11-08

11-08 - HIV/AIDS & War: HIV/AIDS & War: The...

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Unformatted text preview: HIV/AIDS & War: HIV/AIDS & War: The Case of Northern Uganda Amy Finnegan November 8, 2007 Review of what we have Review of what we have learned about HIV/AIDS so far… Colossal­size Pandemic Burden in Sub­Saharan Africa Modes of Transmission 100% Preventable Relationship to Human Rights Social Causation of Disease & Structural Violence What is the relationship between HIV/AIDS & violent conflict? International Concern International Concern Security Council Resolution 1308 (July 2000): “spread of HIV/AIDS can have a uniquely devastating impact on all sectors and levels of society” and “if unchecked, may pose a risk to stability and security” “HIV/AIDS pandemic is….exacerbated by conditions of violence and instability, which increase the risk of exposure to the disease through large movements of people, widespread uncertainty over conditions, and reduced access to medical care” HIV/AIDS Conflict? HIV/AIDS HIV/AIDS destabilizes social/political/economic landscape Orphans strain social support networks Reduces economic productivity Robs social/political institutions of intellectual resources Conflict HIV/AIDS Conflict increases vulnerability: Increased interaction between military and civilians Increased commercial or casual sex Limited access to or destroyed public health infrastructure and health services Sexual violence Mass migration Increased levels of malnutrition Gulu Context of Northern Uganda HIV in Uganda Renowned for HIV decrease HIV prevalence: 12.8% (1989) 4.7% (2002) ABC model Political will HIV in Northern Uganda HIV in Northern Uganda HIV prevalence 27.1% (1993) 11.9% (2002) Conflict­specific vulnerabilities Child Abductions Child Abductions 66,000 children abducted Sexual slavery Use of rape General militarization in society Night Commuters Night Commuters 40,000 mostly children Sexual violence against children Void of adult supervision Internally Displaced People’s Camps 1.8 million IDPs Rape Limited livelihoods War is Unhealthy Implications Implications Limits of ABC model Design HIV prevention programs that take into account these factors Include security element HR approach (poverty eradication, income generation) Target men too Conflict resolution and peace advocacy Take into account local context Plan carefully for post­conflict phase ...
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