University of Leeds.
Dev Change. 2011;42(3):781-803. doi: 10.1111/j.1467-7660.2011.01713.x.
This article shows how poor people living with HIV/AIDS in Tanzania navigate a myriad of actors, agencies and organizations to obtain the aid they need to survive. It focuses on community-based organizations which establish networks of care through which people obtain care, treatment and financial support. A case study of a roadside town in Tanzania illustrates that these community-based networks of care — essential to the survival of many — are partly the product of the AIDS industry, which encourages the establishment of community-based organizations and voluntary service delivery rather than more formalized systems of care. Community-based organizations, however, are so poorly supported that they often deploy self-destructive strategies. The need to strategically navigate the AIDS industry creates tension and even conflict among HIV-positive activists, the people they represent and the wider community, which undermines rather than strengthens community-based interventions. Whilst the AIDS industry promises inclusion of HIV-positive people in the response to HIV/AIDS, it succeeds only partially, with the result that it may potentially do more harm than good.
本文展示了坦桑尼亚艾滋病毒/艾滋病感染者是如何在众多的参与者、机构和组织中艰难寻求生存所需援助的。本文聚焦于那些通过建立关怀网络为人们提供关怀、治疗和财政支持的以社区为基础的组织。通过对坦桑尼亚一个路边城镇的案例研究可以看出，这些关怀社区网络对许多人的生存至关重要，它们部分是艾滋病产业的产物，艾滋病产业鼓励建立以社区为基础的组织和志愿服务，而不是更正式的关怀体系。然而，以社区为基础的组织几乎得不到支持，因此它们经常采用自我毁灭的策略。为了在艾滋病产业中进行策略性的周旋，艾滋病毒阳性活动家、他们所代表的人群以及更广泛的社区之间产生了紧张甚至冲突，这削弱了而不是加强了以社区为基础的干预措施。尽管艾滋病产业承诺将艾滋病毒阳性者纳入艾滋病毒/艾滋病应对措施，但它只取得了部分成功，结果可能弊大于利。
