The face of AIDS is increasingly that of a woman: in some regions, women already constitute the majority of those infected. This book overviews the status of women in the global AIDS pandemic, and analyzes large-scale economic, political, and cultural forces that continue to place millions of women at increased risk for HIV infection. Case studies; charts; glossary; bibliography.
This important text explores the deep relationships between poverty, health/mental health conditions, and widespread social problems as they affect the lives of low-income women. A robust source of both empirical findings and first-person descriptions by poor women of their living conditions, it exposes cyclical patterns of structural and environmental stressors contributing to impaired physical and mental health. Psychological conditions (notably depression and PTSD), substance use and abuse, domestic and gun-related violence, relationship instability, and hunger in low-income communities, especially among women of color, are discussed in detail. In terms of solutions, the book’s contributors identify areas for major policy reform and make potent recommendations for community outreach, wide-scale intervention, and sustained advocacy. Among the topics covered:• The intersection of women’s health and poverty.• Poverty, personal experiences of violence, and mental health.• The role of social support for women living in poverty.• The logic of exchange sex among women living in poverty.• Physical safety and neighborhood issues.• Exploring the complex intersections between housing environments and health behaviors among women living in poverty. A stark reminder that health should be considered a basic human right, Poverty in the United States: Women's Voices is a necessary reference for research professionals particularly interested in women’s studies, HIV/AIDS prevention, poverty, and social policy.
This module is designed to improve the awareness, knowledge and skills of health professionals on poverty and gender concerns in the field of HIV/AIDS. Experience increasingly shows that the socioeconomic factors contributing to the rapid spread of HIV in the Region include low education, limited access to health care services and increased mobility within and between countries -- factors that are largely determined by poverty and gender inequality. The growing commitment to curbing the HIV/AIDS epidemic requires that health professionals at community, provincial, national and international levels have the knowledge, skills and tools to more effectively respond to the health needs of poor and marginalized people and address the gender inequalities fuelling the epidemic. However, many health professionals in the Region are not adequately prepared to address these issues. This module is designed to help fill this gap. This module, which is part of a Sourcebook for health professionals, is intended to be used in pre-service and in-service training of health professionals. It is divided into six sections: Section 1 provides a brief overview of the HIV/AIDS pandemic and an understanding of HIV/AIDS; Section 2 examines What the links are between poverty, gender and HIV/AIDS; Section 3 discusses why it is important for health professionals to address HIV/AIDS, from efficiency, equity and human rights perspectives; Section 4 discusses how health professionals can address poverty and gender concerns in HIV/AIDS; Section 5 provides notes for facilitators and finally Section 6 contains a collection of tools, resources and references to support health professionals in their work in this field.
Birth in the Age of AIDS is a vivid and poignant portrayal of the experiences of HIV-positive women in India during pregnancy, birth, and motherhood at the beginning of the 21st century. The government of India, together with global health organizations, established an important public health initiative to prevent HIV transmission from mother to child. While this program, which targets poor women attending public maternity hospitals, has improved health outcomes for infants, it has resulted in sometimes devastatingly negative consequences for poor, young mothers because these women are being tested for HIV in far greater numbers than their male spouses and are often blamed for bringing this highly stigmatized disease into the family. Based on research conducted by the author in India, this book chronicles the experiences of women from the point of their decisions about whether to accept HIV testing, through their decisions about whether or not to continue with the birth if they test HIV-positive, their birthing experiences in hospitals, decisions and practices surrounding breast-feeding vs. bottle-feeding, and their hopes and fears for the future of their children.
This book looks at the key challenges of HIV and AIDS from a gender perspective, and describes positive responses in areas of the world as diverse as Cambodia, South Africa, the UK, and Papua New Guinea. The impact of HIV on women and men across the world are devastating and wide-ranging. Girls may have to drop out of school to look after sick relatives, boys to earn money. The death of working-age adults can mean that surviving family members struggle to get by, with grandparents shouldering the burden of looking after orphaned grandchildren, often in dire poverty. Young women may have to resort to sex work and other risky survival strategies to support themselves and their families. Young men are growing up with ideas about masculinity that include violence and the sexual domination of women, contributing to the spread of HIV. The contributors analyze these contexts, exploring the links between HIV, AIDS, gender inequality and poverty. They present accounts of successful interventions, recording experience, describing good practice, and sharing information about resources. This book is essential reading for development practitioners and policy makers involved in responding to the HIV and AIDS crisis.
This book is about the effects of AIDS on women and food security in Côte d'Ivoire, West Africa. AIDS is more than a health problem. Rural households and women in particular have to cope with the lack of labour in agriculture which threatens their food security. For the matrilineal Agni women land ownership appears to be an unexpected burden, rather than a safeguard from poverty. Culture matters, but not in similar ways everywhere. Matrilineal or patrilineal kinship organisation, gender inequality, and norms about sexual relationships very much influence the differences in Agni and migrant women's vulnerability to AIDS. African women are often seen as victims of AIDS. This study shows that women may also use their creativity and social networks to battle and to be resilient against the effects of the illness in their everyday household activities. Using a combination of quantitative statistical data and qualitative methods, this research questions the effectiveness of mainstream AIDS policy and interventions in Côte d'Ivoire. Victimising the poor does not help. Instead, multi-sector policy intervention can mitigate the social effects of AIDS by improving household food security and by changing cultural practices through local leaders who have historical legitimacy and power.
In Holding On anthropologist Alyson O’Daniel analyzes the abstract debates about health policy for the sickest and most vulnerable Americans as well as the services designated to help them by taking readers into the daily lives of poor African American women living with HIV at the advent of the 2006 Treatment Modernization Act. At a time when social support resources were in decline and publicly funded HIV/AIDS care programs were being re-prioritized, women’s daily struggles with chronic poverty, drug addiction, mental health, and neighborhood violence influenced women’s lives in sometimes unexpected ways. An ethnographic portrait of HIV-positive black women and their interaction with the U.S. healthcare system, Holding On reveals how gradients of poverty and social difference shape women’s health care outcomes and, by extension, women’s experience of health policy reform. Set among the realities of poverty, addiction, incarceration, and mental illness, the case studies in Holding On illustrate how subtle details of daily life affect health and how overlooking them when formulating public health policy has fostered social inequality anew and undermined health in a variety of ways.
Despite the renewed commitment over the past 15 years to poverty reduction as the core objective of international development discourses and policies, progress to this end remains disappointing. This is particularly evident in the extent to which the world is off track to achieve most of the Millennium Development Goals, globally and in most regions and countries (UNDP 2003; UN Statistics Division 2004). This inadequate progress raises important questions about the policies and strategies (centred around economic growth and human development) that have been adopted to achieve poverty reduction, as well as about key international issues including aid, debt, trade and conflict reduction. It also raises important questions about our very conception and understanding of poverty. While perspectives on poverty have evolved significantly over this period, with widespread acceptance of the multidimensional nature of poverty, and of the importance of considering the depth and severity of poverty, there has been slower progress in recognising and responding to the persistence of poverty over time (Clark and Hulme 2005); in other words, the phenomenon of chronic poverty.