Kampala Women Getting By: Wellbeing in the Time of AIDS

By Sandra Wallman | Go to book overview

Nine
Private Disease

Perception ∧ Management of STD

FRANK KAHARUZA & OTHERS

This chapter brings together a number of different perspectives on the perception and management of sexually transmitted diseases (STD), and their relation to HIV (which is itself, in this setting, most often sexually transmitted).

The first section is an introductory summary of the now extensive general literature on links between them — i.e. between HIV/AIDS and certain other forms of sexually transmitted infection.

The second section, researched and written by a biomedical clinician with specialist experience of STD in Uganda (Dr Frank Kaharuza), is geographically and analytically more focused. It reviews the situation in the country as a whole, and then reports the results of detailed interviews with those who provide treatment for STD in Kamwokya. The respondents for this section were previously interviewed for the Treatment Sources Survey (described in Chapter 6), during which they identified themselves as 'regularly' or 'occasionally' treating STD patients.

The third section changes the perspective to treatment seekers rather than providers. It uses the results of interviews and group discussions, carried out with Kamwokya residents of various social and age/sex categories, to map laypersons' views of how STD is and/or should be managed in the local context. The distinction between ideal and normal strategies, which is referred to in other chapters on treatment seeking, is made especially sharp by the elements of shame and moral failure associated with these infections. It is emphasized that these social aspects, as much as any constraints of money, time or information, impede the sufferer from getting effective treatment; and that women, who are most strongly and most painfully stigmatized in this regard, are particularly prone to delay treatment.

Finally, an appendix to the chapter lists a glossary of local terms for STD, and the signs interpreted by local people as symptoms of venereal infection 'serious enough' to warrant treatment outside the home.

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Kampala Women Getting By: Wellbeing in the Time of AIDS
Table of contents

Table of contents

  • Title Page iii
  • Contents v
  • Photographs, Sketches, Maps & Figures viii
  • Acknowledgments ix
  • Notes on Contributors x
  • One - Introduction 1
  • Two - Kamwokya 17
  • Three - People in Place 47
  • Four - Community Life 73
  • Five - Household Wellbeing 90
  • Six - Treatment Options 111
  • Seven - Home Treatment 142
  • Eight - Children's Illnesses 152
  • Nine - Private Disease 166
  • Ten - Six Women 189
  • Eleven - Community Life II 206
  • Twelve - Summary & Conclusions 226
  • References 236
  • Index 241
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