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密切相关。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，以及以何种方式，社会条件和进程对客户和患者坚持长期药物治疗至关重要。防治艾滋病已成为南部非洲社会面临的最大挑战之一。自从实行抗逆转录病毒药物方案以来，防治这一流行病的工作发生了根本变化。坚持长期和持续的药物治疗（依从性）现在是成功管理艾滋病危机的决定性因素。然而，坚持必须有效地嵌入社会并被广泛接受，以便将其作为一种经过验证的理所当然的事情融入日常生活中。必须容忍和鼓励坚持。因此，坚持与社会适应力密切相关。基于理论考虑和实证实地工作，该项目试图评估弹性“文化”发展的条件。将查明有助于鼓励或阻碍社会挪用和复原行动的因素和过程。该项目进行两方面的研究：1。分析韧性和坚持的文化；采用元视角方法，评估各种文化和认识论因素的解释潜力及其对分析地理发展和风险研究中与健康有关的主题的附加价值。

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.