Before HIV: Sexuality, Fertility and Mortality in East Africa, 1900-1980

Hardcover | April 21, 2013

byShane Doyle

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This book addresses two of the most important questions in modern African history: the causes of rapid population growth, and the origins of the HIV pandemic. It examines three societies on the Uganda-Tanzania border whose distinctive histories shed new light on both of these phenomena. Thiswas the region where HIV in Africa first became a mass rural epidemic, and also where HIV infection rates first began to decline significantly.Before HIV argues that only by analysing the long history of changes in sexual behaviour and attitudes can the shape of Africa's regional epidemics be fully understood. It traces the emergence of the sexual culture which permitted HIV to spread so quickly during the late 1970s and 1980s back to themiddle decades of the twentieth century, a period when new patterns of socialization and sexual networking became established. The case studies examined in this book also provide new insights into the relationship between economic and social development and trends in fertility and mortality during the twentieth century. These three societies experienced the onset of rapid population growth at different moments and fordifferent reasons, but in each case study area the key mechanisms appear to have been a decline in child mortality, a shortening of birth intervals, and a marked decline in primary and secondary sterility.

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This book addresses two of the most important questions in modern African history: the causes of rapid population growth, and the origins of the HIV pandemic. It examines three societies on the Uganda-Tanzania border whose distinctive histories shed new light on both of these phenomena. Thiswas the region where HIV in Africa first beca...

Shane Doyle was educated at Cambridge and SOAS. Currently Senior Lecturer in African History at the University of Leeds, he was previously a British Academy Postdoctoral Fellow at the Cambridge Group for the History of Population and Social Structure, and before that Assistant Director of the British Institute in Eastern Africa. His cu...
Format:HardcoverDimensions:450 pagesPublished:April 21, 2013Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0197265332

ISBN - 13:9780197265338

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Table of Contents

Introduction1. Sexuality and fertility in the pre-colonial period2. Disease and mortality, 1860-19253. Early colonial sexuality and fertility4. Marriage and sexuality in Buganda, 1925-695. Prostitution in Buhaya, 1925-19696. Ankole: marriage and the ethnicity of sex, 1925-697. Fertility in Ankole, Buganda and Buhaya, 1925-68. Disease and death, 1925-1969. Sexuality, mortality, disease and fertility in the 1970SConclusion And Epilogue: AIDS and demographic change in historical context