scholarly journals STIGMA-STATISTIK: Når dagsordener sættes i dansk aids-politik

Author(s):  
Jens Seeberg

Jens Seeberg: Stigma Statistics: Agendas in the Making in Danish AIDS Policy This article explores a number of paradoxes and assumptions in the public debate on AIDS in Denmark. They form part of a recurrent attack on the Danish ‘soft line’ AIDS policy that maintains anonymity and voluntary HIV-testing. One central issue in recent years has been obligatory testing of asylum seekers from high risk areas as a precondition for considering the asylum request. Especially asylum seekers from African countries are pointed out as constituting a major threat to the native Danish population in terms of spread of HIV. This is shown to rest on a misreading of the official statistics, repeated as often as the statistics themselves. The assumption that there is a basic clash between the human rights of the HIV-infected person and the population in general is discussed. This conceived clash rests on the assumption that restrictions of the human rights of the HIV-infected person will provide efficient protection for the noninfected majority. The potential counterproductive effects of this line of thought are discussed. Contact tracing is sometimes considered as an effective preventive measure. Part of the critique of the present AIDS policy States that contact tracing is virtually non-existing and that this has a major negative impact on the preventive efforts. It is argued that while the impact of contact tracing in itself may be rather limited, the lack of contact tracing may be seen as a symptom of insufficient counselling. While obligatory HIV testing may never be practiced in Denmark, its recurrent appearance on the agenda serves to provoke a defensive stand among AIDS policy makers. It is argued that this debate has hitherto had the effect of keeping the needs of HIV-infected people - and especially HIV-infected immigrants — away from public debate and serious concern.

2021 ◽  
pp. 50-67
Author(s):  
Arafat Ibnul Bashar

“Desperate times call for desperate measures” – COVID-19 contact tracing apps and technology have been operating in the desperate times created by the COVID-19 global pandemic. But the impact of these apps and technology on society is contentious, as the benefit gained from such is said to be largely outweighed by the negative impact it can have during and after the pandemic. Surveillance measures have always been a tricky business. Labeled as the ‘magical solution’ for most horrid problems of our time such as terrorism, crime prevention, it has always failed to live up to its name and has proved to be one of the prominent tools for the authoritarian regimes to oppress people and commit gross human rights violations. Over-reliance on COVID-19 apps and considering them a ‘magical solution’ to containing the spread of Coronavirus can have irreversible consequences. Instead, the pandemic and desperate situation posed by it may have provided the regimes around the world an opportunity to introduce new surveillance infrastructures or strengthen the existing ones, which would have taken years and lots of friction from courts, activists, and civil society, to achieve. The article assesses the legality of COVID-19 contact tracing apps and technology and tries to draw a picture of the society that faces the consequences of surveillance and data collected through such apps and technology and looks at how legal mechanisms can cope with such consequences.


2011 ◽  
Vol 11 (4) ◽  
pp. 187-200 ◽  
Author(s):  
Ebenezer Durojaye

This paper discusses different methods of human immunodeficiency virus (HIV) testing, particularly routine and voluntary HIV testing methods, which have been adopted in response to the HIV epidemic in Africa. It then examines the importance of HIV testing as a tool for the prevention and treatment of infected and affected persons. The paper argues that although routine HIV testing is important in scaling up HIV testing in Africa, it may not necessarily address HIV-related stigma as contended by some commentators. Rather, it is argued that routine HIV testing, as practised in many African countries, may fuel HIV-related stigma and violate individuals’ fundamental rights guaranteed in numerous human rights instruments. In conclusion, the paper cautions that any attempt at adopting routine HIV testing in Africa should be tempered with respect for people’s human rights.


2017 ◽  
Vol 63 (No. 6) ◽  
pp. 283-297 ◽  
Author(s):  
Agboola Mary Oluwatoyin

The study examined the impact of food security on child mortality (infant mortality and under-five mortality), using a dynamic panel data analysis for 114 countries for the period 1995–2009 by considering a wide range of controlled variables such as income, social indicators and policy variables. The result suggests that food security has a negative impact on child mortality for all countries and even more impact on child mortality within the food insecure African countries. Therefore, based on the findings of the study; it is recommended that an increase in food security is indeed a positive policy option, particularly within the food insecure African countries, since it ensures a decrease in child mortality within these countries.  


2020 ◽  
pp. 71-81
Author(s):  
Valentina Gribanova

The article is devoted to the characterization of the models and the stages of formation of education systems in African countries and of their current status. The aim of the work was to analyze the impact of various factors on the development of education in Africa. In particular, the impact of military conflicts and the activities of terrorist organizations on the field of education were investigated. It also analyzes the increasing role of the world community in the development of education in African countries in recent decades. The main examples are the aspects of the activities of the terrorist organization Boko Haram, aimed at destabilizing and directly destroying the education system of Nigeria, and the impact of the Mali conflict of 2012-2013 on education. The activities of Boko Haram are widely covered in the scientific literature, but the article focuses on its aspects that are connected precisely with the negative impact on the educational system in Nigeria. The work broadens the perception of the challenges currently facing educational systems in Africa.


Author(s):  
Saifullahi Adam Bayero ◽  
Babangida Danladi Safiyanu ◽  
Zaitun Sanusi Bakabe

Corona virus disease (COVID-19) which was declared by the World Health Organization as a global pandemic caused serious economic problem to all the countries including Sub-Saharan Africa. Given the negative impact of COVID19 on the world economy, this paper examined the impact of COVID19 related cases and death on stock exchange markets volatility in Sub-Saharan African countries. The study used the number of reported cases and death from four Sub-Saharan African countries viz Nigeria, South Africa, Kenya, and Botswana, reported cases and death from China and U.S. and all share index as a proxy of stock markets in four countries from 28 February 2020 to 21 December 2020. The study estimated GARCH 11, TGARCH 11, and EGARCH 11 since the variables are heteroskadestic in nature which makes the application of ARCH lausible; the selection criterion was based on Akaike, Schwarz, and Hannan info Criteria. The result shows that COVID19 confirmed cases and death do not affect the operation of the stock markets in Sub-Saharan African countries, but the volatility of the markets has increased within the period of analysis. Furthermore, Botswana and Kenya stock markets were affected by external cases from China. We therefore recommended that stock markets stakeholders in Sub-Saharan Africa should be more concern about health safety measures and be ready for any future pandemic that might affect the markets.


Author(s):  
Maunganidze Ottilia Anna ◽  
du Plessis Anton

The relationship between the ICC and the AU has become a frequent bone of contention. The impact is naturally political, but it has also had an appreciable influence on ICC practice. This chapter analyses the legal and political background to the persistent disagreement, including the origin and foundation of divergent positions, such as, for instance, on head of state immunity and cooperation duties. It cautions against an oversimplification of ‘African’ views while also highlighting the progress made by some African countries in investigating, prosecuting, and adjudicating international crimes. It further examines the proposed expansion of the African Court of Justice and Human Rights’ jurisdiction to deal with serious crimes, including international crimes, and the implications thereof.


2016 ◽  
Vol 34 (2) ◽  
pp. 111-116
Author(s):  
R. M. Duffy ◽  
S. O’Sullivan ◽  
G. Straton ◽  
B. Singleton ◽  
B. D. Kelly

ObjectivesThe asylum process has received a lot of recent media attention but little has been said about the psychological needs of those seeking or granted asylum. Many asylum seekers have experienced trauma and torture, which is associated with substantial psychiatric and psychological morbidity. The Spiritan Asylum Services Initiative (Spirasi) is Ireland’s national treatment centre for survivors of torture. The aim of this study was to examine the demographic profile of those attending Spirasi and to consider potential clinical implications of this.MethodsWe retrospectively analysed demographic data relating to the 2590 individuals who attended Spirasi over a 12-year period (2001–2012 inclusive).ResultsThe majority of attenders were asylum seekers (88%), male (71%) and from African countries. The mean age was 31.9 years. The rate of new referrals, as a percentage of Ireland’s asylum-seeking population, has stabilised at ~6% since 2008. Women are underrepresented among those who attend.ConclusionsThe number of new referrals to Spirasi is lower than expected given international estimates of torture prevalence and the impact this has on mental health. Clinicians working with populations of asylum seekers and refugees should sensitively enquire about such events and be aware of the available services. Female refugees and asylum seekers are underrepresented, especially from Asian and Middle Eastern regions. Psychiatric, psychological and general practice services need to respond flexibly to evolving patterns of migration and address potential barriers to access, especially among female refugees and asylum seekers.


2001 ◽  
Vol 8 (3) ◽  
pp. 247-258 ◽  
Author(s):  
Roberta Sala ◽  
Duilio Manara

In this article we focus on female genital mutilation. We analyse this problem as one of the most important issues of multiculturalism, which is also coming to the attention of the public in Italy as a consequence of the growing number of immigrants from African countries. The fundamental problem is about the acceptability of this practice: can female genital mutilation be permitted and, if so, on what basis? We will try to cope with this as a genuine conflict between culture-relative values and universal values, such as human rights. Some attention will be drawn to Italian law. Finally, the impact on nurses of requests for genital mutilation will be described.


2021 ◽  
Vol 6 (6) ◽  
pp. e004885
Author(s):  
Muhammed Semakula ◽  
FranÇois Niragire ◽  
Angela Umutoni ◽  
Sabin Nsanzimana ◽  
Vedaste Ndahindwa ◽  
...  

IntroductionCOVID-19 has shown an exceptionally high spread rate across and within countries worldwide. Understanding the dynamics of such an infectious disease transmission is critical for devising strategies to control its spread. In particular, Rwanda was one of the African countries that started COVID-19 preparedness early in January 2020, and a total lockdown was imposed when the country had only 18 COVID-19 confirmed cases known. Using intensive contact tracing, several infections were identified, with the majority of them being returning travellers and their close contacts. We used the contact tracing data in Rwanda for understanding the geographic patterns of COVID-19 to inform targeted interventions.MethodsWe estimated the attack rates and identified risk factors associated to COVID-19 spread. We used Bayesian disease mapping models to assess the spatial pattern of COVID-19 and to identify areas characterised by unusually high or low relative risk. In addition, we used multiple variable conditional logistic regression to assess the impact of the risk factors.ResultsThe results showed that COVID-19 cases in Rwanda are localised mainly in the central regions and in the southwest of Rwanda and that some clusters occurred in the northeast of Rwanda. Relationship to the index case, being male and coworkers are the important risk factors for COVID-19 transmission in Rwanda.ConclusionThe analysis of contact tracing data using spatial modelling allowed us to identify high-risk areas at subnational level in Rwanda. Estimating risk factors for infection with SARS-CoV-2 is vital in identifying the clusters in low spread of SARS-CoV-2 subnational level. It is imperative to understand the interactions between the index case and contacts to identify superspreaders, risk factors and high-risk places. The findings recommend that self-isolation at home in Rwanda should be reviewed to limit secondary cases from the same households and spatiotemporal analysis should be introduced in routine monitoring of COVID-19 in Rwanda for policy making decision on real time.


2021 ◽  
Vol 6 (2) ◽  
pp. 81
Author(s):  
Pruthu Thekkur ◽  
Hannock Tweya ◽  
Sam Phiri ◽  
James Mpunga ◽  
Thokozani Kalua ◽  
...  

When the COVID-19 pandemic was announced in March 2020, there was concern that TB and HIV programme services in Malawi would be severely affected. We set up real-time monthly surveillance of TB and HIV activities in eight health facilities in Lilongwe to see if it was possible to counteract the anticipated negative impact on TB case detection and treatment and HIV testing. Aggregate data were collected monthly during the COVID-19 period (March 2020–February 2021) using an EpiCollect5 application and compared with monthly data collected during the pre-COVID-19 period (March 2019–February 2020); these reports were sent monthly to programme directors. During COVID-19, there was an overall decrease in persons presenting with presumptive pulmonary TB (45.6%), in patients registered for TB treatment (19.1%), and in individuals tested for HIV (39.0%). For presumptive TB, children and females were more affected, but for HIV testing, adults and males were more affected. During COVID-19, the TB treatment success rate (96.1% in pre-COVID-19 and 96.0% during COVID-19 period) and referral of HIV-positive persons to antiretroviral therapy (100% in pre-COVID-19 and 98.6% during COVID-19 period) remained high and largely unchanged. Declining trends in TB and HIV case detection were not redressed despite real-time monthly surveillance.


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