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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Unequal Balance: HIV/AIDS and Health Care Programmes in Bulawayo, Zimbabwe
Authors:Palmiere, AndrewISNI
Grant, MiriamISNI
Year:2001
Periodical:South African Historical Journal
Issue:45
Period:November
Pages:154-177
Language:English
Geographic term:Zimbabwe
Subjects:health policy
public health
AIDS
Health and Nutrition
History and Exploration
Politics and Government
Urbanization and Migration
External link:https://www.tandfonline.com/doi/abs/10.1080/02582470108671406
Abstract:This paper explores the dimensions and shortcomings of the present HIV/AIDS policies at the national level in Zimbabwe and at the local level in its second city, Bulawayo. It is critical of the Western, medically-oriented, top-down, information-giving characteristics of national and local HIV/AIDS prevention programmes there and locates them within the wider sociocultural, political and economic crises that characterize Zimbabwe today. It describes the growing prevalence of sexually transmitted diseases (STDs) during the late 1970s and through the 1980s and stresses the vulnerability of an increasing proportion of the city's residents to HIV/AIDS infection. The paper is based on field research conducted in two of Bulawayo's high-density suburbs, Nketa and Mpopoma, in 1999. It takes account of both the biomedical factors, including the role of HIV, and the socioeconomic dimension. It confirms that AIDS crosses all socioeconomic and cultural boundaries; argues for recognition of the central role of poverty in increasing vulnerability to preventable infectious disease, including HIV; and advocates comprehensive programmes which range from targeting the most vulnerable to involving all sectors in a long-term, comprehensive strategy of poverty alleviation and community and household support. Notes, ref. [ASC Leiden abstract]
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