This book examines HIV/AIDS vulnerabilities, impacts and responses in the socioeconomic and cultural context of Sub-Saharan Africa. With contributions from social scientists and public health experts, the volume identifies gender inequality and poverty as the main causes of the HIV epidemic in sub-Saharan Africa.

AIDS epidemics continue to threaten the livelihoods of millions of people in sub-Saharan Africa. Three decades after the disease was first recognized, the annual death toll from AIDS exceeds that from wars, famine and floods combined. Yet despite millions of dollars of aid and research, there has previously been little detailed on-the-ground analysis of the multifaceted impacts on rural people. Filling that gap, this book brings together recent evidence of AIDS impacts on rural households, livelihoods, and agricultural practice in sub-Saharan Africa. There is particular emphasis on the role of women in affected households, and on the situation of children. The book is unique in presenting micro-level information collected by original empirical research in a range of African countries, and showing how well-grounded conclusions on trends, impacts and local responses can be applied to the design of HIV-responsive policies and programmes. AIDS impacts are more diverse than we previously thought, and local responses more varied - sometimes innovative, sometimes desperate. The book represents a major contribution to our understanding of the impacts of AIDS in the epidemic's heartland, and how these can be managed at different levels.

This second publication in the AWLAE series on HIV/AIDS and agriculture in sub-Saharan Africa discusses the gender dimension of HIV/AIDS impact at household and community level. It does so in using the threefold typology of gender specific constraints, gender intensified disadvantages and gender imposed constraints. Special foci of attention include the implications of gender constraints for food security in rural settings, where women are the main producers of food crops as well as the main caregivers; and how cultural norms determine the different options open to women in contrast to men in mitigating the effects of the epidemic. This last point provides the link to the last publication in the series, which discusses agricultural mitigation strategies in the context of HIV/AIDS as a challenge to human development. The text is followed by an annotated bibliography.This second publication in the AWLAE series on HIV/AIDS and agriculture in sub-Saharan Africa discusses the gender dimension of HIV/AIDS impact at household and community level. It does so in using the threefold typology of gender specific constraints, gender intensified disadvantages and gender imposed constraints. Special foci of attention include the implications of gender constraints for food security in rural settings, where women are the main producers of food crops as well as the main caregivers; and how cultural norms determine the different options open to women in contrast to men in mitigating the effects of the epidemic. This last point provides the link to the last publication in the series, which discusses agricultural mitigation strategies in the context of HIV/AIDS as a challenge to human development. The text is followed by an annotated bibliography.

Across Africa, HIV/AIDS is slowly killing millions of people in the prime of their lives, weakening state structures, deepening poverty and reversing the gains in life expectancy achieved over the past century. Although many who study the dynamics of Africas AIDS crisis accept that, to some degree, its entrenchment is a socially produced phenomenon, few have examined how the course and intensity of the epidemic have been affected by the continents ubiquitous poverty, the impact of the pervasive structural adjustment programmes or Africas marginalization in the process of globalization until now. This book explores the socio-economic context of Africas vulnerability to HIV/AIDS as well as assessing the politics of domestic and global response. Using primary and secondary data, it charts the power relations driving Africas HIV/AIDS epidemic, frustrating the possibility of alleviation and recovery as well as working to relegate the continent to a bleak and vulnerable future. In this sense, the book marks a radical departure by providing a comprehensive analysis of Africas vulnerability to AIDS and the challenges confronting policy makers as they seek to reverse its escalating prevalence on the continent. AIDS in Africa is an immensely valuable introduction to the greatest pandemic facing the world today.

"The global AIDS epidemic has caused over 25 million deaths since 1981, and there is no end in sight. It is a multidimensional, phased, long-wave crisis with impacts that will be felt for decades to come. Attempts to defeat the epidemic are conventionally grounded in the three core pillars of AIDS policy: prevention, treatment and care, and mitigation. But there is also an urgent need for a deeper understanding of the integral role that food and nutrition can and should play, and a corresponding urgency to use that understanding to improve responses at all levels.The 18 essays in AIDS, Poverty, and Hunger: Challenges and Responses contribute to such an understanding by examining the impacts of HIV and AIDS on labor markets and wages, household income and consumption dynamics, and the agricultural sector as a whole; by studying the ways in which households respond to prime-age illness, death, and food insecurity; and by exploring the implications of local responses for the roles that national and international actors must play in addressing the AIDS-hunger nexus.This book creates an opportunity for development professionals to build the conceptual links lacking in current multisectoral frameworks, assess impacts and costs, propose indicators and monitoring systems, and design appropriate food- and nutrition-related interventions and policies."

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 education sector plays a key external role in preventing and reducing the stigma surrounding HIV/AIDS. It also plays an important internal role in providing access to care, treatment, and support for teachers and education staff, a group that in many countries represents more than 60 percent of the public sector workforce. The education sector can also have a critically important positive effect on the future: Even in the worst-affected countries, most schoolchildren are not infected. For these children, there is a chance to live lives free from AIDS if they can be educated on the knowledge and values that can protect them as they grow up. The authors of 'Accelerating the Education Sector Response to HIV' explore the experiences of education sectors across Sub-Saharan Africa as they scale up their responses to HIV/AIDS within the Accelerate Initiative Working Group, established in 2002 by the Joint United Nations Programme on HIV/AIDS (UNAIDS) Inter-Agency Task Team on Education. This book demonstrates that leadership by the ministries of education and commitment from key development partners are crucial for mobilizing activities and that full participation of all stakeholders is required for effective implementation. This book summarizes the experiences of technical Focal Points from the 37 ministries of education in Sub-Saharan Africa, which are represented on the sub-regional networks for HIV and Education. These experiences prove that the education sector response can play a crucially important role in the multisectoral national responses to this epidemic.

This third part of the AWLAE series on HIV/AIDS and agriculture in sub-Saharan Africa focuses on the epidemic as a challenge to human development in general and rural development in particular. In the face of the impact of the epidemic as described in parts one and two of the series, the agricultural sector can play an important role in mitigating some of its effects. Strategies for agricultural intervention are of particular importance in sub-Saharan Africa, given the fact that most of the countries hardest hit by the epidemic are heavily reliant on agriculture. Different agricultural sector based mitigation strategies are discussed. It is further argued, however, that such interventions need to be complemented by interventions from the health and other sectors, in particular by treatment regimes including access to anti-retroviral drugs. The text is followed by an annotated bibliography.

AIDS and Development in Africa demonstrates the human consequences of AIDS and the efforts being made by governments, individuals, families, villages, communities, and non-governmental organizations to respond to the pandemic. You will read beyond the usual analysis of demographics and receive much more substantial assessments and analyses of the burden on people, economies, and health care systems of the African countries.