Dhai A
Steve Biko Centre for Bioethics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Theor Med Bioeth. 2008;29(5):293-6. doi: 10.1007/s11017-008-9081-1.
Sub-Saharan Africa bears the brunt of the HIV epidemic, which is fueled by the many ethical, social, and political complexities that make up Africa. In turn, the pandemic has also caused many ethical, social, and political complexities that Africa now grapples with. Being infected with HIV is highly complex and challenging. Regrettably, gender inequality is still pervasive in Africa. The response by African leaders to the pandemic has been, on the whole, shamefully lethargic. For Africa to win its war against HIV/AIDS, a paradigm shift is required from the perspective of its socio-political context. What is called for is positive political will that will address all aspects of the social determinants of AIDS. What is also required is that Ubuntu is embraced meaningfully.
撒哈拉以南非洲首当其冲地承受着艾滋病疫情的冲击,构成非洲的诸多伦理、社会和政治复杂性因素助长了这一疫情。反过来,这一流行病也引发了非洲现在正在应对的许多伦理、社会和政治复杂性问题。感染艾滋病毒的情况极为复杂且具有挑战性。遗憾的是,性别不平等在非洲仍然普遍存在。总体而言,非洲领导人对这一流行病的应对一直令人羞愧地无动于衷。为使非洲打赢抗击艾滋病毒/艾滋病的战争,需要从其社会政治背景的角度进行范式转变。需要的是积极的政治意愿,以解决艾滋病社会决定因素的各个方面。还需要切实地践行乌班图精神。