10/08/2011

The Politics of Prevention: A Global Crisis in AIDS and Education Review

The Politics of Prevention: A Global Crisis in AIDS and Education
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I really enjoyed reading the book ` The Politics of Prevention: A Global Crisis in AIDS and Education' by David Archer and Tania Boler, two friends and ex-colleagues from ActionAid. David Archer is known around the world in development circle for incorporating Paulo Freire, the Brazilian educationist's innovative and powerful ideas on community empowerment into REFLECT. Tania has done some ground breaking work on HIV and education. When the two of them collaborated on this book, it built up expectations of something startlingly original and a valuable addition to the current development discourse. They satisfy that expectation with flying colors.
It was fascinating read but before going into my observations on the book, I would like to share about the perception I felt from the people I tried to gauge regarding HIV in Bangladesh.
I was not so surprised to find that even in educated communities, the tendency is to stand on a moral high ground, enjoying a sense of relief bordering on complacence. People still feel that it is a problem for Africa and for developed countries with a `culture' of promiscuous practices and loose adherence to religion. In Bangladesh, we take pride in the fact that teachers are not perceived as abusers of children (a misplaced belief prevalent in Africa) and religion keeping us safe against pre-marital sex. Sex is a taboo issue to talk about in public and even amongst friends, so we assume it really doesn't take place at all or happens in a very moderate quantity. Even the statistics (prevalence rate of less than 1% even in the `high risk groups') doesn't give us any cause for alarm. We are also beset with many more seemingly visible problems, poverty, unemployment and corruption, so, why is it necessary to exercise caution when it comes to HIV. Such is the blissful notion of pervasive complacence that we fail to take heed of the cautionary signs around us.
Looking at the book, coming out of Pluto Press in London, one can identify a lot of relevant and topical ground covered in the book. For instance, it discusses in a lucid manner -
*Role of education not only as an enlightening process, but also the role of school as shelters of peace and nurture for young minds.
*Necessity for inclusion of teachers in the uphill battle for nurturing the child, and removing the ignorance by informing of the scientific facts, rather than imposing personal views.
*Setting in right perspective of HIV being a health issue, not a moral or religious one.
*To accord enough priority to prevention and how, as there are effective means of prevention of every mode of transmission of HIV AIDS.
*How to look beyond the stigma, and how to overcome deeply held prejudices instilled in one's childhood.
*While the examples are mainly from Africa, the universality of the issue and human reactions to it are familiar and identifieable even in Bangladeshi context.
*The role of the international financial and aid architecture in dehumanizing this issue and limit it to the realm of technical experts and economic concerns.
*Imposition of abstinence only programmes and why they are bound to fail.
* It also shows that religious fundamentalism is not limited to geographical regions, as the western media would like to make us believe. Its prevalence is fuelled by ignorance and not always constrained by economic growth.The book does not wallow in misery and morbidity as might be the case when one is discussing a potentially life threatening health issue. There are useful statistics in the book that helps one realize the extent and gravity of the situation and also the alarming trends that might dominate if not addressed properly. However, it never reaches the saturation point with numbers when we stop caring and lose the human perspective. There are enough case studies to illustrate the human face of the issue. But these cases never digress to make these only anecdotal interludes. Rather, they put the issues in perspective, and at times, illustrate specific dimensions of the issue. It is neither a pedantic research, nor a polemic with all fire and no substance. Rather, it is an impassioned argument backed by solid evidence and humane case studies in favor of making informed and rational choices that determines the way the fabric of community is strengthened and supports individuals in dire straits.
Written in crisp, jargon free language that assumes an audience of concerned citizenry, not only veteran HIV and Education activists. In an era when we tend to have an overflow of glorified project documents with shelf lives seldom beyond the project duration, here we have a book that resonates beyond insular project timelines, addressing an issue which we can't afford to overlook. It transcends the moral or technical boundaries imposed on HIV and spans the gamut of cultural and political aspects of what it means to be human. When the prevalent fad is to despair of the human follies pushing us towards extinction, this book extracts and encapsulates cases of courage, hope and the resilience of indomitable human spirit that strives to overcome insurmountable odds.
It has been a privilege to read and comment on this seminal work. I hope it finds a wide audience that reads it, and more importantly think and act on the lessons and experiences drawn from it.


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AIDS kills over two million people every year and nearly 33 million people are infected with HIV worldwide. However, HIV prevention has slipped down the international agenda and meaningful attempts to tackle it are hampered by religious ideology and power struggles.This book brings together stories from around the world that explore and expose the underlying 'politics of prevention' which deny millions of people life-saving education. The larger issues and trends in the global fight against AIDS are also studied, including the rise of the controversial abstinence-only movement in the US, which is now being exported to Africa.In response to the unfavourable political climate, those worst affected by the crisis are becoming politicised in order toovercome the inertia in the international community and take truly effective action against AIDS.

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