aids prevention

WHO IS RESPONSIBLE? : Donor-civil society partnerships and the case of hiv/aids work

Upphovspersoner:	Follér, Maj-Lis | Haug, Christoph | Knutsson, Beniamin | Thörn, Håkan
Utgivare:	Nordiska Afrikainstitutet, Conflict, Displacement and Transformation |
År:	2013
Ämnesord:	Mozambique, Rwand, a South Africa, Hiv, aids, aids prevention, International cooperation, Foreign aid, Civil Society, Partnership

Civil society organisations are today considered crucial indevelopment partnerships. This Policy Dialogue argues that current aid programs tend to turn such CSOs into businesses that are required to meet donor demands for reportable results, rather than to serve the needs of intended beneficiaries. Based on case studies drawn from HIV and AIDS work in Mozambique, Rwanda and South Africa, the report explores the methods donors use to govern development partnerships and their effect on the distribution of responsibility among partners. It further examines the responses by recipient organisations to these requirements, ranging from acquiescence to resistance. These case studies, drawn from the field of HIV/AIDS, are also invaluable in shedding light on wider issue of the governance of international development cooperation with civil society.

Promoting adolescent sexual and reproductive health in East and Southern Africa

Medarbetare:	Klepp, Knut-Inge | Flisher, Alan J. | Kaaya, Sylvia F.
Utgivare:	Uppsala : Nordiska Afrikainstitutet; HSRC Press
År:	2008
Ämnesord:	adolescents, Reproductive health, Sexual behavior, Sex education, Health programmes, Health services, aids prevention, Social change, case studies, East africa, Southern Africa, SOCIAL SCIENCES, SAMHÄLLSVETENSKAP

In Africa, as in many parts of the world, adolescent reproductive health is a controversial issue for policy makers and programme planners. Adolescents are particularly vulnerable to HIV and AIDS and to a host of other problems such as sexually transmitted infection, unwanted pregnancy, unsafe abortions, sexual abuse, female genital mutilation and unsafe circumcision. Yet many countries don't have adolescent health policies and much remains to be done to ensure that adolescents can access appropriate sexual and reproductive health services. Articulating new perspectives and strategies to promote adolescent sexual and reproductive health, the authors of this volume, comprise a network of researchers working in east and southern Africa. They make a unique attempt to bring together the social and biomedical sciences and to disseminate concrete empirical evidence from existing programmes, carefully analysing what works and what doesn't at the local level. The chapters are built on the premise that sexual and reproductive health behaviour is multifaceted and that interventions must operate on several levels - individual, organisational and governmental - and must reach young people in schools, communities, workplaces, and health-care institutions. Cognisant of recent research and the ethical difficulties facing researchers, the authors provide practical guidance for practitioners and policymakers wishing to promote adolescent sexual and reproductive health at the policy and institutional levels and in local communities.

Towards More Informed Responses to Gender Violence and HIV/AIDS in Post-Conflict West African Settings

Upphovsperson:	Ahonsi, Babatunde A.
Utgivare:	Nordiska Afrikainstitutet, Conflict, Displacement and Transformation | Uppsala : Nordiska Afrikainstitutet
År:	2010
Ämnesord:	Violence against women, sexual abuse, Sexually transmitted diseases, Hiv, aids prevention, Women’s health, gender relations, Post-conflict reconstruction, West Africa, Liberia, Sierra Leone, Peace and conflict research, Freds- och konfliktforskning

The evidence is incontrovertible that Liberia (with its two civil wars, 1989-97 and 2000-03) and Sierra Leone (with its 1991-2001 war) have emerged from two of the most inhuman, ferocious and cruel conflicts in the post-Cold war era. The scale of destruction, rape, mayhem, arson and torture perpetrated during these wars was among the greatest in Africa’s postcolonial history. Women, especially adolescents and young adults, were exposed to extreme sexual brutality at a time when a growing heterosexually-driven HIV pandemic was occurring in the West African sub-region. Both countries also experienced an economic and social collapse that resulted in human development indicators on employment, income, health, education, women’s status and child well-being that are among the lowest in the world. Protracted armed conflicts, as witnessed in Liberia and Sierra Leone and beyond, expose women and girls to unprecedented levels and forms of sexual violence. Moreover, the expectation that the transition from war to peace will lead to significantly reduced sexual violence against women (SVAW) is often disappointed. Instead, post-conflict transitions tend to produce a change in the predominant forms of sexual violence and the profile of its perpetrators. The extended and interlinked conflicts in these neighbouring countries relate at a fundamental level to the persistent denial of citizenship rights to particular population sub-groups over several decades. Within such landscapes of severe social, economic and political marginalization and deprivation, women and girls were bound to suffer more than men and boys during and after the wars as a result of long-established and deeply entrenched patriarchal structures and ideologies in both countries. The persistence of SVAW during post-conflict transitions tends to increase the risk of HIV infection among younger women relative to the phase of armed conflict. A key causal factor is men’s highly exploitative, transactional and cross-generational multiple sexual activities. Thus far, the dominant responses to this complex of issues in post-conflict West Africa have lacked a nuanced understanding of the underlying drivers of sexual violence and its intersections with women’s higher risk of HIV infection.The policy responses to the challenges of post-conflict reconstruction and peace-building in West Africa have generally focused more on traditional security, physical infrastructurere building and economic revitalization issues than on such highly gendered human security concerns as sexual violence and violations of reproductive rights. Left unaddressed, these persisting or worsening human security challenges, affecting at least half their populations, make sustainable peace and development in post-conflict Liberia and Sierra Leone nearly impossible.

Models for life : advancing antiretroviral therapy in sub-Saharan Africa

Upphovsperson:	Lazarus, Jeffrey V.
Utgivare:	Nordiska Afrikainstitutet | Uppsala : Nordiska Afrikainstitutet
År:	2005
Ämnesord:	Hiv, aids, medical care, access to health care, medicinal drugs, public health, aids prevention, nongovernmental organizations, Africa South of Sahara, SOCIAL SCIENCES, SAMHÄLLSVETENSKAP

Models for Life: Advancing antiretroviral therapy in sub-Saharan Africa is based on two conferences that were held in Copenhagen and Uppsala, in September 2004. The events brought together more than 70 key actors from Denmark, Sweden and Uganda in the field of HIV/AIDS and its treatment: antiretroviral therapy. The conferences were unique in that each panel and the subsequent discussion brought together researchers, donors and representatives from non-governmental organisations, in order to link theory, operations research and practice. The working paper covers a wide range of the issues that were brought up at the conferences, but focuses on the following three main topics: - Access to antiretroviral therapy - Holistic approaches to providing antiretroviral therapy, prevention and support - Antiretroviral therapy and public health services. Each section begins by introducing the core issues to be addressed. The different presentations are then put into perspective by summarising the main questions from the participants and the other panellists. In addition, the editors have further developed some of the key points made by drawing on current literature in the field. The final section concludes with a list of take-home messages for non-governmental organisations.