1 / 10

Social and Political Aspects of (ARVs) Politics, Pills and People Lisa Ann Richey, Ph.D.

Social and Political Aspects of (ARVs) Politics, Pills and People Lisa Ann Richey, Ph.D. Roskilde University, Denmark. The Politics of Access to Antiretrovirals in the Treatment of African AIDS Supported by the Danish Development Research Council.

read
Download Presentation

Social and Political Aspects of (ARVs) Politics, Pills and People Lisa Ann Richey, Ph.D.

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Social and Political Aspects of (ARVs) Politics, Pills and People Lisa Ann Richey, Ph.D. Roskilde University, Denmark

  2. The Politics of Access to Antiretrovirals in the Treatment of African AIDS Supported by the Danish Development Research Council • The Western Cape Province of South Africa-a township AIDS clinic • from June until December 2005 • The Central Region of Uganda-an urban low-income AIDS clinic • Aug-Sept. 2007, Dec-Jan 2008 • Research assistance and collaboration with Elizabeth Seabe, Lara Knudsen

  3. Lisa Ann Richey (Roskilde University) and Stefano Ponte (DIIS) BETTER (RED)™ THAN DEAD:‘BRAND AID’, CELEBRITIES AND THE NEW FRONTIER OF DEVELOPMENT ASSISTANCE download at http://www.diis.dk/sw27885.asp

  4. ARVs: Sustainable support or trendy international development?

  5. AIDS Treatment • Global political economy, race/ethnicity, gender, regionalism, religion, nationalism and politics will all impact the way that the ubiquitous “roll-out” of ARVs will take place in developing countries.

  6. Comparing AIDS treatment in South Africa and Uganda from the policy level • ‘Good’ State vs. ‘Bad’ State • Political will-- national vs. Subnational • Public health system • Openness • Diversity • Leadership

  7. Lessons from the clinic level • Taking care of yourself (more than just taking pills) • Adherence as a process • Returning to life (being a person means being able to reproduce) • The importance of community links

  8. How do patients demonstrate adherence? Medical, empirical and social, interpretive • Pill counts • Biomedical markers (CD4, Viral Load) • Use a condom • Inform the clinic before traveling • Apply for government grants • Eat well • Do not use traditional medicines • Plan pregnancies with doctor

  9. A common conversation on reproductive health from a popular Ugandan AIDS clinic • Doctor – “Do you and your wife use condoms?” • Patient – “Yes.” • Doctor – “Is your wife pregnant?” • Patient – “No.” • Doctor – “Would you like some free condoms?” • Patient – “No.”

  10. Politics, Pills and People • Political priorities have both intended and unintended local level impact • Global remedicalization of AIDS as a problem that can be solved by treatment • Nutrition and food security, sexuality, mental health and gender relations would benefit from prioritization among mainstream researchers and policymakers

More Related