The Moral Economy of AIDS in South Africaby Nicoli Nattrass
Pub. Date: 03/28/2004
Publisher: Cambridge University Press
Relatively few people have access to antiretroviral treatment in South Africa. The government justifies this on grounds of affordability, a view that Nicoli Nattrass argues is insulating AIDS policy from social discussion and the possibilities of financing a large scale intervention. Nattrass addresses South Africa's contentious AIDS policy from both an economic and ethical perspective. This relevant and accessible work is a valuable resource for readers with an interest in AIDS policy and the social and economic implications of the pandemic.
Table of Contents1. Introduction; 1.1 An overview of the book; 1.2 The socio-economic determinants of AIDS in Africa; 1.3 Economic analysis and the development dilemma; 2. AIDS policy in South Africa; 2.1 A History of AIDS policy making in South Africa; 2.2 The moral economy of triage; 3. Mother-to-child transmission prevention in South Africa; 3.1 Introduction; 3.2 Why South Africa cannot not afford mother-to-child transmission prevention; 3.3 The government's response: a moral economy of triage; 3.4 How many children could be saved from HIV infection?; 4. Expanding an AIDS intervention to include HAART for all who need it; 4.1 The impact of a limited AIDS intervention; 4.2 The impact of HAART; 4.3 The cost of AIDS interventions; 4.4 'Scaling-up' the use of HAART un the public sector; 4.5 HAART or a disability grant?; 5. AIDS, HAART and behaviour change; 5.1 Does HAART lead to riskier sex?; 5.2 Could failure to provide HAART lead to riskier sex?; 5.3 Voluntary counselling and testing and behaviour change; ; 6. AIDS, economic growth and inequality in South Africa; 6.1 Some relevant demographics; 6.2 Modelling the macroeconomic impact of AIDS; 6.3 The impact of AIDS on firms; 6.4 AIDS and inequality in South Africa; 7. Conclusion; 7.1 The moral challenge posed by AIDS for society; 7.2 Alleviating poverty and addressing AIDS; 7.3 Why social deliberation is necessary; Notes; References; Index.
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