An AIDS epidemic as severe as the one plowing through South Africa will change society. But how and along what lines? Buckling: The impact of AIDS in South Africa, a new publication by South African writer and journalist Hein Marais, tackles the question in distinctive and critical-minded fashion-and arrives at disquieting conclusions.
Published by the Centre for the Study of AIDS at the University of Pretoria,
and based on a comprehensive review of the published sociological and
epidemiological research, this multidisciplinary study scrutinizes
commonplace conceptions of AIDS impact, presents a fresh understanding of
the epidemic's consequences in South Africa, and proposes a minimum package
of social adjustments that could reduce the damage.
According to Marais, most projections of how the AIDS epidemic affects
society are vastly oversimplified and often are tailored to fit prevailing
ideological perspectives. As a result, they fail to capture the ways in the
epidemic's burdens are deflected onto, and are concentrated among the
least-privileged sections of society, particularly women-causing even
harsher polarization. "AIDS unmasks the world we live in and reiterates the
need to transform it," Marais writes. Policies and programmatic responses
based on conventional conceptions of the societal effects of AIDS are likely
to fail, or may even aggravate existing inequities.
The Introduction of Buckling positions South Africa's epidemic and its
anticipated impact in a wider historical and ideological context. Chapter
Two ('Gauging the epidemic') examines the epidemiological evidence and the
controversies surrounding it. Chapter Three ('Ground Zero') reviews and
critiques the customary narratives of AIDS impact on households, of
orphanhood and of home-based care, and shows how the epidemic is
accentuating and hardening some of the most grievous features of society.
Chapter Four ('Fall-out') pans wider to scan and critique the popularized
images of societal impact, offers an alternative analysis of AIDS impact in
South Africa, and proposes a minimum social package to reduce the damage.
Electronic copies of Buckling: The impact of AIDS in South Africa can be
downloaded at http://www.csa.za.org and at
http://www.sarpn.org.za/documents/d0001789/index.php.
Hard copies can be ordered from csa@up.ac.za or by writing to the Centre for
the Study of AIDS, University of Pretoria, Pretoria 0002, South Africa.
Hein Marais is a South African writer and journalist. He is the author of,
among other publications, the book South Africa: Limits to Change-the
political economy of transition (Juta/Zed, 2001) and the multidisciplinary
review of HIV/AIDS policy in South Africa, To the Edge (2000), co-author of
the United Nations' 2002 Report on the Global HIV/AIDS Epidemic (2002), and
has been the principal author of the annual United Nations' AIDS Epidemic
Update for the past five years.