AIDS as chronic illness

Epidemiological transition and health care in south-eastern Botswana

Julie Livingston

    Research output: Contribution to journalArticle

    Abstract

    This paper suggests that people in south-eastern Botswana experience the AIDS epidemic as part of a recent epidemiological transition in which rates of chronic debilitating illness have risen, even as the degree of acute infectious disease has fallen (HIV/AIDS aside). Whereas international health programmes and practitioners focus on AIDS as an acute, lethal, infectious disease, patients and care-givers experience AIDS as a set of chronic, degenerative (and deadly) conditions. This is true whether or not patients know or acknowledge their HIV status. Neither the national health system nor the Tswana medical sector (bongaka) cope well with the particular issues that chronic illnesses present. Thus, the epidemiological context of the AIDS epidemic in Botswana is critical to understanding uneven patient confidence in a comparatively robust health system.

    Original languageEnglish (US)
    Pages (from-to)15-22
    Number of pages8
    JournalAfrican Journal of AIDS Research
    Volume3
    Issue number1
    StatePublished - 2004

    Fingerprint

    Botswana
    Patient Transfer
    chronic illness
    Acquired Immunodeficiency Syndrome
    AIDS
    Chronic Disease
    health care
    contagious disease
    Communicable Diseases
    Health
    health
    HIV
    Acute Disease
    Caregivers
    Patient Care
    experience
    confidence

    Keywords

    • Home-base care
    • Hospital services
    • Palliative care
    • Traditional medicine
    • Women

    ASJC Scopus subject areas

    • Infectious Diseases
    • Sociology and Political Science
    • Virology

    Cite this

    AIDS as chronic illness : Epidemiological transition and health care in south-eastern Botswana. / Livingston, Julie.

    In: African Journal of AIDS Research, Vol. 3, No. 1, 2004, p. 15-22.

    Research output: Contribution to journalArticle

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