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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Losing the Struggle against AIDS: Policy Issues in Africa's Urban and Rural Dilemma
Author:Miller, NormanISNI
Year:1991
Periodical:African Urban Quarterly (ISSN 0747-6108)
Volume:6
Issue:1-2
Period:February-May
Pages:8-11
Language:English
Notes:biblio. refs.
Geographic term:Africa
Subjects:AIDS
Health and Nutrition
Medicine, Nutrition, Public Health
AIDS (Disease)
Medicine, Preventive
government policy
Abstract:This article suggests that the international struggle against AIDS is being lost, that some 70 million Africans may be infected with HIV within 25 years and that the disease will have dispersed such that some 5 percent of rural people will be infected. The author argues that we should see AIDS as a 'disease of development' or underdevelopment. He suggests that the new urban environments that exploded in Africa in the 1960s and 1970s led to conditions that gave AIDS its ecological niche. AIDS, in part at least, may be seen as a consequence of migration to urban settings, increased mobility and human congestion on a scale never seen before in most less developed countries. In addition there have also been policy failures in addressing AIDS. At the national level, most African States, aside from Uganda and Zambia in recent months, have been slow to address the epidemic. At the international level, despite WHO's attempts to coordinate global efforts, there remains a great deal of confusion in the implementation of AIDS prevention programmes. Overall, international health policies on HIV/AIDS, particularly prevention and behaviour change policies, have yet to reach the grassroots. Bibliogr., sum.
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