"All I Eat Is ARVs": The Paradox of AIDS Treatment Interventions in Central Mozambique
"All I Eat Is ARVs": The Paradox of AIDS Treatment Interventions in Central Mozambique
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DOI：
10.1111/j.1548-1387.2010.01109.x
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发表时间：
2010-01-01
影响因子：
2.2
通讯作者：
Kalofonos, Ippolytos Andreas
中科院分区：
文献类型：
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作者：
Kalofonos, Ippolytos Andreas
自2004年首次免费和公开提供抗逆转录病毒治疗以来，莫桑比克接受抗逆转录病毒治疗的人数增加了1500%以上。随着艾滋病患者经历戏剧性的康复和寿命延长，“挽救的生命”数量的增加似乎描绘了一个成功的故事，即在世界上最贫穷的环境之一提供高科技治疗。然而，“扩大规模”产生了显著的社会影响，因为它发生在一个有着复杂历史和长期存在的与贫困有关的问题的地区。饥饿是人们对抗逆转录病毒治疗的主要抱怨。目前的干预措施无法充分解决这一问题，导致艾滋病毒/艾滋病患者之间对现有稀缺资源的激烈竞争，破坏了社会团结和社区就艾滋病毒/艾滋病问题采取进一步行动的潜力。关于饥饿的论述是对这些缺点的批评，也是对艾滋病毒/艾滋病流行病背后更广泛的政治经济的批评。
The number of people on antiretroviral treatment in Mozambique has increased by over 1,500 percent since it first became free and publicly available in 2004. The rising count of "lives saved" seems to portray a success story of high-tech treatment being provided in one of the poorest contexts in the world, as people with AIDS experience dramatic recoveries and live longer. The "scale-up" has had significant social effects, however, as it unfolds in a region with a complicated history and persistent problems related to poverty. Hunger is the principal complaint of people on antiretroviral treatment. The inability of current interventions to adequately address this issue leads to intense competition among people living with HIV/AIDS for the scarce resources available, undermining social solidarity and the potential for further community action around HIV/AIDS issues. Discourses of hunger serve as a critique of these shortcomings, and of the wider political economy underlying the HIV/AIDS epidemic.