. Cover photo courtesy of Fire Island Pines Historical Preservation Society.

A simple and authoritative challenge to the conventional wisdom about AIDS, this newly revised book probes widely held assumptions about the risks, tests, and treatments associated with this controversial disease. The ideas of the general public—that everyone is at risk, that AIDS is widespread, that HIV is proven to cause AIDS, and that drug treatments or vaccines offer the only hope to resolve health problems associated with AIDS—are refuted, and new information is presented on AIDS in Africa and recent research on the effects of AZT, protease inhibitors, and combo cocktails. A recommended reading list and website directory supply tools for further study, and first-person accounts from naturally healthy HIV-positive men, women, and children give the facts a human face.

This volume is the result of academic cooperation between scholars in Norway, Sudan, Zambia, and South Africa linked to a master’s program in international education and development. It draws upon studies carried out in Sudan, Zambia, Namibia, and South Africa. Most of the chapters deal with the HIV/AIDS pandemic in various ways. Because youth are the group most vulnerable to HIV/AIDS, the various chapters discuss the complex discursive spaces that youth inhabit and navigate, and where the interlocking concepts of social identity, power, inequality, sexuality, vulnerability, and resilience are brought together. Many of the chapters discuss the HIV/AIDS pandemic in relation to indigenous knowledges and argue for including indigenous knowledges in the fight against the pandemic. The suggestion to include indigenous knowledges opens space for a more varied, holistic, and comprehensive approach to the pandemic. The book invites readers to explore the oppressive and often dangerous socioeconomic situation that many youth in sub-Saharan Africa experience, also beyond the HIV/AIDS pandemic. Chapters on street youth in Namibia and youth in a township in Cape Town discuss the often creative coping mechanisms employed by youth to escape or mitigate the oppressive situations they find themselves in.

Doyal brings together findings from a wide range of empirical studies spanning the social sciences to explore experiences of HIV positive people across the world. This will illustrate how the disease is physically manifested and psychologically internalised by individuals in diverse ways depending on the biological, social, cultural and economic circumstances in which they find themselves. A proper understanding of these commonalities and differences will be essential if future strategies are to be effective in mitigating the effects of HIV and AIDS.

This resource guide is a collection of stories, articles, and worksheets on issues surrounding HIV/AIDS. It is intended to be informative and useful for adult language, literacy, and numeracy students. An HIV/AIDS introduction for teacher is followed by a section on further resources, which lists organizations which may provide guest speakers, support, and further information. It also lists several training packages and videotapes students may find useful, particularly if they are young adults. An HIV/AIDS introduction for students is designed to allay some concerns about this topic that students may have. A student questionnaire follows. It is identical to one that is found at the end of the materials so that changes in students' ideas and understanding of HIV/AIDS issues can be determined. An answer key is provided. Notes for teachers preceding the nine sections of worksheets provide language, literacy, and numeracy objectives as well as suggestions for extension activities. Section titles are as follows: (1) HIV/AIDS True Stories; (2) HIV/AIDS--What are the letters for? What do the words mean?; (3) HIV/AIDS--How do you get it? Fact or myth?; (4) HIV/AIDS--Australian statistics; (5) HIV/AIDS--world statistics; (6) HIV/AIDS--different opinions; (7) HIV/AIDS--community awareness; (8) HIV/AIDS newspaper coverage; and (9) HIV/AIDS--terms to avoid using. (YLB)

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.