Testing differences: the implementation of Western HIV testing norms in sub-Saharan Africa.
Testing differences: the implementation of Western HIV testing norms in sub-Saharan Africa.
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DOI：
10.1080/13691058.2011.644810
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Angotti N
中科院分区：
文献类型：
--
作者：
Angotti N
本文探讨了实施西方艾滋病毒检测规范-咨询，同意和保密（“3C”）-在马拉维，一个高流行率，农村非洲设置。它考虑了三类利益攸关方的不同观点：提议者、执行者和预期受益者。支持者是“咨询和测试机构”的成员。对他们来说，3C是人权的进口，值得正式捍卫，但在实践中并不总是值得优先考虑。执行者是艾滋病毒顾问。对他们来说，3C作为西方生物医学术语的知识使他们与村民区分开来，但将他们置于测试道德与他们对那些他们接受培训以帮助的人的道德关切相冲突的情况下;因此，他们在实践中适应了这些知识。而预期的受益者，即其权利理应受到3C保护的马拉维农村人，认为这些规范是在保护他们作为个人的权利，但却损害了他们的社区，而不是使其受益。马拉维的案例研究表明，西方注重个人权利的公共卫生规范与当地对它们本应受益的想象中的社区的健康和福祉的关切之间存在着紧张关系。
This paper examines the implementation of Western HIV testing norms– counselling, consent and confidentiality (“3Cs”) – in Malawi, a high prevalence, rural African setting. It considers the differential perspectives of three categories of stakeholders: proponents, implementers and intended beneficiaries. The proponents are members of the “Counseling and Testing Establishment.” For them, the 3Cs are human rights imports that are worth defending formally, but not always worth prioritising in practice. The implementers are HIV Counsellors. For them, knowledge of the 3Cs as Western biomedical jargon distinguishes them from villagers, but places them in situations where the ethics of testing conflict with their moral concerns for those whom they were trained to help; thus they adapt them in practice. And the intended beneficiaries, the rural Malawians whose rights are meant to be protected by the 3Cs perceive the norms as protecting themselves as individuals, but as harming rather than benefitting their communities. The case study of Malawi illustrates a tension between Western, individual rights-oriented public health norms and local concerns for the health and wellbeing of the imagined communities that they are meant to benefit.
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影响因子：
2.2
作者：
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通讯作者：
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影响因子：
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作者：
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作者：
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影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
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