24 research outputs found

    The HIV/AIDS epidemic in sub-Saharan Africa: thinking ahead on programmatic tasks and related operational research

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    Until now, we have all been desperately trying to run behind the HIV/AIDS epidemic and catch up with it, but despite all our efforts, the epidemic remains well ahead of us. In 2010, the antiretroviral treatment (ART) gap was about 60%, AIDS-related deaths were almost two million a year, and on top of these figures, for every one person started on ART, there were two new HIV infections. What is needed to change this situation is to think ahead of the epidemic in terms of the programmatic tasks we will be faced with and try to act boldly in trying to implement those tasks. From a programmatic perspective, we: a) highlight what needs to fundamentally change in our thinking and overall approach to the epidemic; and b) outline a number of key task areas for implementation and related operational research

    Male circumcision for HIV prevention: current evidence and implementation in sub-Saharan Africa

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    Heterosexual exposure accounts for most HIV transmission in sub-Saharan Africa, and this mode, as a proportion of new infections, is escalating globally. The scientific evidence accumulated over more than 20 years shows that among the strategies advocated during this period for HIV prevention, male circumcision is one of, if not, the most efficacious epidemiologically, as well as cost-wise. Despite this, and recommendation of the procedure by global policy makers, national implementation has been slow. Additionally, some are not convinced of the protective effect of male circumcision and there are also reports, unsupported by evidence, that non-sex-related drivers play a major role in HIV transmission in sub-Saharan Africa. Here, we provide a critical evaluation of the state of the current evidence for male circumcision in reducing HIV infection in light of established transmission drivers, provide an update on programmes now in place in this region, and explain why policies based on established scientific evidence should be prioritized. We conclude that the evidence supports the need to accelerate the implementation of medical male circumcision programmes for HIV prevention in generalized heterosexual epidemics, as well as in countering the growing heterosexual transmission in countries where HIV prevalence is presently low

    Mundo Pretugues:Colonial and Postcolonial Diasporic Dis/Articulations

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    Is the Islam in Islamophobia the Same as the Islam in Anti-Islam; or, When Is It Islamophobia Time?

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    Through an exercise of discourse genealogy, this paper addresses the concept of Islamophobia as far as the users and object of the concept concerns. By analysing the different political contexts in which Islamophobia has appeared and has been used in Britain and elsewhere, I argue that it is a politically powerful concept for the structuring and strengthening of Islamic subjectivities in Europe, namely because it is a concept with its origins in an Islamic perspective. Rather than what it intends to denounce – a new, more or less obvious hate for Muslims – it shows the construction and affirmation of a Muslim political subjectivity in Europe

    On the Uses and Disadvantages of (Colonial) History for Life

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