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    298969

    AIDS / HIV - when the state fails: NGOs in grassroots AIDS care.

    Chikwendu E

    Dialectical Anthropology. 2004; 28(3-4):245-259.

    In the past quarter century HIV/AIDS has intensified poverty and suffering world wide, more so in underdeveloped countries and poor neighborhoods of cities within industrial nations. UNAIDS and WHO estimate that 40-60 million people are living with the disease worldwide. The poorest nations in Africa and the Caribbean in which HIV/AIDS have spread most rapidly also live under political, social and economic insecurity. For example, Haiti has experienced a brief civil war and a hurricane disaster in 2004; however, AIDS is the leading cause of death for adults, accounting for 5.9% of deaths and 20% of deaths among adult women. Many of the poorest African countries have also suffered concomitantly from civil wars and high HIV/AIDS prevalence. In the 1980s when Uganda had a civil war, this country was the epicenter of the pandemic world-wide, with an adult HIV prevalence of 30%. Liberia ended her civil war in 2003 and currently records an HIV prevalence of 8.2%. Sierra Leone also had a civil war which ended officially in 2002 with HIV/AIDS prevalence among the army of 46% and a rise in prevalence among the general population. Finally Rwanda emerged from civil war, genocide and mass dislocation in the 1990s and records 11.2% of adult prevalence. The economic crises from poor countries arose from "weak agricultural growth, a decline in industrial output, poor export production, high debt and deteriorating social indicators and institutions." Botswana with 35% prevalence and South Africa with 25% prevalence, though relatively more prosperous, continue to be weighed down by the legacy of apartheid in the form of a high migrant labor system and disruption of family life. (excerpt)
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