HIV has visited upon the world a huge tragedy; but ironically it has also inspired human triumph. Millions have succumbed to it and yet it has driven the world towards a better health care system for all. Ultimately, HIV has helped reaffirm our humanity, in what we say, how we serve, in how we love and care for our affected fellow human beings. This phenomenon of being concerned and caring has been enflamed by the dedicated service of health workers, researchers, activists, policymakers and social movements without whom the HIV narrative would be incomplete. In this edition, Busani Ngcaweni brings together an impressive list of people who have been at the forefront of this 35year struggle. It is a timely, yet overdue, resource which will prove invaluable to students, health workers, academics and policymakers for many years to come.
HIV has visited upon the world a huge tragedy; but ironically it has also inspired human triumph. Millions have succumbed to it and yet it has driven the world towards a better health care system for all. Ultimately, HIV has helped reaffirm our humanity, in what we say, how we serve, in how we love and care for our affected fellow human beings. This phenomenon of being concerned and caring has been enflamed by the dedicated service of health workers, researchers, activists, policymakers and social movements without whom the HIV narrative would be incomplete. In this edition, Busani Ngcaweni brings together an impressive list of people who have been at the forefront of this 35year struggle. It is a timely, yet overdue, resource which will prove invaluable to students, health workers, academics and policymakers for many years to come. Cyril Ramaphosa is Deputy President of South Africa and Chair of the South African National AIDS Council. This important book reminds us of the tragedy of HIV in South Africa, the struggles and successes in saving countless lives, and the vision that our goal to reach epidemic control is closer than ever. The United States is proud to be a global leader in response to the HIV and AIDS epidemic. Standing shoulder to shoulder with the South African government, civil society, and UNAIDS, the United States has contributed significantly to South Africa’s enormous achievements, including developing the largest HIV treatment program in the world. [The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) has invested over 5 billion dollars (70 billion rand) in South Africa since 2004.] New innovations to provide treatment to all people living with HIV and to prevent new infections for adolescent girls and young women demonstrate South Africa’s continued exceptional leadership and commitment. The United States will continue to stand together with the people of South Africa in our efforts to achieve an AIDS-free generation.
1. Introduction
Part 1
2. Balancing the Biomedical and Social Determinants: The Dynamism of the AIDS Response in South Africa
a. The South African Response to the HIV Epidemic
b. Historical, Social and Cultural Aspects of HIV
c. The Nexus between AIDS Research Evidence and Policymaking in South Africa
d. Women, HIV and Clinical Trials in South Africa
e. HIV and AIDS Triumphs and Struggles
f. Lived Experiences from HIV and AIDS Research in the Eastern Cape
g. Mainstreaming HIV and AIDS Response into the Public Service in South Africa
h. South Africa’s Demographic Dynamics in the Era of HIV and AIDS
i. Can HIV and AIDS Communication Theory make Rhodes Fall?
j. Improving the HIV Landscape among Young Students in South Africa: Reflections on the First Things First Best Practice Model
k. From Data to Insights to Action: Using Data to Fight HIV and AIDS in South Africa
l. Bitter Themes and Sugar Daddies: Intergenerational Sex and the Spread of HIV in South Africa
m. Social Representation of HIV and AIDS
n. Using the HEAIDS First Things First Model to Improve Early Community HIV Counselling and
o. Testing Trends amongst Young People
Part 2
3. Strengthening the Multi-Sectoral Response to HIV and AIDS: Sectoral Perspectives and Experiences
a. Our Journey Together
b. Community-led Integrated Service Delivery ‘War Rooms’ and the Fight Against HIV, AIDS and TB in KwaZulu-Natal Province, South Africa
c. The Story of HIV, AIDS and TB in the Mining Industry in Southern Africa
d. The South African Private Sector Response to the AIDS Epidemic
e. The Evolution of HIV Financing since ‘Durban 2000’ and its Impact on South Africa’s Response to the
Epidemic
Part 3
4. Leveraging Social Agency: Perspectives from Activists and Practitioners
a. The Inter-sectionality of HIV, AIDS and Disability in South Africa
b. Civil Society’s Perspective – South African National AIDS Council’s Governance Framework and the Coordination Dilemma of HIV Response
c. The Impact of ‘Widow Sex Cleansing’ in HIV Prevention
d. Transiting from Traditional Initiation to Medical Male Circumcision as a Prevention Strategy: Is Anyone Listening?
e. Fighting Stigma and Winning the Struggle against HIV
Part 4
5. Changing the Course of History: Selected Speeches that Shaped the Global AIDS Agenda Since 2000
a. Closing address by Nelson Mandela at the 13th International AIDS Conference, Durban 14
b. July 2000
c. Speech given at the Opening ceremony of the 13th International AIDS Conference in Durban,
d. July, 2000
e. Opening Assembly Special Session on AIDS, Secretary-General Sees ‘Turning Point – AIDS Can No Longer Do Its Work in Dark’
f. Message on World AIDS Day 2002
g. President Jacob Zuma on the Occasion of World AIDS Day, Pretoria
h. Address at AIDS 2012, Keynote Address International AIDS Conference, July 23, 2012
i. World AIDS Day, 1 December 2015
j. President Obama 2013 World AIDS Day (WAD) Speech South Court Auditorium
k. President Bush Announces Five-Year, $30 Billion HIV/AIDS Plan