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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Most at-risk populations: contextualising HIV prevention programmes targeting marginalised groups in Zanzibar, Tanzania
Author:Ahmed, Naheed
Year:2014
Periodical:African Journal of AIDS Research (ISSN 1727-9445)
Volume:13
Issue:3
Pages:205-213
Language:English
Geographic term:Zanzibar
Subjects:AIDS
health education
External link:https://doi.org/10.2989/16085906.2014.952645
Abstract:According to a 2009 UNAIDS report the HIV/AIDS prevalence rate in Zanzibar, Tanzania, is low in the general population (0.6 per cent), but high among vulnerable groups, specifically sex workers (10.8 per cent), injecting drug users (15.1 per cent), and men who have sex with men (12.3 per cent). In response to this concentrated epidemic, the Government of Zanzibar, international and local non-profit organisations have focused their prevention activities on these marginal populations. Although these efforts are beneficial in terms of disseminating information about HIV/AIDS and referring clients to health clinics, they fail to address how the socio-economic status of these groups places them at a greater risk for contracting and dying from the virus. Furthermore, there is an absence of qualitative research on these populations which is needed to understand the challenges these groups face and to improve the effectiveness of interventions. Through interviews with employees of government agencies and non-profit organisations, medical professionals, vulnerable populations and HIV/AIDS patients, this paper used a political economy of health and syndemic framework to examine how local realities inform and challenge HIV/AIDS programmes in Zanzibar. Bibliogr., sum. [Journal abstract]
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