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Health and disease in southern Africa: a comparative and vulnerability perspective

Identifieur interne : 001161 ( Main/Exploration ); précédent : 001160; suivant : 001162

Health and disease in southern Africa: a comparative and vulnerability perspective

Auteurs : Ezekiel Kalipeni [États-Unis]

Source :

RBID : ISTEX:8BCBFD2DBEA76D0D6F8CCFFDCCB61176F2E2397E

Descripteurs français

English descriptors

Abstract

Using a vulnerability and comparative perspective, this paper examines the status of health in southern Africa highlighting the disease complex and some of the factors for the deteriorating health conditions. It is argued that aggregate social and health care indicators for the region such as life expectancy and infant mortality rates often mask regional variations and intra-country inequalities. Furthermore, the optimistic projections of a decade ago about dramatic increases in life expectancy and declines in infant mortality rates seem to have been completely out of line given the current and anticipated devastating effects of the HIV/AIDS pandemic in southern Africa. The central argument is that countries experiencing political and/or economic instability have been more vulnerable to the spread of diseases such HIV/AIDS and the collapse of their health care systems. Similarly, vulnerable social groups such as commercial sex workers and women have been hit hardest by the deteriorating health care conditions and the spread of HIV/AIDS. The paper offers a detailed discussion of several interrelated themes which, through the lense of vulnerability theory, examine the deteriorating health care conditions, disease and mortality, the AIDS/HIV situation and the role of structural adjustment in the provision of health care. The paper concludes by noting that the key to a more equitable and healthy future seems to lie squarely with increased levels of gender empowerment.

Url:
DOI: 10.1016/S0277-9536(99)00348-2


Affiliations:


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Le document en format XML

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<term>African development bank</term>
<term>African governments</term>
<term>Aids cases</term>
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<term>Children report</term>
<term>Communicable diseases</term>
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<term>Diarrheal diseases</term>
<term>Disadvantaged position</term>
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<term>Ecological context</term>
<term>Economic crisis</term>
<term>Economic turbulence</term>
<term>Edwin mellen press</term>
<term>Elsevier science</term>
<term>Expectancy</term>
<term>Female education</term>
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<term>Gender bias</term>
<term>Government corruption</term>
<term>Greater detail</term>
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<term>Health care conditions</term>
<term>Health care delivery systems</term>
<term>Health care facilities</term>
<term>Health care indicators</term>
<term>Health care resources</term>
<term>Health care services</term>
<term>Health care systems</term>
<term>Health conditions</term>
<term>Health risks</term>
<term>Health sector</term>
<term>Health services</term>
<term>Health status</term>
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<term>Major improvements</term>
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<term>Many countries</term>
<term>Many women</term>
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<term>Maternal mortality</term>
<term>Maternal mortality rate</term>
<term>Maternal mortality rates</term>
<term>Measles</term>
<term>Medical geography</term>
<term>Mortality</term>
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<term>Mortality rates</term>
<term>Mozambique</term>
<term>Namibia</term>
<term>National health</term>
<term>Northern malawi</term>
<term>Nutritional status</term>
<term>Oppong</term>
<term>Optimistic projections</term>
<term>Other countries</term>
<term>Other hand</term>
<term>Other parts</term>
<term>Other statistics</term>
<term>Oxford university press</term>
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<term>Past decade</term>
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<term>Poor women</term>
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<term>World bank</term>
<term>World commodity prices</term>
<term>World standards</term>
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<term>Zimbabwe</term>
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<term>Adjustment programs</term>
<term>Adult mortality rates</term>
<term>Adult population</term>
<term>African countries</term>
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<term>African governments</term>
<term>Aids cases</term>
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<term>Aids pandemic</term>
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<term>Communicable diseases</term>
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<term>Development studies</term>
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<term>Economic crisis</term>
<term>Economic turbulence</term>
<term>Edwin mellen press</term>
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<term>Female education</term>
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<term>Gender bias</term>
<term>Government corruption</term>
<term>Greater detail</term>
<term>Guilford press</term>
<term>Gures mask</term>
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<term>Health care conditions</term>
<term>Health care delivery systems</term>
<term>Health care facilities</term>
<term>Health care indicators</term>
<term>Health care resources</term>
<term>Health care services</term>
<term>Health care systems</term>
<term>Health conditions</term>
<term>Health risks</term>
<term>Health sector</term>
<term>Health services</term>
<term>Health status</term>
<term>Health survey</term>
<term>Health units</term>
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<term>Human development report</term>
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<term>Maternal mortality rates</term>
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<term>Medical geography</term>
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<term>Mortality rate</term>
<term>Mortality rates</term>
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<term>Namibia</term>
<term>National health</term>
<term>Northern malawi</term>
<term>Nutritional status</term>
<term>Oppong</term>
<term>Optimistic projections</term>
<term>Other countries</term>
<term>Other hand</term>
<term>Other parts</term>
<term>Other statistics</term>
<term>Oxford university press</term>
<term>Pandemic</term>
<term>Past decade</term>
<term>Political economy</term>
<term>Poor women</term>
<term>Population development</term>
<term>Population reference bureau</term>
<term>Pregnant women</term>
<term>Prenatal care</term>
<term>Prentice hall</term>
<term>Primary health care</term>
<term>Regional variations</term>
<term>Remarkable gains</term>
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<term>Sample surveys</term>
<term>Science medicine</term>
<term>Social groups</term>
<term>Social science</term>
<term>Social science medicine</term>
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<term>Southern african countries</term>
<term>Southern african subcontinent</term>
<term>Southern african subregion</term>
<term>States committee</term>
<term>Structural adjustment</term>
<term>Structural adjustment programs</term>
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<term>Such data</term>
<term>Sugar daddy context</term>
<term>Swaziland</term>
<term>Unaids</term>
<term>Unpublished paper</term>
<term>Upper saddle river</term>
<term>Urban areas</term>
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<term>Vulnerability theory</term>
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<term>White population</term>
<term>Wide spread immunizations</term>
<term>World bank</term>
<term>World commodity prices</term>
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<div type="abstract" xml:lang="en">Using a vulnerability and comparative perspective, this paper examines the status of health in southern Africa highlighting the disease complex and some of the factors for the deteriorating health conditions. It is argued that aggregate social and health care indicators for the region such as life expectancy and infant mortality rates often mask regional variations and intra-country inequalities. Furthermore, the optimistic projections of a decade ago about dramatic increases in life expectancy and declines in infant mortality rates seem to have been completely out of line given the current and anticipated devastating effects of the HIV/AIDS pandemic in southern Africa. The central argument is that countries experiencing political and/or economic instability have been more vulnerable to the spread of diseases such HIV/AIDS and the collapse of their health care systems. Similarly, vulnerable social groups such as commercial sex workers and women have been hit hardest by the deteriorating health care conditions and the spread of HIV/AIDS. The paper offers a detailed discussion of several interrelated themes which, through the lense of vulnerability theory, examine the deteriorating health care conditions, disease and mortality, the AIDS/HIV situation and the role of structural adjustment in the provision of health care. The paper concludes by noting that the key to a more equitable and healthy future seems to lie squarely with increased levels of gender empowerment.</div>
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