Department of Psychiatry University of Washington, USA.
Med Anthropol Q. 2010 Sep;24(3):363-80. doi: 10.1111/j.1548-1387.2010.01109.x.
The number of people on antiretroviral treatment in Mozambique has increased by over 1,500 percent since it first became free and publicly available in 2004. The rising count of "lives saved" seems to portray a success story of high-tech treatment being provided in one of the poorest contexts in the world, as people with AIDS experience dramatic recoveries and live longer. The "scale-up" has had significant social effects, however, as it unfolds in a region with a complicated history and persistent problems related to poverty. Hunger is the principal complaint of people on antiretroviral treatment. The inability of current interventions to adequately address this issue leads to intense competition among people living with HIV/AIDS for the scarce resources available, undermining social solidarity and the potential for further community action around HIV/AIDS issues. Discourses of hunger serve as a critique of these shortcomings, and of the wider political economy underlying the HIV/AIDS epidemic.
自 2004 年莫桑比克首次免费提供并公开提供抗逆转录病毒治疗以来，接受该治疗的人数增加了 1500%以上。“挽救生命”的人数不断增加，似乎描绘了在世界上最贫穷的环境之一提供高科技治疗的成功故事，因为艾滋病患者经历了显著的康复并延长了寿命。然而，随着抗逆转录病毒治疗在一个历史复杂且与贫困相关的问题持续存在的地区展开，这种“扩大规模”产生了重大的社会影响。饥饿是接受抗逆转录病毒治疗的人的主要抱怨。目前的干预措施无法充分解决这一问题，导致艾滋病毒/艾滋病患者之间对稀缺资源的激烈竞争，破坏了社会团结和围绕艾滋病毒/艾滋病问题进一步采取社区行动的潜力。饥饿言论是对这些缺陷以及艾滋病毒/艾滋病流行背后更广泛政治经济的批判。
