Therapeutic Borderlands: Austerity, Maternal HIV Treatment, and the Elusive End of AIDS in Mozambique. (8th October 2020)

• Record Type: Journal Article
• Authors: Chapman, Rachel R.
• Is Part Of: Medical anthropology quarterly. Volume 35:Number 2(2021)
• Page Start: 226
• Page End: 245
• Publication Date: 2020-10-08
• Subjects: austerity -- precarity -- maternal ART retention -- end of HIV/AIDS -- Mozambique; Medical anthropology -- Periodicals; Anthropology -- Periodicals; Antropología médica -- Publicaciones periódicas; Anthropologie médicale -- Périodiques; Médecine sociale -- Périodiques; Ethnomédecine -- Périodiques; Medische antropologie; Anthropologie médicale; Computer network resources; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 306.461
• DOI: 10.1111/maq.12613
• Languages: English
• ISSNs: 0745-5194

Abstract

Abstract: "End of AIDS" requires ambitious testing, treatment, and adherence benchmarks, like UNAIDS' "90‐90‐90 by 2020." Mozambique's efforts to improve essential maternal/infant antiretroviral treatment (ART) exposes how austerity‐related health system short‐falls impede public HIV/AIDS service‐delivery and hinder effective maternal ART and adherence. In therapeutic borderland s—where household impoverishment intersects with health‐system impoverishment—HIV+ women and over‐worked care‐providers circumnavigate scarcity and stigma. Worrisome patterns of precarious use emerge—perinatal ART under‐utilization, delayed initiation, intermittent adherence, and low retention. Ending HIV/AIDS requires ending austerity and reinvesting in a public sector health workforce to ensure universal health coverage as household and community safety nets.