By J. Kinsman
This booklet offers a heritage of AIDS regulate in Uganda, from the beginning of the epidemic within the early Nineteen Eighties up till 2005. Uganda is widely known the world over as an AIDS 'success story', either for its bringing down HIV prevalence and occurrence over the Nineteen Nineties, and for its leading edge method of scaling up the supply of antiretroviral remedy.
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Extra info for AIDS Policy in Uganda: Evidence, Ideology, and the Making of an African Success Story
A second challenge relates to the very strength of Press’s and Van der Geest’s multi-dimensional models: the fact that they provide for the identification and elucidation of numerous, complex links between different factors at different levels. The problem is that such complexity can simultaneously bring about “difficulty in assigning primacy to any single factor” (Press, 1990:1003): the more comprehensive the model, the harder it is to apply. Consequently, a social scientist may end up conducting an elaborate, multilevel research project, and yet be unable at the end of it to develop a clear conclusion.
Among other things, these could include people’s feelings and lived experiences. Price and Hawkins (2002) have developed a qualitative approach for the evaluation of sexual and reproductive health interventions, which they call peer ethnography. By using already-recognized members of the community as researchers, this amounts to a rapid appraisal approach that emphasizes the importance of having an established level of trust between researcher and respondent. The authors argue that a comprehensive understanding of factors associated with sexual and reproductive health can only be realized through research based on trust, and that such trust cannot be attained through the impersonal approach that is more or less inherent within the RCT or other purely quantitative epidemiological techniques.
1998) warned about this, pointing out that KEY THEMES AND CONCEPTS 21 complex, multilevel models “open up the possibility of interpretive confusion and overstatement of what may be validly concluded from a given body of evidence. Multilevel models undoubtedly have great potential, but . . :114). In spite of these challenges, the multilevel perspective has still been used effectively by a number of medical anthropologists. Van der Geest et al. (1990), for example, took it as a basis for examining the concept of Primary Health Care (PHC).
AIDS Policy in Uganda: Evidence, Ideology, and the Making of an African Success Story by J. Kinsman