Medicine: HIV/AIDS, retroviral diseases Books

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Book SynopsisIn a riveting portrait of the world’s largest HIV/AIDS medical-care provider, award-winning journalist Patrick Range McDonald reveals AIDS Healthcare Foundation’s unlikely rise from a feisty grassroots organization during the height of 1980s AIDS crisis to its position today as a global leader in the fight to control HIV and AIDS. This untold story highlights AHF’s bold history of activism, its hard-charging advocacy on the behalf of vulnerable people, and its heroic efforts to provide free HIV drug treatment around the world. With insider access, McDonald follows AHF for a year as it clashes with the Obama administration, the state of Nevada, and the World Health Organization. He interviews AHF’s key players, including firebrand president Michael Weinstein, and travels to AHF outposts around the globe. Along the way, McDonald discovers that AHF is a tenacious “people power” organization that brings hope and change to nearly all corners of the world.

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Book SynopsisIn the early 1980s it was discovered that HIV, the virus that causes AIDS, could be passed through a mother’s milk to her baby. Almost overnight in the industrialised countries, and later in the African countries most ravaged by HIV, breastfeeding became an endangered practice. But in the rush to reduce transmission of HIV, everything we already knew about breastfeeding’s life-saving effects was overlooked, with devastating consequences for mothers and babies. In HIV and Breastfeeding – the untold story, former IBCLC Pamela Morrison, an acknowledged authority on HIV and breastfeeding, reveals how women in the world’s most poverty-stricken areas were persuaded to abandon breastfeeding as part of a short-sighted and deadly policy that led to an humanitarian disaster. The dilemma that breastfeeding, an act of nurturing which confers food, comfort and love, could be at once life-saving yet lethal, has been called ‘the ultimate paradox’. This critical account reveals how vital breastfeeding is, even in the most difficult of circumstances, and examines the lessons that can be learned from the mistakes of the past – which is particularly relevant as we deal with the consequences for mothers and babies of another global pandemic, Covid-19. With detailed information for HIV-positive mothers and their caregivers, and success stories from mothers themselves, this book is essential reading for anyone involved in protecting and supporting breastfeeding, or with a need for evidence-based information about breastfeeding and HIV.

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Book SynopsisExamines the South African HIV/AIDS epidemic through creative texts and the impact of these representations in determining which issues receive attention and how public understanding of the virus is shaped. South Africa is one of the countries in the world most affected by HIV/AIDS, and yet, until recently, the epidemic was barely visible in South African literature. Much can be gained from approaching the South African epidemic through creative texts such as novels, photographs, films, cartoons and murals because they produce and circulate meanings of HIV/AIDS and its various facets such as its 'origin', 'transmission routes' and 'physical manifestations'. Other aspects explored are the denial of HIV/AIDS, its stigmatisation, discriminatory practices, modes of disclosure, access to anti-retroviral medication, as well as the role of alternative treatment. Creative texts, which are open to different and possibly contradictory readings, can serve as a starting point to increase the cultural visibility of the virus and to challenge dominant ideas about the epidemic. The cultural constructions of HIV/AIDS should be carefully examined because the meanings are pervasive and have very 'real' consequences: they play a powerful role both in determining which issues receive attention and in shaping public understanding of the virus. Ellen Grünkemeier is a lecturer and researcher in the English Department at Leibniz University of Hanover, Germany. Her publications include two co-edited volumes on postcolonial literatures and cultures, Listening to Africa. Anglophone African Literatures and Cultures (2012), and Postcolonial Studies across the Disciplines (ASNEL Papers 19, forthcoming).Trade ReviewDelves into some of the most important sources of intellectual and public contestation regarding HIV. * AFRICAN AFFAIRS *Grünkemeier makes a strong case that South African literary genres as well as other creative modes have begun to break the culture of silence surrounding HIV/AIDS by representing that silence and the opaque communications surrounding the epidemic. * AFRICAN STUDIES REVIEW *Table of ContentsIntroduction: Setting the Agenda Mapping the Terrain: The South African HIV/AIDS Epidemic HIV/AIDS as a Taboo Topic: A Culture of Silence Imagery Myths Literary Genres Afterword: Meanings Matter

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Book SynopsisHIV/AIDS remains a major global health problem, despite the progress made in its prevention and treatment. Addressing this problem is not only a matter of more and better drugs, they need to be widely accessible and be affordable to the poor. This book makes, with a much welcomed interdisciplinary approach, an excellent contribution to understanding how the intellectual property regime can influence health policies and the lives of millions of people affected by the disease. The analysis provided by the various authors that contributed to this book will be of relevance not only to those working in the area of HIV/AIDS, but to those more broadly interested in public health governance and the role of intellectual property rights.'- Carlos Correa, University of Buenos Aires, Argentina'This is an important, innovative and, at times, controversial collection. Inter-disciplinary in approach, this collection will have appeal to those concerned with the global injustice in the context of HIV/AIDS. Investigating the legal, political and economic determinants of access to essential medicines, this is thought provoking collection which will resonate with many in both the academic and public policy community.'- Bryan Mercurio, The Chinese University of Hong KongThis important book brings together leading scholars from multiple disciplines, including intellectual property, human rights, public health, and development studies, as well as activists to critically reflect on the global health governance regime.The Global Governance of HIV/AIDS explores the implications of high international intellectual property standards for access to essential medicines in developing countries. With a focus on HIV/AIDS governance, the volume provides a timely analysis of the international legal and political landscape, the relationship between human rights and intellectual property, and emerging issues in global health policy. It concludes with concrete strategies on how to improve access to HIV/AIDS medicines.This interdisciplinary, global, and up-to-date book will strongly appeal to academics in law, international relations, health policy and public policy, as well as students, policymakers and activists.Contributors include: F.M. Abbott, O. Aginam, T. Amin, L. Biron, A. Denburg, G.E. Evans, J. Harrington, J. Harrison, K. Lee, K.C. Shadlen, P.K. YuTrade Review‘The different chapters are presented in a coherent manner and are all characterized by a precise yet easy to understand language that makes the book an enjoyable and accessible read for researchers and students alike.’ -- Queen Mary Journal of Intellectual Property‘HIV/AIDS remains a major global health problem, despite the progress made in its prevention and treatment. Addressing this problem is not only a matter of more and better drugs, they need to be widely accessible and be affordable to the poor. This book makes, with a much welcomed interdisciplinary approach, an excellent contribution to understanding how the intellectual property regime can influence health policies and the lives of millions of people affected by the disease. The analysis provided by the various authors that contributed to this book will be of relevance not only to those working in the area of HIV/AIDS, but to those more broadly interested in public health governance and the role of intellectual property rights.’ -- Carlos Correa, University of Buenos Aires, Argentina‘This is an important, innovative and, at times, controversial collection. Inter-disciplinary in approach, this collection will have appeal to those concerned with the global injustice in the context of HIV/AIDS. Investigating the legal, political and economic determinants of access to essential medicines, this is a thought provoking collection which will resonate with many in both the academic and public policy community.’ -- Bryan Mercurio, The Chinese University of Hong KongTable of ContentsContents: 1. Introduction Obijiofor Aginam and John Harrington 2. Communitarian Globalism and Disease: A Normative Orientation for Global Health Governance Obijiofor Aginam 3. Is AIDS Treatment Sustainable? Kenneth C. Shadlen 4. Access to Paediatric Medicines: The Global Political Economy of Drug Production and Supply for Children in the Developing World Avram Denburg and Kelley Lee 5. Trade Agreements, Intellectual Property and Access to Essential Medicines: What Future Role for the Right to Health? James Harrison 6. Re-visiting the Patents and Access to Medicines Dichotomy: An Evaluation of TRIPs Implementation and Public Health Safeguards in Developing Countries Tahir Amin 7. Seizure of Generic Pharmaceuticals in Transit Based on Allegations of Patent Infringement: A Threat to International Trade, Development and Public Welfare Frederick M. Abbott 8. Patent Licensing Strategies for the Research and Development of Pharmaceuticals in Developing Countries Gail E. Evans 9. Increasing Access through Incentives for Innovation: The Health Impact Fund Laura Biron 10. Building IPC4D to Promote Access to Essential Medicines Peter K. Yu 11. The Global Governance of HIV/AIDS and the Rugged Road Ahead: An Epilogue Peter K. Yu Appendices Index

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Book SynopsisAcquiring HIV may no longer be a death sentence, but its effects are still profound. Many people living with HIV face rejection and are unsure about their futures, and these anxieties may be felt all the more keenly by children and young people. Stepping Stones with Children equips organizations and individuals with materials with which they can engage children affected by HIV and their caregivers, using powerful exercises to convey information, explore norms, discover their abilities, and individually and jointly create stronger ways of being. The training sessions cover a wide range of topics with a gendered and child-rights focused framework including psycho-social wellbeing and resilience, assertiveness, bereavement, HIV testing, living well with HIV, preventing sexual abuse, and supporting survivors of abuse. They cover issues facing all young people growing up, which might be particularly challenging for those affected by HIV from friendships at school, to relationships, sexuality, and livelihoods. Each of the sessions clearly explains its overall purpose, and sets out the aim and method for each activity. Most activities are carried out with the participants working in their three separate peer groups of younger children (5-8 year olds), older children (9-14 year olds) and caregivers. Sometimes each peer group works in gendered-sub groups. The three peer groups sometimes work together, or come together to share what they have learned and to negotiate new ways of relating to one another. Stepping Stones with Children follows on from Stepping Stones and Stepping Stones Plus, which are training materials widely used in workshops with older youth and adults affected by HIV. Stepping Stones with Children is essential reading for social workers, community workers, health workers and NGO staff working on programmes with people affected by HIV; also researchers and academics teaching and advising in this field.

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Book SynopsisThe Radiology of AIDS is aimed at candidates for postgraduate examinations in all specialities and especially those doctors with some training in HIV disease who need to assess their knowledge of the subject. This book is particularly applicable to candidates for postgraduate examinations in radiology.

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Book SynopsisDrawing on rich and poignant interviews with mothers who have been diagnosed HIV-positive, ""Contradicting Maternity"" provides a rare perspective of motherhood from the mother's point of view. Whereas motherhood is often assumed to be a secondary identity compared to the central figure of the child, this book reverses the focus, arguing that maternal experience is important in its own right. The book explores the situation in which two very powerful identities, those of motherhood and of being HIV-positive, collide in the same moment. This collision takes place at the interface of complex, and often split, social and personal meanings concerning the sanctity of motherhood and the anxieties of HIV. The book offers an interpretation of how these personal and social meanings resonate with, and also fail to encompass, the experiences surrounding HIV-positive mothers. Photographs, academic literature and the accounts of real women are read with both a psychodynamic and discursive eye, highlighting the contradictions within maternal experience, as well as between maternal experience and the social imagination. ""Contradicting Maternity"" will appeal to scholars, students and practitioners in psychology, the social sciences and the health professions. The sensitive and readable analysis will also be of interest to mothers, whether HIV-positive or not.Table of ContentsFacing the HIV-positive Mother; the Joys of Motherhood; finding the HIV-positive mother; minding Baby's Body; mother's mind; mother's body; Thula Mama; contradicting maternity.

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Book SynopsisIn what circumstances and on what basis, should those who transmit serious diseases to their sexual partners be criminalised? In this new book Matthew Weait uses English case law as the basis of a more general and critical analysis of the response of the criminal courts to those who have been convicted of transmitting HIV during sex.Examining cases and engaging with the socio-cultural dimensions of HIV/AIDS and sexuality, he provides readers with an important insight into the way in which the criminal courts construct the concepts of harm, risk, causation, blame and responsibility.Taking into account the socio-cultural issues surrounding HIV/AIDS and their interaction with the law, Weait has written an excellent book for postgraduate and undergraduate law and criminology students studying criminal law theory, the trial process, offences against the person, and the politics of criminalisation. The book will also be of interest to health professionals working in the field of HIV/AIDS genito-urinary medicine who want to understand the issues that may face their clients and patients.Trade Review"There are few authors with Weait’s depth and breadth of scholarship who can pull such disparate theoretical strands together in such a skilful and readable way. This is an excellent and important synthesis of the current place of HIV in UK society, and our collective responses to risk." - HIV Medicine, July 2008"This is a fascinating book, which extends effortlessly across disciplinary boundaries to argue a controversial and, at first sight, very difficult case." - Mark Cowling, British Journal of Criminology, July 2008"The author has already established himself as one of the world's leading authorities on this issue and this book is a magnificent illustration of why his work in this field is so highly regarded...In this tour de force he presents the most attractive and powerful case against the criminalisation of the trasmission of HIV available. Read this book and you will never see criminal law in quite the same way again." - Jonathan Herring, The Howard Law Journal, Vol 48. No 5, December 2009"There are few authors with Weait’s depth and breadth of scholarship who can pull such disparate theoretical strands together in such a skilful and readable way. This is an excellent and important synthesis of the current place of HIV in UK society, and our collective responses to risk." - HIV Medicine, July 2008"This is a fascinating book, which extends effortlessly across disciplinary boundaries to argue a controversial and, at first sight, very difficult case." - Mark Cowling, British Journal of Criminology, July 2008"The author has already established himself as one of the world's leading authorities on this issue and this book is a magnificent illustration of why his work in this field is so highly regarded...In this tour de force he presents the most attractive and powerful case against the criminalisation of the trasmission of HIV available. Read this book and you will never see criminal law in quite the same way again." - Jonathan Herring, The Howard Law Journal, Vol 48. No 5, December 2009''Intimacy and Responsibility makes a valuable contribution to sociolegal scholarship in general but will be of particular interest to those working on public health, the body, gender and sexuality. Weait is at his best when setting up his arguments and presenting evidence. ''-Joe Rollins, Law and Politics Book Review, July 2008Table of ContentsIntroduction. Overview of the English Case Law. The International and Historical Context. HIV/AIDS and its Meanings. R v Konzani: A Case Study. Harm. Causation. Fault. Consent. Conclusion

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Book SynopsisFrom the latest medical advice to practical tips for dealing with HIV-related problems -- the most up-to-date and complete guide to managing life with HIV. Having HIV does not mean your life is over. Far from it! We wrote this book to help people with HIV explore healthy ways to live the best life possible. With proper diagnosis and treatment, HIV has become a chronic condition similar to diabetes or heart disease. This is a big step forward and we all celebrate this advance, but having HIV can complicate your life. This book will help you get answers to some of your most important questions, including. Who do I tell I have HIV? Which other diseases might I get because I have HIV? What are the possible side effects of the HIV medications. How do I fit the demands of my medications into my life? How will having HIV affect me as I get older? Is it safe for me to exercise at the same level as someone without HIV? What about sex? Can I have children? If I get pregnant, will my baby get HIV? What kind of plans do I need to make for my future? The book combines the latest medical advice, ideas from people living with HIV, and proven practices for self-management based on research conducted at Stanford University School of Medicine. It is completely redesigned and updated to include current care guidelines from the Centers for Disease Control and Prevention. The practical, easy-to-understand content will help patients, friends, family members, and others who support anyone dealing with HIV. You will find tips, ideas, and resources about how to become an HIV self-manager. It is designed to help you learn the essential information and skills to manage your condition on a daily basis. This book will help you achieve the things you want and get pleasure from your life.

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Book SynopsisAIDS has devastated communities across southern Africa. In Lesotho, where a quarter of adults are infected, the wide-ranging implications of the disease have been felt in every family, disrupting key aspects of social life. In Infected Kin, Ellen Block and Will McGrath argue that AIDS is fundamentally a kinship disease, examining the ways it transcends infected individuals and seeps into kin relations and networks of care. While much AIDS scholarship has turned away from the difficult daily realities of those affected by the disease, Infected Kin uses both ethnographic scholarship and creative nonfiction to bring to life the joys and struggles of the Basotho people at the heart of the AIDS pandemic. The result is a book accessible to wide readership, yet built upon scholarship and theoretical contributions that ensure Infected Kin will remain relevant to anyone interested in anthropology, kinship, global health, and care. Supplementary instructor resources (https://www.csbsju.edu/sociology/faculty/anthropology-teaching-resources/infected-kin-teaching-resources)Trade Review"Drawing on the authors’ in-depth experience in the small, landlocked southern African country of Lesotho comes this gem of a book—at once funny and sad, inspiring and sobering—that conveys the social consequences of HIV through a focus on orphans and their care. Beginning with the simple but powerful premise that AIDS is a kinship disease, Infected Kin combines gripping narrative and astute analysis to tell human stories that both capture and enlighten the reader." -- Daniel Jordan Smith * author of AIDS Doesn't Show Its Face: Inequality, Morality, and Social Change in Nigeria *“This is a moving account of suffering, yes—but its riveting story includes joy and, above all, inspiration. The authors' narrative of love, labor, and loss in southern Africa weaves the charms of poetic prose (McGrath) with the insights of social science (Block). Together, they offer a lament for global inequality in the 21st century, while also celebrating the human spirit.” -- Alma Gottlieb and Philip Graham, * co-authors of Parallel Worlds: An Anthropologist and a Writer Encounter Africa and Braided Worlds *"Recommended." * Choice *"This book is engaging and makes it suitable for a wide variety of readers. The inclusion of both anthropological and biomedical approaches to the HIV/AIDS epidemic in Lesotho makes this text equally valuable to students and practitioners outside of anthropology. Specifically, the sophisticated treatment of culture as intertwined (and cocreative) with HIV is an important antidote to the reductive treatment of culture as and either the cause of or barrier to eradicating HIV." * Journal of Social Encounters *"With Infected Kin, Block and McGrath have crafted a clear and concise contribution to the anthropological literature on the southern African HIV/AIDS epidemic." * Medical Anthropology Quarterly *Table of ContentsTABLE OF CONTENTS Glossary List of Figures and Tables Map Preface: On Collaboration and Suffering Introduction: AIDS is a Kinship Disease Chapter 1: Kinship First Chapter 2: Medical Pluralism in a Low Resource Setting Chapter 3: “Like Any Other Disease” Chapter 4: Orphan Care and the Family Conclusion: Infected Kin Endnotes Acknowledgments References Index

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Book SynopsisAIDS has devastated communities across southern Africa. In Lesotho, where a quarter of adults are infected, the wide-ranging implications of the disease have been felt in every family, disrupting key aspects of social life. In Infected Kin, Ellen Block and Will McGrath argue that AIDS is fundamentally a kinship disease, examining the ways it transcends infected individuals and seeps into kin relations and networks of care. While much AIDS scholarship has turned away from the difficult daily realities of those affected by the disease, Infected Kin uses both ethnographic scholarship and creative nonfiction to bring to life the joys and struggles of the Basotho people at the heart of the AIDS pandemic. The result is a book accessible to wide readership, yet built upon scholarship and theoretical contributions that ensure Infected Kin will remain relevant to anyone interested in anthropology, kinship, global health, and care. Supplementary instructor resources (https://www.csbsju.edu/sociology/faculty/anthropology-teaching-resources/infected-kin-teaching-resources)Trade Review"Drawing on the authors’ in-depth experience in the small, landlocked southern African country of Lesotho comes this gem of a book—at once funny and sad, inspiring and sobering—that conveys the social consequences of HIV through a focus on orphans and their care. Beginning with the simple but powerful premise that AIDS is a kinship disease, Infected Kin combines gripping narrative and astute analysis to tell human stories that both capture and enlighten the reader." -- Daniel Jordan Smith * author of AIDS Doesn't Show Its Face: Inequality, Morality, and Social Change in Nigeria *“This is a moving account of suffering, yes—but its riveting story includes joy and, above all, inspiration. The authors' narrative of love, labor, and loss in southern Africa weaves the charms of poetic prose (McGrath) with the insights of social science (Block). Together, they offer a lament for global inequality in the 21st century, while also celebrating the human spirit.” -- Alma Gottlieb and Philip Graham, * co-authors of Parallel Worlds: An Anthropologist and a Writer Encounter Africa and Braided Worlds *"Recommended." * Choice *"This book is engaging and makes it suitable for a wide variety of readers. The inclusion of both anthropological and biomedical approaches to the HIV/AIDS epidemic in Lesotho makes this text equally valuable to students and practitioners outside of anthropology. Specifically, the sophisticated treatment of culture as intertwined (and cocreative) with HIV is an important antidote to the reductive treatment of culture as and either the cause of or barrier to eradicating HIV." * Journal of Social Encounters *"With Infected Kin, Block and McGrath have crafted a clear and concise contribution to the anthropological literature on the southern African HIV/AIDS epidemic." * Medical Anthropology Quarterly *Table of ContentsTABLE OF CONTENTS Glossary List of Figures and Tables Map Preface: On Collaboration and Suffering Introduction: AIDS is a Kinship Disease Chapter 1: Kinship First Chapter 2: Medical Pluralism in a Low Resource Setting Chapter 3: “Like Any Other Disease” Chapter 4: Orphan Care and the Family Conclusion: Infected Kin Endnotes Acknowledgments References Index

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Book SynopsisFinalist for the LGBTQ Nonfiction Award from Lambda Literary Queers and trans people in the 1980s and early ‘90s were dying of AIDS and the government failed to care. Lovers, strangers, artists, and community activists came together take care of each other in the face of state violence. In revisiting these histories alongside ongoing queer and trans movements, this book uncovers how early HIV care-giving narratives actually shape how we continue to understand our genders and our disabilities. The queer and trans care-giving kinships that formed in response to HIV continue to inspire how we have sex and build chosen families in the present. In unearthing HIV community newsletters, media, zines, porn, literature, and even vampires, Forget Burial bridges early HIV care-giving activisms with contemporary disability movements. In refusing to bury the legacies of long-term survivors and of those we have lost, this book brings early HIV kinships together with ongoing movements for queer and trans body self-determination. Trade Review"Forget Burial is well worth reading. The most successful parts of this book take the reader inside the kitchens, bedrooms, prisons, art galleries, and hospital waiting rooms where people laughed, fought, loved, and sometimes died together. Fink makes a strong case that the early years of the HIV epidemic provide models for living joyously and communally despite the myriad ways capitalist institutions leave individuals to fend for ourselves. In the process of “unburying” the stories of historically marginalized people, Fink rightly and eloquently depicts disability as a generative force."— H-Net “What histories inter as past, Forget Burial bears forth to account for our present. Extending caregiving as a method, the book examines how early HIV archival narrations of trans and disability activisms resurface in later novels, film/video, and online networks. Whether displaying and eroticizing disabilities, or inventing safer sex, these negotiated HIV interdependencies transform state violence and biomedical stigma into kinships for ‘body self-determination’ that brandish mutual care and institutional access through our unfolding crises.”— Jih-Fei Cheng, co-editor of AIDS and the Distribution of Crises "Marty Fink’s Forget Burial is a vital, much needed contribution to HIV/AIDS scholarship. A wondrous cornucopia of theory, cultural artifacts – fiction, ‘zines, video, memoirs, painting, blogs and oral histories – analysis and archival uncovering, Fink’s work here is stunning when it makes connections to movements today. Forget Burial is both an act of superb scholarship and of love."— Michael Bronski, author of A Queer History of the United States for Young People "[A] creative and original study...this book offers historians both useful theoretical frameworks for thinking about HIV/AIDS, disability, and the role of mutual care as well as an exciting collection of sources to learn from."— Social History of MedicineTable of ContentsIntroduction: Taking Care Chapter 1: Silence = Undead: Vampires, HIV Kinship, and Communities of Care Chapter 2: Caregiving Collations and Gender Trash from Hell: Trans Women’s HIV Archives Chapter 3: Chosen Families: Rejection, Desire, and Archives of Care Chapter 4: The Gift of Dykes: Naming Desire in Rebecca Brown’s Narratives of Care Chapter 5: Queering Customs: Unburying Care in My Brother and ACE Conclusion: Forget Burial Acknowledgements Works Cited About the Author

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Book SynopsisFor a generation of gay men who came of age in the 1980s and 1990s, becoming sexually active meant confronting the dangers of catching and transmitting HIV. In the 21st century, however, the development of viral suppression treatments and preventative pills such as PrEP and nPEP has massively reduced the risk of acquiring HIV. Yet some of the stigma around gay male promiscuity and bareback sex has remained, inhibiting open dialogues about sexual desire, risk, and pleasure. A Pill for Promiscuity brings together academics, artists, and activists—from different generations, countries, ethnic backgrounds, and HIV statuses—to reflect on how gay sex has changed in a post-PrEP era. Some offer personal perspectives on the value of promiscuity and the sexual communities it fosters, while others critique unequal access to PrEP and the increased role Big Pharma now plays in gay life. With a diverse group of contributors that includes novelist Andrew Holleran, trans scholar Lore/tta LeMaster, cartoonist Steve MacIsaac, and pornographic film director Mister Pam, this book asks provocative questions about how we might reimagine queer sex and sexuality in the 21st century. Trade Review"The arrival of PrEP and biomedical prevention helped rescue a public centering of gay men's desire, pleasure and sex that was becoming marginalized in the fight for same sex marriage. By returning to the all-but-abandoned anthology as a necessary strategy of critical queer community dialogue, A Pill for Promiscuity: Gay Sex in the Age of Pharmaceuticals offers a compelling collection of voices on the complicated cultural and political dynamics of sex in the era of PrEP. " -- Kenyon Farrow * Managing Director of Advocacy & Organizing for PrEP4All *"A Pill for Promiscuity is a necessary collection, in a time where pharmaceutical culture and public health are too often narrating proper ideas of sexual practice and sexual intimacy. This volume speaks back to these problematic frames, through a rich offering of diverse voices from multiple genres of writing, which explore the complexity of sexual life in eras of disease." -- Jeffrey McCune * author of Sexual Discretion: Black Masculinity and the Polities of Passing *Table of ContentsCONTENTSIntroduction to Q+ Public Books by series editors E.G. Crichton and Jeffrey Escoffier1 Introduction: Why Promiscuity Matters by Andrew Spieldenner and Jeffrey Escoffier2 Notes on Promiscuity by Andrew Holleran3 Perspective: Fear4 Safety by Steve MacIsaac5 How I Learned to Stop Worrying: Or,The Straight Panic Defense by Daniel Felsenthal6 Perspective: Sex7 Reluctant Objects: Sexual Pleasure and HIV Prevention by Kane Race8 Learning How to Fuck on PrEP by Nicolas “Nic” Flores9 Gay Sex is Our Superpower by Alex Garner10 Perspective: Pharma11 “Heard about it before, but don’t know where to get it”: A Black Gay Man’s Journey to Securing PrEP by Deion Scott Hawkins12 PrEP in the Porn World by Pam Dore, aka Mr. Pam13 Auto-Pharmakon: Prescribing Utopia by Addison Vawters14 Perspective: Trauma and Healing15 S(t)imulation by Lore/tta LeMaster16 Playing in the Shadows: Cycles of Trauma by Ariel Sabillon17 When We Touch: A Reading on Queer Intimacies by Justice Jamal Jones and Andrew Spieldenner with Photographs by Justice Jamal Jones18 Epilogue: Promiscuity for the Non-Promiscuous by Andrew Spieldenner and Jeffrey EscoffierAcknowledgementsNotes on ContributorsIndex

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Book Synopsis With the development of effective antiretroviral therapies (ART) in the mid-1990s, HIV became a treatable although serious condition, and people who are adherent to HIV medications can attain normal or near-normal life expectancies. Because of the success of ART, people 50 and older now make up a majority of people with HIV in high-income countries and other places where ART is accessible. The aging of the HIV epidemic is a global trend that is also being observed in low- and middle-income countries, including countries in sub-Saharan Africa, where the greatest number of older people with HIV reside (3.7 million). While globally over half of older adults with HIV are in sub-Saharan Africa, we have little information about the circumstances, needs, and resiliencies of this population, which limits our ability to craft effective policy and programmatic responses to aging with HIV in this region. At present, our understanding of HIV and aging is dominated by information from the U.S. and Western Europe, where the epidemiology of HIV and the infrastructure to provide social care are markedly different than in sub-Saharan Africa. Aging with HIV in Sub-Saharan Africa addresses this gap in our knowledge by providing current research and perspectives on a range of health and psychosocial topics concerning these older adults from across this region. This volume provides a unique and timely overview of growing older with HIV in a sub-Saharan African context, covering such topics as epidemiology, health and functioning, and social support, as well as policy and program implications to support those growing older with HIV. There are very few published volumes that address HIV and aging, and this is the first book to consider HIV and aging in sub-Saharan Africa. Most publications in this area focus on HIV and aging in Uganda and South Africa. This volume broadens the scope with contributions from authors working in West Africa, Botswana, and Kenya. The range of topics covered here will be useful to professionals in a range of disciplines including psychology, epidemiology, gerontology, sociology, health care, public health, and social work.Table of Contents1. Foreword Mark Brennan-Ing 2. Epidemiology of HIV in the older African population F. Xavier Gómez-Olivé The HIV epidemic has been associated with a younger population, but this no longer holds true. Before effective treatment was available, AIDS mortality in sub-Saharan Africa was rising, peaking in the early 2000s. Then, with the introduction of antiretroviral therapy, life expectancy of people living with HIV increased. Their survival resulted in a higher prevalence of HIV in the over-50 population, creating a double burden of diseases, where HIV coexists with noncommunicable conditions. This double burden places extra stress on an already weak primary health system, especially in rural settings. Older people are also acquiring HIV. Prevention campaigns mainly target young people. People over 50 may therefore engage in high-risk sexual behavior that exposes them to infection, resulting in higher than expected HIV incidence. It is crucial to understand how older people perceive their risk of contracting HIV in order to institute effective preventive measures. 3. Multiple chronicities: Aging bodies, wellbeing, and chronic HIV in Eastern Africa Josien de Klerk The concept of multiple chronicities is used to argue that living with chronic HIV is not a singular experience. Building on ethnographic work in two rural settings (Tanzania) and an urban setting (Kenya), this chapter frames older people’s living with the virus as a social experience, blurring the distinction between being infected and being affected by loss and prolonged caregiving. In East African where HIV is endemic, older people’s personal and family histories with the virus shape the multiplicity of chronic HIV. The embodied experience of chronic HIV for older people is not only about how the virus behaves in the older body but also about the management of traumatic memories of caregiving and loss. HIV interplays with other chronic conditions, such as noncommunicable diseases and economic conditions. The presentation of a senior service model that acknowledges HIV as multiple chronicity exemplifies how models of HIV care could be developed in endemic contexts. 4. Comorbid conditions occurring in older adults on antiretroviral therapy (ART) in Botswana: A retrospective cross-sectional cohort study of patient data Kabo Matlho Although people over the age of 50 account for more than 20% of those living with HIV in Botswana, they are largely underrepresented in HIV research and tailored interventions. Yet the interaction of aging and HIV may involve an increased risk for and exacerbation of chronic illnesses such as tuberculosis (TB); cardiovascular, kidney, and liver diseases; diabetes; hypertension; and cancers, as well as cognitive decline. These comorbidities complicate treatment and potentially increase mortality. This study gauged the existence and magnitude of comorbidities within the aging HIV cohort in Botswana using data from patients age 35 and older who were on first-line antiretroviral therapy. The data show a higher rate of specific comorbidities in adults 50 and older compared with those age 35-49. TB was particularly prevalent in older men, and hypertension was most prevalent among older women. Multimorbidity is pronounced among those aging with HIV in Botswana. Guidelines and policies need to adapt to the changing demographics and evolving challenges. 5. Expectations of health and illness in older age through the lens of the HIV-epidemic in Uganda Joseph Mugisha & Janet Seeley We focus on how the experience of living through the HIV epidemic shapes older people’s responses to (and fears about) chronic illness and health emergencies such as the COVID-19 pandemic. Using the example of Uganda, we examine the ways in which the particular time people encountered HIV in their lives affects their understanding and perception of ill health and concerns about the risks HIV continues to pose. For example, older people who nursed their relatives through HIV-related illness prior to the availability of antiretroviral therapy (ART) continue to see HIV as a death sentence; those living with HIV and on ART, schooled in the discipline of taking their tablets daily, doubt the seriousness of conditions for which there is a curative treatment. We draw on the work of Leventhal and colleagues (2016) and concepts from the “Common-Sense Model of Self-Regulation” of how the response to information on an asymptomatic chronic condition may be shaped by people’s experience of other conditions, such as HIV. 6. Sexual behavior among older adults with HIV in sub-Saharan Africa Mark Brennan-Ing, Jennifer E. Kaufman, Kristen Porter, Catherine MacPhail, Janet Seeley, S. E. Karpiak, Francois Venter, Monica Kuteesa, Louise Geddes, & Joel Negin We have little information about sexual health among older adults with HIV (OAH) in sub-Saharan Africa, limiting our ability to mount effective secondary prevention efforts. This information is vital since adults remain sexually active well into old age and may be a vector for HIV and other sexually transmitted infections. We used data from OAH from Uganda (N=101) and South Africa (N=108) and made comparisons on sexual health and risk behaviors. Substantial proportions of OAH in both countries were sexually active, but there were significant differences in HIV disclosure and condom use. Findings suggest that secondary HIV prevention for OAH requires greater attention. Differences in sexual activity and sexual risk among OAH in South Africa and Uganda point to cultural and social influences, warranting caution against broad generalizations about OAH in sub-Saharan Africa. There is a need for tailored policy and programmatic solutions to address sexual health. 7. “Ask those who are ahead about a buffalo”: Well-being of grandparents with HIV in Uganda and South Africa Kristen Porter, Catherine MacPhail, Janet Seeley, S. E. Karpiak, Francois Venter, Monica Kuteesa, Louise Geddes, Joel Negin, & Mark Brennan-Ing Sub-Saharan Africa continues to be the region most profoundly affected by HIV/AIDS in the world. The United Nations (April 2019) reported that of 98 countries, it is most common for older adults to be living with younger children in countries of sub-Saharan Africa. Older sub-Saharan African adults are frequently involved in grandchild care, but little is known on how this impacts the grandparents’ well-being. While more is known about grandparents caring for HIV-positive grandchildren (i.e., “AIDS orphans”), the impact of caring for grandchildren on HIV-positive grandparents is nascent. This chapter draws upon a cross-sectional study of older grandparents living with HIV in Uganda and South Africa (N=209). Using a stress process framework, the role of potential stress factors (e.g., cohabitating with grandchild, comorbidities, health-related quality of life) on psychological well-being is examined. 8. Mental health in older people living with HIV in sub-Saharan Africa: A review and future research recommendations Charlotte Bernard & Nathalie de Rekeneire In sub-Saharan Africa, as elsewhere, increasing use of HIV medical services and antiretroviral therapy (ART) mean that HIV is now considered a chronic disease. With aging, people living with HIV experience not only physiological complications but also neuropsychological and social issues. Two mental health disorders are mainly observed in this population: HIV associated neurocognitive disorders (HAND) and depression. The prevalence of HAND remains high despite ART use, and the aging process may exacerbate it. Both HAND and depression negatively affect ART adherence, HIV outcomes, and quality of life. These public health issues could cause significant burden on healthcare systems and human resources, especially in sub-Saharan Africa, the world region least prepared to deal with HIV. This chapter presents a review of the current knowledge about neurocognitive impairment and depression in older people living with HIV in sub-Saharan Africa. We then propose recommendations for future research. 9. ‘The support keeps me strong’: Social support of older people living with HIV in South Africa Catherine MacPhail, Megan Mattingly, Victor Minichiello, Francois Venter, Stephen Karpiak, & Mark Brennan-Ing Much is known of the experience of older South Africans as caregivers and resources for younger generations affected by HIV, but less is known of social support experienced by those aging with HIV. This chapter presents data from qualitative interviews conducted with 15 South Africans over 50 years of age living with HIV in inner-city Johannesburg. Contrary to reports of stigma and lack of support in developed countries, the majority experienced amplified social and practical support within their families, if not outside of them, particularly from adult children. Women were additionally supported by siblings and men particularly by their spouses. Practical and physical support in daily tasks and other activities specifically associated with HIV was more commonly mentioned than emotional support. At the same time, participants noted that their own caregiving roles did not diminish. In particular, they continued to financially support extended family members, and women remained a significant source of domestic labor. 10. A comparison of social support resources among older adults with HIV in Uganda and South Africa Mark Brennan-Ing, Jennifer E. Kaufman, Kristen Porter, Catherine MacPhail, Janet Seeley, S. E. Karpiak, Francois Venter, Monica Kuteesa, Louise Geddes, & Joel Negin Research on older adults with HIV (OAH) finds they have high rates of comorbid conditions in addition to HIV, suggesting they will require increasing assistance from their informal social networks. But data are scarce on social network dynamics of OAH in sub-Saharan Africa. To address this gap, we examined social support resources among OAH from Uganda (N=101) and South Africa (N=108). There are significant differences between OAH in these two countries in the composition of their social networks, support provided, and perceptions of social support sufficiency. Despite high levels of informal support in both countries, sizable proportions felt that support from family and friends was insufficient to meet their needs. Given the significant differences between countries, research is needed to better understand the cultural/societal factors affecting social care among older adults with HIV in sub-Saharan Africa. Further, policy and program initiatives to meet unmet support needs are sorely needed. 11. Reprogramming HIV prevention and service provision for older adults Jepchirchir Kiplagat People age 50 and older represent 12% of people living with HIV (PLWH) in western Kenya, and the number is expected to rise. The situation calls for tailoring approaches to both prevention and care. To achieve the country’s goal of 80% of PLWH knowing their status, there is an urgent need to include older adults in prevention messaging and testing services. Door-to-door HIV testing and counselling would decrease travel and transportation barriers for older adults. In terms of care, it is challenging to manage HIV in addition to comorbid conditions that are common among older adults. When services are fragmented, seeking care for multiple conditions is expensive and makes adherence more difficult. In addition, both neurocognitive disorders and visual impairment affect medication adherence among older people – particularly those living alone. Meeting the needs of older adults will require transforming healthcare facilities to integrate services and sharing information between providers. 12. Policy innovations for an aging HIV epidemic in sub-Saharan AfricaRuth Finkelstein The population of older adults with HIV is approaching four million and will continue to grow in the foreseeable future. While the aging of HIV in sub-Saharan Africa and elsewhere represents a success story for antiretroviral therapy, this success also brings challenges, as these older adults have increasing needs for health and social care due to multimorbidity resulting from HIV and age-related chronic conditions. The aging of people with HIV in this region is further complicated by the lack of financial, healthcare, and community-based resources that support healthy aging, like those available in high-income countries. In this chapter, we outline several policy initiatives needed to support older adults with HIV in sub-Saharan Africa to meet the challenges of this aging epidemic.

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Book Synopsis With the development of effective antiretroviral therapies (ART) in the mid-1990s, HIV became a treatable although serious condition, and people who are adherent to HIV medications can attain normal or near-normal life expectancies. Because of the success of ART, people 50 and older now make up a majority of people with HIV in high-income countries and other places where ART is accessible. The aging of the HIV epidemic is a global trend that is also being observed in low- and middle-income countries, including countries in sub-Saharan Africa, where the greatest number of older people with HIV reside (3.7 million). While globally over half of older adults with HIV are in sub-Saharan Africa, we have little information about the circumstances, needs, and resiliencies of this population, which limits our ability to craft effective policy and programmatic responses to aging with HIV in this region. At present, our understanding of HIV and aging is dominated by information from the U.S. and Western Europe, where the epidemiology of HIV and the infrastructure to provide social care are markedly different than in sub-Saharan Africa. Aging with HIV in Sub-Saharan Africa addresses this gap in our knowledge by providing current research and perspectives on a range of health and psychosocial topics concerning these older adults from across this region. This volume provides a unique and timely overview of growing older with HIV in a sub-Saharan African context, covering such topics as epidemiology, health and functioning, and social support, as well as policy and program implications to support those growing older with HIV. There are very few published volumes that address HIV and aging, and this is the first book to consider HIV and aging in sub-Saharan Africa. Most publications in this area focus on HIV and aging in Uganda and South Africa. This volume broadens the scope with contributions from authors working in West Africa, Botswana, and Kenya. The range of topics covered here will be useful to professionals in a range of disciplines including psychology, epidemiology, gerontology, sociology, health care, public health, and social work.Table of Contents1. Foreword Mark Brennan-Ing 2. Epidemiology of HIV in the older African population F. Xavier Gómez-Olivé The HIV epidemic has been associated with a younger population, but this no longer holds true. Before effective treatment was available, AIDS mortality in sub-Saharan Africa was rising, peaking in the early 2000s. Then, with the introduction of antiretroviral therapy, life expectancy of people living with HIV increased. Their survival resulted in a higher prevalence of HIV in the over-50 population, creating a double burden of diseases, where HIV coexists with noncommunicable conditions. This double burden places extra stress on an already weak primary health system, especially in rural settings. Older people are also acquiring HIV. Prevention campaigns mainly target young people. People over 50 may therefore engage in high-risk sexual behavior that exposes them to infection, resulting in higher than expected HIV incidence. It is crucial to understand how older people perceive their risk of contracting HIV in order to institute effective preventive measures. 3. Multiple chronicities: Aging bodies, wellbeing, and chronic HIV in Eastern Africa Josien de Klerk The concept of multiple chronicities is used to argue that living with chronic HIV is not a singular experience. Building on ethnographic work in two rural settings (Tanzania) and an urban setting (Kenya), this chapter frames older people’s living with the virus as a social experience, blurring the distinction between being infected and being affected by loss and prolonged caregiving. In East African where HIV is endemic, older people’s personal and family histories with the virus shape the multiplicity of chronic HIV. The embodied experience of chronic HIV for older people is not only about how the virus behaves in the older body but also about the management of traumatic memories of caregiving and loss. HIV interplays with other chronic conditions, such as noncommunicable diseases and economic conditions. The presentation of a senior service model that acknowledges HIV as multiple chronicity exemplifies how models of HIV care could be developed in endemic contexts. 4. Comorbid conditions occurring in older adults on antiretroviral therapy (ART) in Botswana: A retrospective cross-sectional cohort study of patient data Kabo Matlho Although people over the age of 50 account for more than 20% of those living with HIV in Botswana, they are largely underrepresented in HIV research and tailored interventions. Yet the interaction of aging and HIV may involve an increased risk for and exacerbation of chronic illnesses such as tuberculosis (TB); cardiovascular, kidney, and liver diseases; diabetes; hypertension; and cancers, as well as cognitive decline. These comorbidities complicate treatment and potentially increase mortality. This study gauged the existence and magnitude of comorbidities within the aging HIV cohort in Botswana using data from patients age 35 and older who were on first-line antiretroviral therapy. The data show a higher rate of specific comorbidities in adults 50 and older compared with those age 35-49. TB was particularly prevalent in older men, and hypertension was most prevalent among older women. Multimorbidity is pronounced among those aging with HIV in Botswana. Guidelines and policies need to adapt to the changing demographics and evolving challenges. 5. Expectations of health and illness in older age through the lens of the HIV-epidemic in Uganda Joseph Mugisha & Janet Seeley We focus on how the experience of living through the HIV epidemic shapes older people’s responses to (and fears about) chronic illness and health emergencies such as the COVID-19 pandemic. Using the example of Uganda, we examine the ways in which the particular time people encountered HIV in their lives affects their understanding and perception of ill health and concerns about the risks HIV continues to pose. For example, older people who nursed their relatives through HIV-related illness prior to the availability of antiretroviral therapy (ART) continue to see HIV as a death sentence; those living with HIV and on ART, schooled in the discipline of taking their tablets daily, doubt the seriousness of conditions for which there is a curative treatment. We draw on the work of Leventhal and colleagues (2016) and concepts from the “Common-Sense Model of Self-Regulation” of how the response to information on an asymptomatic chronic condition may be shaped by people’s experience of other conditions, such as HIV. 6. Sexual behavior among older adults with HIV in sub-Saharan Africa Mark Brennan-Ing, Jennifer E. Kaufman, Kristen Porter, Catherine MacPhail, Janet Seeley, S. E. Karpiak, Francois Venter, Monica Kuteesa, Louise Geddes, & Joel Negin We have little information about sexual health among older adults with HIV (OAH) in sub-Saharan Africa, limiting our ability to mount effective secondary prevention efforts. This information is vital since adults remain sexually active well into old age and may be a vector for HIV and other sexually transmitted infections. We used data from OAH from Uganda (N=101) and South Africa (N=108) and made comparisons on sexual health and risk behaviors. Substantial proportions of OAH in both countries were sexually active, but there were significant differences in HIV disclosure and condom use. Findings suggest that secondary HIV prevention for OAH requires greater attention. Differences in sexual activity and sexual risk among OAH in South Africa and Uganda point to cultural and social influences, warranting caution against broad generalizations about OAH in sub-Saharan Africa. There is a need for tailored policy and programmatic solutions to address sexual health. 7. “Ask those who are ahead about a buffalo”: Well-being of grandparents with HIV in Uganda and South Africa Kristen Porter, Catherine MacPhail, Janet Seeley, S. E. Karpiak, Francois Venter, Monica Kuteesa, Louise Geddes, Joel Negin, & Mark Brennan-Ing Sub-Saharan Africa continues to be the region most profoundly affected by HIV/AIDS in the world. The United Nations (April 2019) reported that of 98 countries, it is most common for older adults to be living with younger children in countries of sub-Saharan Africa. Older sub-Saharan African adults are frequently involved in grandchild care, but little is known on how this impacts the grandparents’ well-being. While more is known about grandparents caring for HIV-positive grandchildren (i.e., “AIDS orphans”), the impact of caring for grandchildren on HIV-positive grandparents is nascent. This chapter draws upon a cross-sectional study of older grandparents living with HIV in Uganda and South Africa (N=209). Using a stress process framework, the role of potential stress factors (e.g., cohabitating with grandchild, comorbidities, health-related quality of life) on psychological well-being is examined. 8. Mental health in older people living with HIV in sub-Saharan Africa: A review and future research recommendations Charlotte Bernard & Nathalie de Rekeneire In sub-Saharan Africa, as elsewhere, increasing use of HIV medical services and antiretroviral therapy (ART) mean that HIV is now considered a chronic disease. With aging, people living with HIV experience not only physiological complications but also neuropsychological and social issues. Two mental health disorders are mainly observed in this population: HIV associated neurocognitive disorders (HAND) and depression. The prevalence of HAND remains high despite ART use, and the aging process may exacerbate it. Both HAND and depression negatively affect ART adherence, HIV outcomes, and quality of life. These public health issues could cause significant burden on healthcare systems and human resources, especially in sub-Saharan Africa, the world region least prepared to deal with HIV. This chapter presents a review of the current knowledge about neurocognitive impairment and depression in older people living with HIV in sub-Saharan Africa. We then propose recommendations for future research. 9. ‘The support keeps me strong’: Social support of older people living with HIV in South Africa Catherine MacPhail, Megan Mattingly, Victor Minichiello, Francois Venter, Stephen Karpiak, & Mark Brennan-Ing Much is known of the experience of older South Africans as caregivers and resources for younger generations affected by HIV, but less is known of social support experienced by those aging with HIV. This chapter presents data from qualitative interviews conducted with 15 South Africans over 50 years of age living with HIV in inner-city Johannesburg. Contrary to reports of stigma and lack of support in developed countries, the majority experienced amplified social and practical support within their families, if not outside of them, particularly from adult children. Women were additionally supported by siblings and men particularly by their spouses. Practical and physical support in daily tasks and other activities specifically associated with HIV was more commonly mentioned than emotional support. At the same time, participants noted that their own caregiving roles did not diminish. In particular, they continued to financially support extended family members, and women remained a significant source of domestic labor. 10. A comparison of social support resources among older adults with HIV in Uganda and South Africa Mark Brennan-Ing, Jennifer E. Kaufman, Kristen Porter, Catherine MacPhail, Janet Seeley, S. E. Karpiak, Francois Venter, Monica Kuteesa, Louise Geddes, & Joel Negin Research on older adults with HIV (OAH) finds they have high rates of comorbid conditions in addition to HIV, suggesting they will require increasing assistance from their informal social networks. But data are scarce on social network dynamics of OAH in sub-Saharan Africa. To address this gap, we examined social support resources among OAH from Uganda (N=101) and South Africa (N=108). There are significant differences between OAH in these two countries in the composition of their social networks, support provided, and perceptions of social support sufficiency. Despite high levels of informal support in both countries, sizable proportions felt that support from family and friends was insufficient to meet their needs. Given the significant differences between countries, research is needed to better understand the cultural/societal factors affecting social care among older adults with HIV in sub-Saharan Africa. Further, policy and program initiatives to meet unmet support needs are sorely needed. 11. Reprogramming HIV prevention and service provision for older adults Jepchirchir Kiplagat People age 50 and older represent 12% of people living with HIV (PLWH) in western Kenya, and the number is expected to rise. The situation calls for tailoring approaches to both prevention and care. To achieve the country’s goal of 80% of PLWH knowing their status, there is an urgent need to include older adults in prevention messaging and testing services. Door-to-door HIV testing and counselling would decrease travel and transportation barriers for older adults. In terms of care, it is challenging to manage HIV in addition to comorbid conditions that are common among older adults. When services are fragmented, seeking care for multiple conditions is expensive and makes adherence more difficult. In addition, both neurocognitive disorders and visual impairment affect medication adherence among older people – particularly those living alone. Meeting the needs of older adults will require transforming healthcare facilities to integrate services and sharing information between providers. 12. Policy innovations for an aging HIV epidemic in sub-Saharan AfricaRuth Finkelstein The population of older adults with HIV is approaching four million and will continue to grow in the foreseeable future. While the aging of HIV in sub-Saharan Africa and elsewhere represents a success story for antiretroviral therapy, this success also brings challenges, as these older adults have increasing needs for health and social care due to multimorbidity resulting from HIV and age-related chronic conditions. The aging of people with HIV in this region is further complicated by the lack of financial, healthcare, and community-based resources that support healthy aging, like those available in high-income countries. In this chapter, we outline several policy initiatives needed to support older adults with HIV in sub-Saharan Africa to meet the challenges of this aging epidemic.

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Book SynopsisThis book is a useful guide to the history of HIV/AIDS, its mode of transmission, its symptoms, its prevention and treatment. It is immensely educative and helps to dispel several misconceptions which exist about the causes and mode of transmission of HIV/AIDS. The purpose of the book is to help you understand the disease better.

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Book SynopsisThe Encyclopedia of AIDS : A Social Political, Cultural and Scientific Record of the HIV Epidemic, is the first reference work to undertake such a task by covering all major aspects of the global. It provides extensive coverage of major topics in eight areas, from basic science to policy and law.

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Book SynopsisThis report shows how community-led interventions are central to achieving the end of AIDS and to sustaining the gains into the future. People living with or affected by HIV have driven progress in the HIV response--reaching people who have not been reached; connecting people with the services they need; pioneering innovations; holding providers, governments, international organizations and donors to account; and spearheading inspirational movements for health, dignity and human rights for all. They are the trusted voices. Communities understand what is most needed, what works, and what needs to change. Communities have not waited to be handed their leadership roles -- they have taken the roles on themselves and held fast in their insistence on doing so. They have applied their skills and determination to help tackle other pandemics and health crises too, including COVID-19, Ebola and mpox. Letting communities lead builds healthier and stronger societies. This report shines a light on the underreported story of the everyday heroes of the HIV response. But it is much more than a celebration of the achievements of communities. It is an urgent call to action for governments and international partners to enable and support communities in their leadership roles.

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Book SynopsisEvery year on the occasion of World AIDS Day, 1 December, the Joint UN Programme on HIV/AIDS (UNAIDS) releases a report on pressing issues facing the global response to the AIDS pandemic. As the AIDS and COVID-19 pandemics collide, the 2021 World AIDS Day report warns that the colossal new challenges created by COVID-19 threaten the gains made against AIDS thus far. There have been substantial setbacks, particularly during the first six months of the crisis. People living with HIV are also at elevated risk of COVID-19-related morbidity and mortality. In many places, the upheaval caused by COVID-19 has summoned the inventiveness and resilience that have become hallmarks of the HIV response. HIV programmes that are well-resourced, willing to adapt, and anchored in strong community involvement have tended to cope the best. The Global AIDS Strategy 2021-2026 and the UN General Assembly's 2021 Political Declaration on Ending AIDS call on countries to address inequalities and close gaps. With no time to spare, those agreed actions are not being made at the required speed and scale. What is at stake is bigger than AIDS. During negotiations on a global framework for pandemic prevention, preparedness, and response, the hard-won successes and bitter failures from the response to AIDS have experiences to share. Those lessons must be quickly learned and applied to end AIDS within the next decade, to swiftly defeat COVID-19, and to proactively confront the pandemics of tomorrow

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Book SynopsisIn April 2010, Southern Africa HIV/AIDS Information Dissemination Service (SAfAIDS) organised a forum to share experiences on implementing interventions to address HIV and AIDS, sexuality, gender and education. The conference sought to provide a platform for sharing good practices and examining the role of culture in HIV and AIDS prevention and mitigation among participants working in training, home-based care, education, advocacy, lobbying and information production and dissemination, among others. The book is one of the avenues through which key conference outcomes are being shared. It targets professionals involved in an array of projects or programmes in the areas of HIV and AIDS, sexual and reproductive health, gender and education mainly working with NGOs, faith-based organisations (FBOs) and community-based organisations (CBOs). It is also aimed at policy makers and programme managers in governmental institutions, international NGOs (INGOs), UN agencies, media personnel, researchers and teachers. The objective of the book is to empower these target readers with skills to improve the way they implement their programmes.

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