Letting Them Die: Why HIV/AIDS Prevention Programmes Fail

Paperback | September 1, 2003

byCatherine Campbell

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"In the old South Africa we killed people. Now we're just letting them die." -Pieter Dirk Uys, South African satirist

Today in South Africa, HIV/AIDS kills about 5 in 10 young people. Many of the victims are miners and commercial sex workers who ply their trade in mining communities. In this critique of government-sponsored and privately funded HIV/AIDS prevention programs in South Africa, Catherine Campbell exposes why it has been so difficult to stop the HIV/AIDS epidemic. Campbell's research focuses on local vectors of the disease such as what people believe about the spread and prevention of AIDS, what measures they take to prevent disease, and whether they are likely to seek treatment at local AIDS clinics. "Letting Them Die" is not just an investigation into sexuality, social relations, health, and medicine; it is also a sharp review of the kinds of programs that are becoming the standard method of HIV/AIDS intervention throughout Africa.

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"In the old South Africa we killed people. Now we're just letting them die." -Pieter Dirk Uys, South African satiristToday in South Africa, HIV/AIDS kills about 5 in 10 young people. Many of the victims are miners and commercial sex workers who ply their trade in mining communities. In this critique of government-sponsored and privatel...

Catherine Campbell is a Reader at the London School of Economics and an External Professor at the University of Natal.

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Format:PaperbackDimensions:224 pages, 8 × 5 × 0.53 inPublished:September 1, 2003Publisher:Indiana University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0253216354

ISBN - 13:9780253216359

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Table of Contents

Preliminary Table of Contents:
Acknowledgments
Part 1. Sexuality and Sexual Health in the Summertown Mining Community: Context and Concepts
1. Sexuality, Participation, and Social Change
2. "Going underground and going after women": HIV Transmission amongst Mineworkers
3. Mobilizing a Local Community to Prevent HIV/AIDS: The Summertown Project
4. Community, Participation, and Sexual Health: Conceptual Challenges
Part 2. Sexuality, Sexual Health, and Peer Education amongst Summertown Sex Workers
5. The Social Organization of Commercial Sex Work
6. Sex Workers Organize to Fight HIV Transmission: Community-Led Peer Education in an Informal, "Hard-to-Reach" Setting
7. Factors Shaping the Success of Community Mobilisation in Informal Settings
Part 3. Sexuality and Sexual Health amongst Young People in Summertown
8. HIV Transmission amongst Young People: Gender, Social Norms, and Sexuality
9. Changing Young People's Sexual Behavior?: Youth-Led Participatory HIV Prevention in Summertown
Part 4. Power, Participation, and Political Will: The Context of HIV Prevention Efforts
10. Make or Break: Stakeholder Collaboration in Project Planning
11. Make or Break: Technical Capacity and Grassroots Identification with Project Goals
12. Commitment, Conceptualization, and Capacity

Editorial Reviews

"A superb ethnography of a leading HIV/AIDS prevention programme... There is an honesty in Campbell's writing that makes uncomfortable reading" -New Political Economy