Nelson Mandela/HSRC Study of HIV/AIDS


Book Description

Over 20 years ago Acquired Immune Deficiency Syndrome (AIDS) was first documented and more than 15 years ago HIV was first identified as a causative agent for AIDS. Since then, the epidemic has spread throughout the world, but at an uneven pace. It is estimated that more than 60 million people worldwide have lived with HIV/AIDS since the beginning of the epidemic and 20 million of these have died (UNAIDS 2002). HIV/AIDS now affects every country in the world. Despite advances made in knowledge about HIV prevention, the disease continues to spread. Globally, sub-Saharan Africa is the most severely affected, with the Southern African Development Community (SADC) being home to half of the estimated 24 million people living with HIV/AIDS in this region (UNAIDS 2000). Country level estimates of HIV infection are usually based on surveys of women attending antenatal clinics. In South Africa over the past decade, this has been the primary means of monitoring the spread of HIV. Antenatal surveillance systems provide countries with a low-cost tool for regularly monitoring key aspects of the HIV epidemic. For example, the data can be used to track the epidemic in different parts of a country or among a specific age cohort. The antenatal survey's major usefulness is to track trends of HIV infections over time.




The National Household HIV Prevalence and Risk Survey of South African Children


Book Description

The National Household HIV Prevalence and Risk Survey of South African Children forms part of the Nelson Mandela/HSRC Study of HIV/AIDS: South African National HIV Prevalence, Behavioural Risks and Mass Media Household Survey 2002. This report provides information on HIV prevalence, orphanhood, risk factors for HIV infection and knowledge of HIV/AIDS among South African children. A total of 3 988 children aged 2 to 18 years participated in the survey. Caregivers of 2 138 children 2 to 11 years of of age answered a questionnaire on the child's behalf. A total of 740 children 12 to 14 years of age directly answered a separate questionnaire. An additional 1 110 children and between 15 and 18 years of age answered a youth questionnaire. Of the 3 988 children, 3 294 (82.6 per cent) provided a saliva specimen for HIV testing. The results show HIV prevalence among children 2 to 18 years of age to be 5.4 per cent. Prevalence was nearly constant across age groups and did not vary significantly. There were insufficient numbers to compare prevalence across race groups. The prevalence was higher than expected. Further studies are necessary to verify this finding.




South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey, 2005


Book Description

A follow-up to the Nelson Mandela Foundation's 2002 national household survey of HIV/AIDS prevalence in South Africa, this 2005 report seeks to provide further understanding of the HIV pandemic. Using data that tested for HIV incidence rather than just using mortality statistics, this study looks at which socio-demographic groups are most vulnerab≤ whether new policies have been successful in fighting the disease; what exactly is being done by key players, such as the government, churches, and other civil society organizations; and how the spread of HIV can be reduced in South Africa.







Ancestors and Antiretrovirals


Book Description

In the years since the end of apartheid, South Africans have enjoyed a progressive constitution, considerable access to social services for the poor and sick, and a booming economy that has made their nation into one of the wealthiest on the continent. At the same time, South Africa experiences extremely unequal income distribution, and its citizens suffer the highest prevalence of HIV in the world. As Archbishop Desmond Tutu has noted, “AIDS is South Africa’s new apartheid.” In Ancestors and Antiretrovirals, Claire Laurier Decoteau backs up Tutu’s assertion with powerful arguments about how this came to pass. Decoteau traces the historical shifts in health policy after apartheid and describes their effects, detailing, in particular, the changing relationship between biomedical and indigenous health care, both at the national and the local level. Decoteau tells this story from the perspective of those living with and dying from AIDS in Johannesburg’s squatter camps. At the same time, she exposes the complex and often contradictory ways that the South African government has failed to balance the demands of neoliberal capital with the considerable health needs of its population.




Emerging Voices


Book Description

This examination graphically illustrates the conditions that make dreams of a better life for all virtually unrealizable in rural areas of South Africa. Through the voices of rural people themselves, this study tells not only what the problems surrounding education are but also what can and should be done when the South African government launches its offensive against poverty in rural areas. Rigorous and qualitative, the text is an overview of the need of great numbers of people for the opportunities and capabilities that education can provide for their futures. It also shows the existing situation of many impoverished populations worldwide and illustrates that poverty and inequality continue where such issues are not addressed.




Sustainable Manufacturing?


Book Description

Intended for academics and students in the fields of economic development, sociology and economic geography both in South Africa and internationally. This work is also useful for the Development Studies, Development Economics, African Studies and Geography departments in universities in Europe and North America.




A Child’s Mind Required!


Book Description

As children grow up, they discover taboo areas in their environment and in life. They are in need of advice to prevent them from placing themselves in risky situations. The primary preventive approach to a life skills programme on HIV/AIDS and sex education, called “Child Mind Project”, can be seen as such an initiative.




The Political Economy of AIDS in Africa


Book Description

Sub-Saharan Africa is a region devastated by HIV/AIDS. The extent of the epidemic is only now becoming clear, as increasing numbers of people with HIV are becoming ill. In the absence of massively expanded prevention, treatment and care efforts, the AIDS death toll on the continent is set to escalate rapidly. Despite progress being achieved in localized settings, the alarming statistics reflect the continuing failure of advanced countries to mount a response that matches the scale and severity of the African HIV/AIDS crisis. Over and above the colossal personal suffering, the dire social and economic consequences for fragile nation-states are already being felt, not only in health but in education, industry, agriculture, transport, human resources and economies in general. Countries already crippled by drought, poverty, debt, forced migration and civil war must now contend with massive deterioration in child survival rates and life expectancy, the erosion of the economic family base, massive and insupportable demands on health and public services, chronic labour shortages and volatile national security. Through a critical and detailed exploration of specific case studies, this invaluable volume brings together an unparalleled array of international contributors to redefine the political and economic contours of this calamitous epidemic. It examines the impact of the shortfalls in the 'Global Fund' allocation, the slow pace of administrative processing of aid and the weaknesses of institutional responses to the crisis from African countries and their partners in the global health community. It is essential reading for all concerned with public health, epidemiology, HIV/AIDS research, globalization, development, Africa and indeed our shared future. Features include: ” Unique assessments of HIV/AIDS and its impact on democracy and governance in African states ” Wide-ranging regional and country studies by the foremost thinkers in their fields ” Multi-disciplinary contributions from areas including: Politics, Sociology, Public Health and Development Studies ” Compelling and convincing evidence, thematic in approach ” Innovative and culturally specific insights for long-term planning, care and support




The Health of Our Educators


Book Description

South Africa has a severe HIV/AIDS epidemic. About 5.6 million South Africans, the majority of whom are in the economically active age group, are currently living with the virus. Studies have been conducted to examine the impact of HIV/AIDS on various sectors of the economy, including mining, manufacturing, health and education. The effectiveness and functioning of the public sector is also increasingly threatened by the HIV/AIDS epidemic. The education sector is thought to be particularly affected by HIV/ AIDS because both the demand for and supply of educators are affected. Not only do children drop out of school because of HIV/AIDS, thus reducing demand for educators, but educators, school managers and education policy-makers are said to be dying of AIDS, thus reducing supply.