Doctoral Dissertation Research: Constructing AIDS Treatment in South Africa: Discourse, Power and Policy

博士论文研究:南非艾滋病治疗的构建:话语、权力和政策

基本信息

  • 批准号:
    0926198
  • 负责人:
  • 金额:
    $ 1.18万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
    Standard Grant
  • 财政年份:
    2009
  • 资助国家:
    美国
  • 起止时间:
    2009-09-15 至 2011-02-28
  • 项目状态:
    已结题

项目摘要

This project examines the history and consequences of conflict between the South African government and the domestic social movement led by the Treatment Action Campaign over the provision of antiretroviral (ARV) therapy to people living with AIDS. After a bitter conflict between the government and the ARV social movement, treatment is now being extended to all South Africans, yet there remain gaps in coverage that appear to be following previously existing geographies of vulnerability and marginality. This project examines how social movements engaged the treatment invective to their advantage, changing the popular HIV/AIDS narrative in the process. Further, this research will analyze if the current AIDS treatment structure embodies the equity-based agenda of the ARV social movement. The project will triangulate discourse analysis, political economy, and critical ethnography to examine treatment through an equity lens. This project will allow for an understanding of the history of, and possibilities for, equitable ARV therapy. In addition, the material reality of treatment access will be exposed through a political economy analysis attentive to the historical development of contemporary HIV/AIDS public health policy. By analyzing the discourses surrounding HIV/AIDS, particularly the moments when the dominant discourse was inverted, this research will reveal how a social movement created the space for a new AIDS narrative. Additionally, through an analysis of policy documents this project will illuminate the political economy of ARV treatment in reference to the dominant treatment narratives in the country. Lastly, interviews and participant observation with public health clinic workers will be conducted in accordance with purposive sampling techniques to ground the project ethnographically. The intellectual merit of the project lies in supplementing theorizations of discursive power, understanding forms and expression of state power, and measuring social resistance within contemporary health geography. Empirically, this project takes special interest in establishing how AIDS policy can ensure equitable access at a time when ARV policies are being extended globally. This project will provide a detailed description of current ARV therapy in South Africa. The broader impact of this project lies in offering nuanced understandings of AIDS treatment policy such that all HIV-positive people in South Africa and elsewhere, not just those in privileged environments, are able to access health care. In an era when most countries are extending ARV therapy to HIV-positive citizens in need, this is a needed contribution to the literature. AIDS is perhaps the single greatest threat to human well-being in sub-Saharan Africa, so this study contributes to knowledge about how best to prevent and treat the disease, as well as advocate for people with HIV. As a Doctoral Dissertation Research Improvement award, this award also will provide support to enable a promising student to establish a strong independent research career.
本项目研究南非政府与由治疗行动运动领导的国内社会运动在向艾滋病患者提供抗逆转录病毒(ARV)治疗方面发生冲突的历史和后果。在政府和ARV社会运动之间的激烈冲突之后,治疗现在正在扩大到所有南非人,但在覆盖范围方面仍然存在差距,似乎正在遵循以前存在的脆弱和边缘化的地理位置。该项目审查了社会运动如何使治疗对他们有利,在这一过程中改变了流行的艾滋病毒/艾滋病叙述。此外,本研究将分析目前的艾滋病治疗结构是否体现了抗逆转录病毒社会运动的公平议程。该项目将对话语分析、政治经济学和批判性民族志进行三角测量,以通过公平的视角检查治疗情况。这个项目将允许理解公平的抗逆转录病毒疗法的历史和可能性。此外,还将通过关注当代艾滋病毒/艾滋病公共卫生政策的历史发展的政治经济学分析,揭示获得治疗的物质现实。通过分析围绕艾滋病毒/艾滋病的话语,特别是主导话语被颠倒的时刻,本研究将揭示一场社会运动如何为新的艾滋病叙事创造空间。此外,通过对政策文件的分析,该项目将参照该国占主导地位的治疗叙述,说明抗逆转录病毒治疗的政治经济学。最后,将按照有目的的抽样技术对公共卫生诊所工作人员进行访谈和参与者观察,以使项目具有民族志基础。该项目的学术价值在于补充了话语权力的理论,理解了国家权力的形式和表达,并衡量了当代卫生地理学中的社会阻力。从经验上讲,该项目特别关注在全球推广抗逆转录病毒药物政策的时候,艾滋病政策如何确保公平获得机会。该项目将详细介绍南非目前的抗逆转录病毒疗法。该项目的更广泛影响在于提供了对艾滋病治疗政策的细致入微的理解,使南非和其他地方的所有艾滋病毒阳性者,而不仅仅是那些处于特权环境中的人,都能够获得医疗保健。在一个大多数国家都在向有需要的艾滋病毒阳性公民推广抗逆转录病毒疗法的时代,这是对文献的必要贡献。艾滋病可能是撒哈拉以南非洲人类福祉的最大威胁,因此这项研究有助于了解如何最好地预防和治疗这种疾病,并倡导艾滋病毒携带者。作为博士论文研究改进奖,该奖项还将提供支持,使有前途的学生建立一个强大的独立研究生涯。

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

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Lucy Jarosz其他文献

Lucy Jarosz的其他文献

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{{ truncateString('Lucy Jarosz', 18)}}的其他基金

Electronic Information Skills for Collaborative Learning in an Undergraduate Geography Curriculum
本科地理课程中协作学习的电子信息技能
  • 批准号:
    9650348
  • 财政年份:
    1996
  • 资助金额:
    $ 1.18万
  • 项目类别:
    Standard Grant
The Impacts of the Changing Division of Labor in Industrial Agriculture: Case Studies from the United States, France and South Africa
工业化农业劳动分工变化的影响:美国、法国和南非的案例研究
  • 批准号:
    9422817
  • 财政年份:
    1995
  • 资助金额:
    $ 1.18万
  • 项目类别:
    Standard Grant
Doctoral Dissertation Research: Technological Change in the Siberian Oil Industry: Performance and Its Influence on Regional Economic Development
博士论文研究:西伯利亚石油工业的技术变革:绩效及其对区域经济发展的影响
  • 批准号:
    9406594
  • 财政年份:
    1994
  • 资助金额:
    $ 1.18万
  • 项目类别:
    Standard Grant
Doctoral Dissertation Research: An Investigation of Farming Women's Work in Washington's Apple Industry
博士论文研究:华盛顿苹果产业中农业妇女工作的调查
  • 批准号:
    9406595
  • 财政年份:
    1994
  • 资助金额:
    $ 1.18万
  • 项目类别:
    Standard Grant

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