Department of Anthropology, Rhode Island College, Providence, RI, USA.
Department of Sociology, Anthropology, and Community Development, South Eastern Kenya University, Kitui, Kenya.
Cult Health Sex. 2021 Jul;23(7):867-882. doi: 10.1080/13691058.2020.1736632. Epub 2020 Apr 7.
How do the local cultural politics of secrecy intersect with biomedical and institutionalised global health knowledge and management of HIV? This question was ethnographically researched during a home counselling and testing programme as it was initiated twice in a Kenyan community. The programme was informed by worldwide efforts to organise and control HIV so as to 'end AIDS'. We focused critical attention on the relationship between HIV testing and counselling and contend that local expertise in speaking about (or silencing) sexuality, intimacy and HIV intersected with the home counselling and testing campaign as an instrument in the co-production of local gender dynamics and power arrangements. We demonstrate how the home counselling and testing programme was put to use for local cultural projects aimed at (re)negotiating gender, sexuality, social roles, intimacy and power dynamics and, in consequence, produced uneven experiences with testing, treatment and AIDS-related health outcomes during a period of major social change.
地方文化的保密政治如何与生物医学和制度化的全球健康知识以及 HIV 的管理相交织？这个问题在肯尼亚社区两次启动的家庭咨询和检测计划中进行了民族志研究。该计划是受全球范围内组织和控制 HIV 以“终结艾滋病”的努力的启发。我们批判性地关注了 HIV 检测和咨询之间的关系，并认为在谈论（或沉默）性、亲密关系和 HIV 方面的地方专业知识与家庭咨询和检测运动相交织，成为共同构建地方性别动态和权力安排的手段。我们展示了家庭咨询和检测计划如何被用于当地的文化项目，旨在（重新）协商性别、性、社会角色、亲密关系和权力动态，并因此在重大社会变革时期，在检测、治疗和艾滋病相关健康结果方面产生了不均衡的体验。
