Cultures of Resilience and Adherence: Adaptation and Coping in the Context of the HIV/AIDS Pandemic in Botswana

该项目与当前关于风险、脆弱性和复原力的跨学科辩论相结合。在博茨瓦纳抗逆转录病毒艾滋病毒/艾滋病治疗方案的背景下，它审查了哪些社会条件和进程以及以何种方式对客户和患者坚持长期用药至关重要。应对艾滋病大流行已成为南部非洲社会面临的最大挑战之一。自推出抗逆转录病毒药物方案以来，应对大流行一直在经历根本性的变化。坚持长期持续服药(坚持)现在是成功管理艾滋病危机的决定性因素。然而，坚持必须有效地融入社会并被广泛接受，这样它才能作为一件被证明是理所当然的事情融入日常生活。必须容忍和鼓励遵守这一原则。因此，坚守与社会韧性密切相关。该项目在理论考虑和实地调查的基础上，试图评估复原力“文化”的发展条件。将确定鼓励或阻碍社会挪用和复原力行动的因素和过程。该项目进行两类研究：1.分析复原力和坚持性文化；2.采用元前瞻性方法，评估各种文化和认识论考虑因素的解释潜力及其对地理发展和风险研究中与健康有关的主题的分析的附加值。

The project ties in with current transdisciplinary debates on risk, vulnerability and resilience. Against the background of the antiretroviral HIV/AIDS therapy programme in Botswana, it examines which, and in what ways, social conditions and processes are crucial for clients and patients to adhere to long-term medication. Dealing with the AIDS pandemic has become one of the greatest challenges for societies in Southern Africa. Tackling the pandemic has been undergoing fundamental changes since antiretroviral medication programmes were introduced. Sticking to long-term and continuous medication (adherence) is now the decisive factor for a successful management of the AIDS crisis. However, adherence must be effectively socially embedded and widely accepted such that it is integrated into everyday life routines as a proven matter of course. Adherence must be tolerated and encouraged. Adherence is thus closely linked to social resilience. Based both on theoretical considerations and empirical field work, the project attempts to assess the conditions for the development of a 'culture’ of resilience. Factors and processes which serve to encourage or impede social appropriation and resilience actions will be identified. The project pursues two strains of research: 1. to analyse cultures of resilience and adherence, and 2., adopting a metaperspective approach, to assess the explanatory potential of various cultural and epistemological considerations and their added value for an analysis of health-related topics in geographical development and risk studies.