Therapeutic Borderlands: Austerity, Maternal HIV Treatment, and the Elusive End of AIDS in Mozambique.
Rachel R ChapmanPublished in: Medical anthropology quarterly (2020)
"End of AIDS" requires ambitious testing, treatment, and adherence benchmarks, like UNAIDS' "90-90-90 by 2020." Mozambique's efforts to improve essential maternal/infant antiretroviral treatment (ART) exposes how austerity-related health system short-falls impede public HIV/AIDS service-delivery and hinder effective maternal ART and adherence. In therapeutic borderlands-where household impoverishment intersects with health-system impoverishment-HIV+ women and over-worked care-providers circumnavigate scarcity and stigma. Worrisome patterns of precarious use emerge-perinatal ART under-utilization, delayed initiation, intermittent adherence, and low retention. Ending HIV/AIDS requires ending austerity and reinvesting in a public sector health workforce to ensure universal health coverage as household and community safety nets.
Keyphrases
- hiv aids
- antiretroviral therapy
- hiv infected
- healthcare
- human immunodeficiency virus
- hiv positive
- mental health
- hiv infected patients
- public health
- type diabetes
- hepatitis c virus
- adipose tissue
- pregnant women
- combination therapy
- palliative care
- polycystic ovary syndrome
- glycemic control
- skeletal muscle
- men who have sex with men
- emergency department
- physical activity
- pain management
- weight loss
- metabolic syndrome
- adverse drug
- smoking cessation