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This book concerns HIV prevention. In it the authors argue that until the world focuses its attention on the social issues carried and revealed by AIDS, it is unlikely that HIV transmission will be eradicated or even significantly reduced. The book argues that we are currently witnessing the remedicalisation or the continuing biomedicalisation of HIV prevention, which began in earnest after the development of successful HIV treatment, and that this biomedical trajectory continues with the increasing push to use HIV treatments as prevention, undermining what has been in many countries a successful prevention response. This wide-ranging study argues that HIV prevention involves enabling people and communities to discuss sex, sexuality and drug use and, informed by these discussion, devising locally effective strategies for promoting safe sexual and drug injection practices.
“Theoretically sophisticated, empirically grounded, and analytically rigorous – this is the most important work to be published on the HIV epidemic in decades.” —Richard Parker, Columbia University
Acknowledgements; List of Figures and Tables; Introduction; 1. Mapping a Social Disease; 2. ‘Owning’ Uganda; 3. The Australian Partnership; 4. The Biomedical Narrative of HIV/AIDS; 5. Risk and Vulnerability; 6. Social Practices of Communities; 7. Researching Social Change, Working with Contingency; References; Index