Therapeutic Borderlands

Austerity, Maternal HIV Treatment, and the Elusive End of Aids in Mozambique

Bibliographic Data

ID2289005
AuthorsRachel R Chapman (0000-0003-2438-1410, Department of Anthropology University of Washington, corresponding author)
Year2021
Volume35
Issue2
Pages226-245
Publication date2021-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Anthropology Quarterly (JOURNAL)
Journal identifiersISSN: 0745-5194 • E-ISSN: 1548-1387
PublisherWiley (PUBLISHER • GB)
DOI10.1111/maq.12613
PMID33029848
OpenAlexW3091981778
LanguageEN
Citations received4
References cited54

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

Austerity · Business · Economic growth · Economics · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Political science · Psychiatry · Public health · Public sector · Scarcity · Service (business · Service delivery framework · Stigma (botany · Workforce · Global Maternal and Child Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Nursing