Browsing by Author "Lugalla, Joe L. P."
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Item The Availability and Acceptability of Intervention Strategies against AIDS/HIV Infection in the Kagera Region of Tanzania(1997) Lugalla, Joe L. P.; Comoro, C. J.; Mutembei, Aldin K.This study was carried out as part of the Kagera AIDS Research Project, a collaborative project between the University of Dar-es-Salaam in Tanzania and the Department of Epidemiology and Health Care Research at the University of Umea in Sweden. The project was created in the Kagera Region (Tanzania) in 1993 to assess the availability, nature and acceptability of HIV/AIDS interventions. An in-depth intensive study carried out in Ruhoko, a village in the Bukoba Rural District, looked at the types of interventions from both the providers' and beneficiaries' point of view. A variety of interventions exist in the area and all are carried out by both foreign and local NGOs in an uncoordinated and unsystematic manner. The government of Tanzania is unable to coordinate these activities because its participation in these processes is insignificant. There are five main interventions: health education, counselling, voluntary HIV testing, treatment of sexually transmitted diseases, and the promotion of condom use. It is clear that AIDS awareness is prevalent but varies among groups of men and women and between men and and women. Culture and social relations of gender inequality influence the acceptability of interventions. Recommendations for a comprehensive intervention strategy conclude the paper. Note, ref., sum.Item 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.Item 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