Poverty, Food Insecurity, HIV Vulnerability and the Impacts of AIDS in sub-Saharan Africa
Poverty, Food Insecurity, HIV Vulnerability and the Impacts of AIDS in sub-Saharan Africa
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DOI：
10.1111/j.1759-5436.2008.tb00490.x
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发表时间：
2008-11-01
影响因子：
0.7
通讯作者：
Gillespie, Stuart
中科院分区：
文献类型：
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作者：
Gillespie, Stuart
在艾滋病在非洲流行的四分之一个世纪中，我们对贫困与艾滋病毒传播的相互作用以及RIDS的影响了解多少？是什么导致了对病毒及其下游影响的脆弱性？有强有力的证据表明，社会经济和性别不平等是艾滋病毒传播的条件，而与艾滋病有关的疾病和死亡则加剧了这些不平等-这是一个潜在的恶性循环。应对措施必须立足于基础，首先是基础广泛的艾滋病毒预防战略，这些战略应针对脆弱性的具体情况和传播的驱动因素。第二，在对艾滋病敏感、国家主导的社会保障和保健服务提供系统的背景下，缓解工作需要更好地着眼于提高脆弱家庭和社区的复原力，办法是加强地方能力，为安全生计战略提供各种选择和激励措施。
A quarter of a century into the AIDS epidemic in Africa, what do we know about the way in which poverty interacts with the transmission of HIV and the impacts of RIDS? What drives vulnerability to the virus, and to its downstream impacts? There is strong evidence that socioeconomic and gender inequalities condition the spread of HIV while AIDS-related disease and death increases these inequalities - a potentially vicious cycle. Responses need to be grounded, first in broad-based HIV prevention strategies that are tailored to the specific conditions of vulnerability and the drivers of transmission. Second, mitigation needs to be better oriented towards increasing resilience of vulnerable households and communities through enhancing local capacity and providing options and incentives for safe livelihood strategies, against a backdrop of AIDS-sensitive, state-led systems of social protection and health service delivery, A particular emphasis throughout is needed on the heightened vulnerability of women and children.