Full Description
This book addresses the ongoing problem of HIV in black South African women as a health inequity. Importantly, it argues that this urgent problem of justice is changeable. Sprague uses the capabilities approach to bring a theory of health justice, together with multiple sources of evidence, to investigate the complex problem of HIV and accompanying poor health outcomes in black South African women. Motivated by a concern for application of knowledge, this work discusses how to better conceptualise what health justice demands of state and society, and how to mobilise available evidence on health inequities in ways that compel greater state action to address problems of gender and health.
HIV in women, and possible responses, are investigated on four distinct levels: conceptual, social structure, health systems, and law. The analysis demonstrates that this problem is indeed modifiable with long-term interventions and an enhanced state response targeted at multiple levels. This book will be of interest to academics and students in the social health sciences, gender and development studies, and global health, as well as HIV/health activists, government officials, policy makers, HIV clinicians and health providers interested in HIV.
Contents
Introduction.- Part I. HIV, Gender and Health for Black South African Women.- 1. Health Outcomes, Social and Biological Factors Influencing Women's HIV Acquisition in Social Context.- 2. HIV Care: Prevailing Trends, Barriers and Paradoxes.- 3. Conceptualising Justice in Health as Opportunities to be Healthy (Capabilities).- Part II. Capabilities for Black South African Women: Gender as a Structural Health Determinant.- 4. Methodological Considerations and Research Methods to Advance Social Justice.- 5. Capabilities for Women Living with HIV: Linking Health Systems to Social Structure.- Part III. Moving from Evidence to Action.- 6. Gender-Transformative Structural Interventions to Advance South African Women's Capabilities.- 7. Assessing Equity in Health and Women's Opportunities to be Healthy.- Concluding Reflections: From Research to Policy and Practice.
