Browsing by Author "Dahlgren, Lars G."

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    Communicating About AIDS-Changes in Understanding and Coping with Help of Language in Urban Kagera, Tanzania1
    (2002) Mutembei, Aldin K.; Emmelin, Maria; Lugalla, Joe L. P.; Dahlgren, Lars G.
    Faced with the problems of HIV/AIDS, people have to find ways to communicate around them. The aim of this paper is to mirror changes over time in the Kagera people's social cognition regarding HIV/AIDS, using their own language as a tracer of this process. Focus group discussions and personal and group interviews conducted during 1992 to 1995 in urban Bukoba, Kagera, constitute the basis for an analysis of metaphorical expressions in use since 1985. Pronounced uncertainty is later transformed into a deeper understanding of the pandemic and an increased disposition to cope with the situation. Knowledge about the socio-linguistic expressions mapped out in this article can be of help when developing guidelines on how to communicate about interventions.
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    The Social and Cultural Contexts of HIV/AIDS Transmission in the Kagera Region, Tanzania
    (1999) Lugalla, Joe L. P.; Emmelin, Maria; Mutembei, Aldin K.; Comoro, C. J.; Killewo, J. Z. J.; Kwesigabo, Gideon; Sandstrom, A. I. M.; Dahlgren, Lars G.
    Like poverty, the HIV/AIDS epidemic is affecting the sub-continent of Saharan Africa more severely than any other parts of the world, with sixty three percent of global AIDS cases occurring in this region. Tanzania is one of the severely affected countries within sub-Saharan Africa. It is evident that AIDS in this continent is transmitted mainly through heterosexual contact. Since a cure is yet to be found, a change in sexual behavior seems to be the only reliable method of controlling the further spread of HIV. Sexual behavior is shaped by a variety of social and cultural factors inherent in the society. Therefore, understanding the social-cultural context within which AIDS is spreading
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    Social, Cultural, and Sexual Behavioral Determinants of Observed Decline in HIV Infection Trends: Lessons from the Kagera Region, Tanzania
    (Elsevier, 2004) Lugalla, Joe; Emmelin, Maria; Mutembei, Aldin K.; Sima, Mwiru; Kwesigabo, Gideon; Killewoe, Japhet; Dahlgren, Lars G.
    This paper is a follow-up of earlier findings by the Kagera AIDS Research Project (KARP), which documented declining trends in the prevalence and incidence of HIV infection in the Kagera region of Tanzania. The paper examines socio-cultural and sexual behavioral changes as possible determinants of the observed declining trends in Bukoba, the largest urban area of the region. The study used in-depth interviews, focus group discussions, field observations and ethnographic assessments to collect the required data. The findings suggest that since the initial years of the epidemic there have been significant changes in sexual behaviors, norms, values, and customs that are considered high-risk for HIV transmission. The findings show an increase in condom use, abstinence, zero grazing (sticking to one sexual partner) and uptake of voluntary HIV testing while traditional practices such as polygamy, widow inheritance, excessive alcohol consumption, and sexual networking are declining. We suggest that these changes are partly a result of the severity of the epidemic itself in the study area, and interventions that have been carried out in this area since 1987. The major interventions have included health education, the distribution of condoms, AIDS education in schools, voluntary HIV counseling and testing. These are encouraging findings that give hope and we believe that other places within Tanzania and other countries experiencing a severe AIDS crisis have much to learn from this experience. However, changes in norms and behavior are vulnerable; people in Kagera are still at risk and there is a need for continued intervention together with monitoring of the direction of the epidemic.