Impact of long-term civil disorders and wars on the trajectory of HIV epidemics in sub-Saharan Africa

From the mid-1970s, seven countries in sub-Saharan Africa have experienced civil disorders and wars lasting for at least 10 years. In two-- Sierra Leone during 1991-2002, and Somalia from 1988 and continuing--adult HIV prevalence remained below 1%. In the Democratic Republic of the Congo, HIV prevalence appears to have stabilised during post-1991 civil disorder and war. Limited information from Angola (civil war 1975 -2002) and Liberia (civil disorder and war from 1989 and continuing) suggests low HIV prevalence. Mozambique's HIV prevalence was near 1% after its 1975 - 1992 civil war, but increased dramatically in the first post-war decade. Across African countries with long-term wars, HIV seems to have spread more slowly than in most neighbouring countries at peace. This evidence contributes to the ongoing debate about the factors that explain differential epidemic trajectories, a debate which is crucial to the design of HIV prevention programmes. One possible explanation for slow epidemic growth in wartime is that unsterile health care accounts for an important proportion of HIV transmission during peacetime, but much less when wars disrupt health services. However, other explanations are also possible. The roles of sex and blood exposures in HIV epidemics in war and peace await empirical determination

Democracy · Developing country · Development economics · Economic growth · Economics · Peacetime · Political science · Politics · Sierra leone · Sociology · Spanish Civil War · Adolescent Sexual and Reproductive Health · Demography · Health and Conflict Studies · HIV/AIDS Impact and Responses · Law · Medicine · Virology

• Theorizing “Big Events” as a potential risk environment for drug use, drug-related harm and HIV epidemic outbreaks

  Open Access•R Friedman, Diana Rossi et al.•International Journal of Drug…•2009

  Incluir item

• Fifty years of deleterious external engagement with sub‐Saharan African states

  Open Access•Seth Feinberg, Delaney Dalquest et al.•Sociology Compass•2020

  Incluir item

• HIV and Aids in Africa

  Open Access•Ezekiel Kalipeni, Leo C Zulu•GeoJournal•2010

  Incluir item

• Some Data-Driven Reflections on Priorities in Aids Network Research

  Open Access•R Friedman, Melissa Bolyard et al.•AIDS and Behavior•2006

  Incluir item

• Dialectical theory and the study of HIV/Aids and other epidemics

  Open Access•R Friedman, Samuel R Friedman et al.•Dialectical Anthropology•2011

  Incluir item

• STD/Aids prevention in Portuguese-speaking Africa

  Open Access•Sandra Monteiro, Simone Monteiro•Cadernos de Saude Publica•2009

  Incluir item

• Conflict and human African trypanosomiasis

  Open Access•Lea Berrang-Ford, Jamie Lundine et al.•Social Science & Medicine•2011

  Incluir item

• Political and socio-economic instability

  Open Access•Ramaswamy Premkumar, Achilles Tebandeke•SAHARA-J Journal of Social…•2011

  Incluir item

• A Complicated War

  William Finnegan•Complicated War•1992

  Incluir item

• Educational attainment and HIV‐1 infection in developing countries

  Open Access•Julian Hargreaves, James R Hargreaves et al.•Tropical Medicine & International…•2002

  Incluir item

• Blood Diamonds

  Gail M Gerhart, Greg Campbell•Foreign Affairs•2002

  Incluir item

• Socio-geographical patterns of HIV-1 transmission in Kagera region, Tanzania

  Open Access•Japhet Killewo, L G Dahlgren et al.•Social Science & Medicine•1994

  Incluir item

• Epidemiologists, social scientists, and the structure of medical research on aids in Africa

  Open Access•Randall M Packard, Paul Epstein et al.•Social Science & Medicine•1991

  Incluir item