HIV and East Africa
Thirty Years in the Shadow of an Epidemic
By Janet Seeley
Routledge – 2014 – 168 pages
By tracing the shadow of the epidemic over the last 30 years in Uganda and more broadly in the region, HIV and East Africa investigates the impact of the epidemic on people’s lives and livelihoods, placing the epidemic within the context of the social, political and economic changes that have occurred over the last three decades.
Whilst it inevitably touches on loss and suffering, the message is also about managing the impact of an epidemic which has had a profound impact on many lives. When one looks for traces in southern Uganda, once thought to be the epicentre of the epidemic, it is hard to see any lasting impact at a community wide level. Delve deeper and there are scars to be found among families and patterns of change which are a direct result of the epidemic
The book goes on to explore the effect of improved treatment and care on perceptions of the epidemic and concludes by putting HIV into the context of other disease outbreaks, reflecting on what we can learn from the history of other epidemics as well as the last 30 years of the HIV epidemic.
1. The shadow of an epidemic: an introduction 2. Learning to live with HIV - the background to an epidemic 3. Loss and grief 4. Progress and growth 5. Crises and change 6. The changing epidemic: treatment and care 7. Managing loss and forgetting pain?
Janet Seeley has been actively engaged in research on HIV and AIDS since the late 1980s, including four years with MRC in Uganda (1989–1993) when she was responsible for setting up social science research in the unit, the programme she returned to Uganda to head in 2008. She is currently Professor of International Development at the University of East Anglia, UK.