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Beyond the biomedical and behavioural: towards an integrated approach to HIV prevention in the Southern African mining industry

By Catherine Campbell and B. Williams

Abstract

While migrant labour is believed to play an important role in the dynamics of HIV-transmission in many of the countries of southern Africa, little has been written about the way in which HIV/AIDS has been dealt with in the industrial settings in which many migrant workers are employed. This paper takes the gold mining industry in the countries of the Southern African Development Community (SADC) as a case study. While many mines made substantial efforts to establish HIV-prevention programmes relatively early on in the epidemic, these appear to have had little impact. The paper analyses the response of key players in the mining industry, in the interests of highlighting the limitations of the way in which both managements and trade unions have responded to HIV. It will be argued that the energy that has been devoted either to biomedical or behavioural prevention programmes or to human rights issues has served to obscure the social and developmental dimensions of HIV-transmission. This argument is supported by means of a case study which seeks to highlight the complexity of the dynamics of disease transmission in this context, a complexity which is not reflected in individualistic responses. An account is given of a new intervention which seeks to develop a more integrated approach to HIV management in an industrial setting

Topics: RA0421 Public health. Hygiene. Preventive Medicine, HM Sociology
Year: 1999
DOI identifier: 10.1016/S0277-9536(98)00449-3
OAI identifier: oai:eprints.lse.ac.uk:2819
Provided by: LSE Research Online
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    Citations

    1. (1996). AIDS programmes in the mining industry: an overview.
    2. (1996). An Integrated Approach to HIV/AIDS Prevention Programmes: the New Vaal Experience.
    3. (1995). Case Study 1: Planning in Swaziland.
    4. (1995). Compliance with TB treatment on a South African gold mine.
    5. (1996). Costs of HIV/AIDS at CD4(+) counts disease stages based on treatment protocols. doi
    6. (1998). Creating alliances for disease management in occupational health settings. doi
    7. (1996). Economic and financial implications of HIV.
    8. (1995). Enabling approaches for HIV/AIDS promotion: can we modify the environment and minimise the risk? doi
    9. (1996). Health care in the mining industry.
    10. (1996). HIV infected individuals in industries at high risk for TB: a rejoinder.
    11. (1991). Human immunodeficiency virus and migrant labour in South Africa. doi
    12. (1996). Is AIDS a disease of poverty? doi
    13. (1997). Migrancy, masculinity and HIV: the psycho-social context of HIV-transmission on the South African gold mines. Social science and medicine doi
    14. (1996). Mines, migrancy and HIV in South Africa - managing the epidemic.
    15. (1988). Occupational health and safety in South Africa: the perspectives of capital, state and unions. doi
    16. (1992). Occupational lung disease and TPB and Tintswala Hospital and in the Eastern Transvaal Lowveld. National Centre for Occupational Health Internal Report Number 1.
    17. (1996). Of soil and seed: HIV related TB on the mines.
    18. (1995). Peer education programmes among HIV-vulnerable communities in Southern Africa.
    19. (1998). Perceptions of HIV/AIDS on a Johannesburg gold mine. doi
    20. (1996). Prevalence of occupational lung disease amongst Botswana men formerly employed in the South African mining industry. doi
    21. (1996). Reply to
    22. (1995). Responding to AIDS: are there any appropriate development policies? doi
    23. (1998). Selling sex in the time of AIDS: identity, sexuality and commercial sex work on the South African gold mines. Epidemiology Research Unit, Research report series.
    24. (1994). Statistical Tables. Chamber of Mines,
    25. (1996). STDs on the mines: the nature of the problem.
    26. (1987). The acquired immune deficiency syndrome. doi
    27. (1994). The answer to AIDS lies in united commitment.
    28. (1993). The competing discourses of HIV/AIDS in sub-Saharan Africa: discourses of rights and empowerment vs discourses of control and exclusion. doi
    29. (1998). The costs of gold mining related occupational lung disease to industry and society in South Africa. doi
    30. (1996). The economics of the South African mines. doi
    31. (1992). The macro-economic effects of HIV/AIDS.
    32. (1995). The macro-economic impact of HIV/AIDS. doi
    33. (1995). White plague, black labour revisited: TB and the mining industry. In Crossing boundaries: mine migrancy in a democratic South Africa.

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