Is there a distinct African sexuality? A critical response to Caldwell

Africa ◽  
1994 ◽  
Vol 64 (2) ◽  
pp. 220-242 ◽  
Author(s):  
Beth Maina Ahlberg

In the current HIV debate there are diverse opinions about the spread of HIV/AIDS in Africa and the reasons for it. Caldwell and his colleagues, for example, argue that the whole of Africa has a distinct sexuality which is inherently permissive. They claim moreover that no religious moral value is attached to sexual activity, and Christianity has thus not succeeded in changing matters. They find in this failure the reason for the failure of the fertility control programme in sub-Saharan Africa, and they argue that HIV/AIDS control efforts will fail similarly unless the fear it generates forces Africans to adopt the Eurasian model, with its religious, moral value.The article re-examines Caldwellet al.'sconceptualisation of the role of moral value in social change. Without considering the internal expressions, mechanisms and social contexts within and through which moral value is maintained and changed, they assume that Christian moral values could lead to a change in sexual behaviour from permissive (as they see it) African sexuality to the Eurasian model. In making such an assumption they ignore the ethical and behavioural contradictions generally inherent in moral systems. Moreover they pay little attention to the process of change in Western societies, where Christian morality has lost a great deal of its control over behaviour. But even if we assume that internal contradictions and processes of change do not exist, the christianisation process in Africa fundamentally transformed local customs in ways that delinked their role in regulating behaviour, including sexual behaviour.For discussions and decisions on options and strategies for the prevention and control of HIV/AIDS, identifying the nature and impact of that transformation is essential.

2010 ◽  
Vol 4 (10) ◽  
pp. 597-608 ◽  
Author(s):  
Onoja Matthew Akpa ◽  
Benjamin Agboola Oyejola

Introduction: One of the greatest causes of morbidity and mortality in the Sub-Saharan Africa, particularly among young adults, is HIV/AIDS. Many mathematical models have been suggested for describing the epidemiology as well as the epidemiological consequences of the epidemic. A review of some these models would aid researchers in applying them to better understand and control the incidence and distribution of the disease in their countries. Methodology: This study reviews some of the models proposed by various authors for describing the epidemiology as well as the epidemiological consequences of the HIV/AIDS epidemic and how some of them could be modified to suit the situations in other countries. We also discuss the limitations and the place of such models in the fight against the HIV epidemic. Results: A clear explanation of the premises and assumptions on which the models were based was reached by reviewing the models across different scenarios. Conclusion: Mathematical models have been very useful in HIV research, particularly for empirical studies on people living with HIV/AIDS (PLWHA). These models make predictions that generate questions of social and ethical interest.


2019 ◽  
Vol 1 (1) ◽  
pp. 12-21
Author(s):  
F.A. Ayeni ◽  
◽  
O.O. Oyetunde ◽  
B.A. Aina ◽  
◽  
...  

Tuberculosis (TB) and Diabetes mellitus (DM) are among the top ten causes of morbidity and mortality globally, with the Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) also causing significant mortality as well. The HIV-TB link has been well recognized since the beginning of the HIV epidemic, but link between TB and DM has only returned to the fore-front recentlyafter effective treatments for each condition reduced the association that was reported earlier in thetwentieth century. Recently also, urbanization, increasing age and sedentary lifestyle has led to an increase in diabetes prevalence. Diabetes mellitus is associated with a 3-fold incident risk of tuberculosis and, to a lesser extent, tuberculosis may also increase the risk of developing diabetes. Both diseasesinteract negatively at multiple levels, exacerbating and worsening the outcomes of the other. The impact of these co-morbidities particularly in developing countries of Sub Saharan Africa, of which Nigeria is one, is likely to be large. An increasing prevalence of diabetes mellitus may hinder efforts aimed at tuberculosis control, making successful TB treatment and control more difficult. Improved management of tuberculosis and diabetes could build on the successes of the TB-HIV/AIDS collaborative activities, and DOTS strategy, which emphasizes support to patients, as well as a reliable supply of quality-assured medicines. This review aims to examine the association between these two important diseases, and explore ways to manage and reduce mortality caused by the duo.


Author(s):  
Massimo Leone ◽  
Fausto Ciccacci ◽  
Stefano Orlando ◽  
Sandro Petrolati ◽  
Giovanni Guidotti ◽  
...  

Eighty percent of people with stroke live in low- to middle-income nations, particularly in sub-Saharan Africa (SSA) where stroke has increased by more than 100% in the last decades. More than one-third of all epilepsy−related deaths occur in SSA. HIV infection is a risk factor for neurological disorders, including stroke and epilepsy. The vast majority of the 38 million people living with HIV/AIDS are in SSA, and the burden of neurological disorders in SSA parallels that of HIV/AIDS. Local healthcare systems are weak. Many standalone HIV health centres have become a platform with combined treatment for both HIV and noncommunicable diseases (NCDs), as advised by the United Nations. The COVID-19 pandemic is overwhelming the fragile health systems in SSA, and it is feared it will provoke an upsurge of excess deaths due to the disruption of care for chronic diseases such as HIV, TB, hypertension, diabetes, and cerebrovascular disorders. Disease Relief through Excellent and Advanced Means (DREAM) is a health programme active since 2002 to prevent and treat HIV/AIDS and related disorders in 10 SSA countries. DREAM is scaling up management of NCDs, including neurologic disorders such as stroke and epilepsy. We described challenges and solutions to address disruption and excess deaths from these diseases during the ongoing COVID-19 pandemic.


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