WAR, FORCED MIGRATION, AND HIV/AIDS RISKS IN ANGOLA

说明(由调查员提供)：在撒哈拉以南非洲越来越多的关于艾滋病毒/艾滋病的文献中，关于受战争和其他形式政治暴力影响的人口的研究显然很少。然而，鉴于次大陆军事冲突的范围和普遍性及其对人道主义和健康的巨大影响，这一重点至关重要。难民和境内流离失所者的社会和人身脆弱性可能会转化为艾滋病毒/艾滋病风险的增加，而且这些增加的风险可能在敌对行动停止后很长一段时间内持续存在。拟议的试点研究将对居住在安哥拉最大城市地区的境内流离失所者的艾滋病毒/艾滋病相关知识、看法和风险进行初步评估。这项初步评估将为随后对安哥拉艾滋病毒/艾滋病情况进行的国家一级研究奠定基础，稍后将为此申请资金。 除了目前正在拆除的少数境内流离失所者营地外，大多数境内流离失所者已经在安哥拉城市周围的贫民窟定居，特别是其庞大的首都罗安达。然而，虽然一些郊区社区是由于境内流离失所者的涌入而出现的，或者在人口结构上由他们主导，但其他社区主要由长期居住的居民组成，他们要么出生在城市，要么出于与战争没有直接关系的原因移徙。这种解决模式提供了一种探索国内流离失所者艾滋病毒/艾滋病相关知识、观念和风险的具体情况的可能性，方法是比较国内流离失所者占主导地位的社区和不占主导地位的社区，进而比较两类社区中境内流离失所者和非境内流离失所者之间的差别。境内流离失所者之间的差异，特别是性别定义的差异，可能会影响他们对艾滋病毒/艾滋病风险的看法和暴露。拟议的项目将有以下具体目标：绘制国内流离失所者的移徙概况；检查国内流离失所者与非国内流离失所者融入城市社会的情况；比较国内流离失所者和非国内流离失所者对艾滋病毒/艾滋病风险、预防知识和艾滋病毒/艾滋病风险的了解和认识；探讨社区环境对国内流离失所者对艾滋病毒/艾滋病风险的认识和接触的可能影响。为实现这些目标，将在罗安达的两个城市周边城市收集调查和定性数据--一个主要由境内流离失所者居住，另一个主要由非境内流离失所者居住。

DESCRIPTION (provided by investigator): In the growing body of literature on HIV/AIDS in sub-Saharan Africa studies focusing on populations affected by wars and other forms of political violence are notably few. Yet given the scope and pervasiveness of military conflicts in the sub-continent and the magnitude of their humanitarian and health impact, this focus is critically important. Social and physical vulnerability of refugees and internally displaced persons (IDPs) may translate into increased HIV/AIDS risks, and these increased risks may persist long after hostilities cease. The proposed pilot study will produce an initial assessment of HIV/AIDS-related knowledge, perceptions, and risks among IDPs residing in the largest urban area of Angola. This initial assessment will lay the groundwork for a subsequent national-level study of the HIV/AIDS situation in Angola for which funding will be requested later. Aside from the few IDPs camps that are presently being dismantled, most IDPs have settled in slums surrounding Angolan cities, especially its sprawling capital Luanda. However, while some suburban communities have emerged due to the influx of IDPs or have become demographically dominated by them, others are composed primarily of longer-term residents who were either born in the city or migrated for reasons not directly related to war. This pattern of settlement offers a possibility to explore the specifics of IDPs' HIV/AIDS-related knowledge, perceptions, and risks through a comparison between communities where IDPs predominate and those where they do not, and in turn, between IDPs and non-IDPs in each of the two types of communities. Differences among IDPs themselves, especially those defined by gender, may bear on their perceptions of and exposure to HIV/AIDS risks. The proposed project will have the following specific objectives: to draw a migration profile of IDPs; to examine IDPs' vs. non-IDPs' incorporation into urban society; to compare IDPs and non-IDPs with respect to understanding and awareness of HIV/AIDS risks, knowledge of prevention, and exposure to HIV/AIDS risks; and to explore possible influences of the community context on IDPs' awareness of and exposure to HIV/AIDS risks. To achieve these objectives survey and qualitative data will be collected in two peri-urban municipalities of Luanda--one populated mainly by IDPs and another populated mainly by non-IDPs.