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AIDS and Power: Why There Is No Political Crisis – Yet

Book by Alex de Waal · 12 quotes · Africa, Aids, Disease

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AIDS and Power: Why There Is No Political Crisis – Yet Quotes

“there is a missing link. people overwhelmingly acknowledge that there is an AIDS epidemic, but do not take the next step of accepting the consequences. this is familiar territory for those concerned with trying to change risky sexual behaviour: knowledge about how HIV is transmitted and the dangers of certain kinds of practices does not seem to translate into behavioural change.”

“the AIDS pandemic is a disaster with few parallels, because it is so easy to make it invisible or to pretend it is something else. an earthquake, flood or famine is dramatically visible and politically salient, because it affects entire communities in a spectacular fashion, including their leaders and spokespeople. AIDS is more like climate change, an incremental process manifest in a quickening drumbeat of ‘normal’ events.”

“the study of socio-political denial is the study of how appearances are kept up, the moral order is sustained, and necessary changes are pressed up into the service of existing interests. this can be seen at the family and community level, and in the way that national and international politics is managed.”

“for the women [sex-workers], all poor and competing in an oversupplied market for sexual services, the ‘choice’ of unprotected sex is simply a financial trade-off between less money today (and the threat of physical violence from a dissatisfied client) and the far-off danger of developing AIDS. this has echoes, too, of the risk of a ‘bad reputation’ weighed by women [in the area] who too rarely insist on condom use to protect themselves.”

“in the run-up to South Africa’s first democratic election in 1994, Nelson Mandela was reportedly advised not to make AIDS into a campaign issue for fear of offending culturally conservative constituencies. ‘I wanted to win,’ said Mandela, ‘and I did not talk about AIDS.”

“it is from such diverse sources with varied networks and linkages that the response to HIV / AIDS has been patched together. it is an NGO model of response, uneven in coverage and quality, responsive to the particularities of local circumstance, the character of local leaders, and the availability and types of funds available.”

“the philanthropic NGO has long been decried by the left as a means of addressing only the symptoms of poverty and thus obscuring the political strategies needed to overcome it. NGOs are criticised for creating Potemkin villages not replicable at scale. their limits are often painfully apparent. some are ‘briefcase’ NGOs, to give their founders income or profit.”