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The social stigma of aids
The social stigma of aids
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Case Study #1
Since the development of anti-retroviral therapy (ART) in the 1990s, HIV/AIDs has evolved from a death sentence into a treatable disease. It has presented a unique global health problem because while the treatments were very effective, they were extremely expensive, required advanced laboratory monitoring, were prescribed indefinitely, and required excellent patient compliance. In many of the developing countries devastated by AIDs/HIV, the health and societal infrastructures often had difficult supporting an effective treatment program. For that reason, it is estimated that 71% of HIV/AID cases are in sub-Saharan Africa and only 39% of of them are on ART (AVERT, 2015). Southern Africa is often considered the “epicenter” of the
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There are still many issues that the government has been trying to address. One barrier that continues to exist is the stigma of HIV/AIDS. People avoid getting tested and sick individuals would wait until they were extremely ill before seeking treatment. The government has countered social stigma through a public health campaign to promote HIV testing. As more people participated in testing, public attitudes started changing (Glassman, 2016, p.28). Still, many traditionally at risk groups continue to be vulnerable. Female sex workers, young adults, and men who have sex with men, have lower rates of HIV testing and have less knowledge about HIV prevention (Glassman, 2016, p.28). Addressing these populations will require additional social …show more content…
2015. HIV and AIDS in sub-Saharan Africa regional overview. Retrieved July 9, 2016, from http://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/overview.
Bill & Melinda Gates Foundation. 2006. Working with Botswana to Confront Its Devastating AIDS Crisis. Seattle, WA: Bill & Melinda Gates Foundation. Retrieved July 9, 2016, from https://docs.gatesfoundation.org/documents/achap.pdf.
Millions Saved New Cases of Proven Success in Global Health. (2016). Brookings Institution Press.
Glassman, A., & Temin, . (2016). Millions Saved New Cases of Proven Success in Global Health. Ctr for Global Development.
Ramiah, I., & Reich, M. R. (2005). Public-Private Partnerships and Antiretroviral Drugs for HIV/AIDS: Lessons From Botswana. Health Affairs, 24(2), 545-551. doi:10.1377/hlthaff.24.2.545
Rouzier V, Farmer PE, Pape JW et al. Factors impacting the provision of antiretroviral therapy to people living with HIV: the view from Haiti. Antiviral Therapy. 2014; 19 Suppl
Statistics have been show a frightening increase in AIDS/HIV cases. As of the year 2012, South Africa has had the most cases of HIV/AIDS coming to a total of 6,070,800 ("Country Comparison :: HIV/AIDS”). This is a huge contributing factor to this conspira...
Although Africa is the region of the world hardest hit by AIDS, and although no country has entirely escaped the virus, prevalence rates vary dramatically between regions, countries, and even within countries. In general, the southern region is the most affected, with Botswana, Namibia, Swaziland and Zimbabwe showing the highest rates, while West Africa has been less affected. In almost all countries, the HIV/AIDS prevalence rate is significantly higher in urban areas than in rural areas.
Half of the world’s cases are found in what is referred to as the AIDS belt, a chain of countries in eastern and southern Africa that is home to two percent of the global population. The main vehicle for spreading HIV throughout Africa is heterosexual intercourse. In contrast, this is the opposite compared to the U.S. where the virus is usually transmitted through homosexual intercourse or contaminated syringes shared by drug users. Besides heterosexual intercourse, HIV transmission through transfusion and contaminated medical equipment is common in sub-Saharan Africa. Africans infected with HIV die much sooner after diagnosis than HIV-infected people in other parts of the world.
“In 1980, a life-threatening human immune dysfunction of unknown origins was noticed in Central Africa, Europe, and the United States” (Poindexter, 2007, p. 6). In 1981, in the United States, the disease was first reported to the Centers for Disease Control (CDC). HIV stands for human immunodeficiency virus. It is the virus that can lead to acquired immunodeficiency syndrome, or AIDS. Unlike numerous other viruses, the human body cannot rid itself of HIV. That means that once you have HIV, you have it for life (Centers for Disease Control and Prevention, 2013). Currently, no cure exists for HIV. Thankfully, with giant leaps in today’s medical and technological advancements in pharmaceutical research this disease is now considered to be a chronic condition. Today, with proper medical management and compliance the infected p...
Walensky, R. . P. et al. (2008). Scaling Up Antiretroviral Therapy in South Africa:. JID, 197(9), pp. 1324-1332.
HIV/AIDS is an illness that has been present for over three decades, all regions of the world are affected with this virus, but some regions such as the Sub-Saharan Africa are the worst hit with high incidence and prevalence. HIV is a preventable virus, it is commonly transmitted through unprotected sex, sharing drug injection equipment such as needles with someone that is HIV positive and through other body fluids such as blood, semen, rectal fluids, vaginal fluids and breast milk. South Africa has the largest number of people with HIV majority of these numbers being women. In the study by Rehle et al it is stated that in South Africa (SA) both men and women matured 15-49 years were evaluated to be 2.0 new diseases every year per 100 susceptible
By the year 2000, 58 million people have been infected by HIV/AIDS and alarming numbers such as 22 million would have already died. And the epidemic continues to spread. HIV/AIDS historically is considered to be one of the longest running worldwide epidemics that we have ever seen, and figures cannot be placed on the true death tolls or estimation of the damage as the cycle still is yet to reach an end (Whiteside 2002). With Africa being the worst hit continent in the world in terms of the HIV/AIDS epidemic and the severity of it’s prevalence; one can only begin to question whether HIV/AIDS and poverty and directly connected or the inter-linkages exacerbate one or the other. This paper aims to argue that HIV/AIDS is a manifestation of poverty, and simultaneously poverty contributes to growing HIV/AIDS epidemic. Development in response both to poverty reduction and to HIV/AIDS is complicated when both have multi-dimensional and multi-faceted impacts on a society, whether it be social, economic or human development impacts. This paper will argue that pre-existing socio economic conditions within a country such as high levels of poverty, poor sanitation, malnutrition, environmental degradation and poor public healthcare systems and limited access to preventative care are crucial factors in contributing to the transfer of the infection (Pasteur: 2000, Mann: 1999).
As a result, the virus has greatly affected people in countries across the world, especially Africa. In Africa there are thousands of medical facilities in South Africa and they all have a high occupancy rating. In South Africa today, 80% of patients hospitalized in facilities have HIV (“Impact of HIV and AIDS...”). People working in these facilities such as doctors and nurses put themselves at risk because they are at risk for getting HIV related illnesses. In Africa there is a high demand for treatment of the disease and the hospitals have very low resources and training to treat HIV patients. When HIV first started there were very little resources to use for the patients that needed help.
Africa is a region of the world often associated with HIV due to the infection’s enduring prevalence on the continent. Specifically, Sub-Saharan Africa is the area of the world with the most infected individuals, approximately 26.6 million with roughly 1.4 million new infections each year (Bowler; White). This equates to 2/3 of all HIV infected individuals around the world. In this region it is harder to obtain treatment than in other areas of the world, with only 41 percent of people living with HIV in Sub-Saharan Africa having access to ART (“Data”). A subset of Sub-Saharan Africa that has the highest epidemic rate is Southern Africa, which consists of nine countries. Table 1 lists the countries in Southern Africa and shows
This article explains the overall epidemiology of HIV in South Africa. Williams goes over the spread of the disease and the differences in prevalence among different provinces. He also explains that prevalence increases with age after 15 years of age and that the disease is more prevalent among women. Williams also describes different factors that may have a significant impact on the spread HIV including circular migration, something that is often blamed for the rapidness of the spread of HIV. Finally, Williams describes different treatments and prevention strategies and their effectiveness, and the research needed and steps to be taken to reduce the continued spread of the disease.
The AIDS virus is the most common disease, and with no cure, an infected person will die. It is estimated that 90 to 95 percent of AIDS infections occur in developing countries where the world’s worst living conditions exist.
According to the Millennium Development Goals, Uganda has made improvements to reduce the spread of AIDS. Uganda was one of the first countries in Africa to report a decline in the rate In 1986, President Yoweri Museveni made a commitment to help fight AIDS and organized a program to help establish the National AIDS Control Program with the Ministry of Health (Global Initiative, Buonocore, 2003). President Museveni made it clear that AIDS was not a problem but it was something the country was dealing as one. Museveni helped with creating ideas and programs to help his people deal with the disease. In 1992, the Uganda AIDS commission opened and their mission “is to provide overall leadership in the coordination and management of an effective HIV/AIDS National Response” (Uganda AIDS Commission, 1992). Now the commission is the headquarters used for AIDS information. With the commission opened the people of Uganda had hope and support to help them with the disease, and the commission has helped reduced the rate and educate the people of Uganda. With all the help the people of Uganda has received from organizations, they still need to improve their numbers, as the rates drop they also come back up. There is no accurate percentage of the dropped rate, all is known that organizations need to raise more awareness, and begin with the young ones.
Botswana has disturbing statistics related to AIDS, when compared to those of a developed nation like Australia. Life expectancy is 40 in Botswana, compared to 80 in Australia. This difference is mainly due to AIDS. Without AIDS in Botswana, the life expectancy would be about 64. In having such a low life expectancy, Botswana has had to deal with many problems. Workers are being taken in their prime, and many children are left orphaned without a primary caregiver. This means that less work will be done, and it will be done less efficiently. The life expectancy is surprisingly low due to the high number of people with AIDS. Botswana has an extremely high percentage of the population living with AIDS. 18% of the people are HIV positive, while only .0007% of Australians are. Much of the population is dying as well. The annual deaths from AIDS are around 24,000 per month in Botswana, compared to a mere 100 per month in Australia. This means that Botswana loses 288,000 people per year, which is almost the same as the number of people infected. HIV positive citizens are dying very quickly. The birthrate is high, yet one out of every eight infants are born HIV positive. With the death rate so high, and still increasing, it is predicted that Botswana is going to experience a negative growth rate in upcoming years. The growth rate now is .76 while developed nations is more like 1.02. Drastic measures need to be taken to control the AIDS epidemic in Botswana, before the country is wiped out completely.
According to the CDC, almost 1.1 million people in the United States have HIV, yet almost 20% of those people are unaware that they are living with the condition (CDC, 2013c). When the HIV broke out almost 30 years ago in the United States, the number of new cases in a year was 130,000. Now, each year the new number of cases being presented is approximately 50,000 (CDC, 2013c). In locations like Sub-Saharan Africa, the statistics are higher. The Joint United Nations Programme on HIV/AIDS (UNAIDS) states, “In 2011, an estimated 23.5 million people living with HIV resided in sub-Saharan Africa, representing 69% of the global HIV burden” (UNAIDS, 2012). The World Health Organization (WHO) reinforces this point by saying, “Sub-Saharan Africa is the most affected region [of HIV], with nearly 1 in every 20 adults living with HIV. Sixty nine per cent of all people living with HIV are living in this region” (WHO, 2013a). The statistics of infected people living in the United States is alarming but there are other countries, like Africa, which have higher rates of HIV due to very limited
HIV does not only affect the well-being of individuals, it has large impacts on households, communities and even nations as a whole. Peer discussions and personal research has also made me realize that some of the countries suffering from this HIV epidemic also rather unfortunately suffer from other infectious diseases such as malaria and tuberculosis, relative poverty and economic stagnation. Despite these setbacks, new inte...