title: Navigating the AIDS industry: being poor and positive in Tanzania.
abstract: This article shows how poor people living with HIV/AIDS in Tanzania navigate a myriad of actors, agencies and organizations to obtain the aid they need to survive. It focuses on community-based organizations which establish networks of care through which people obtain care, treatment and financial support. A case study of a roadside town in Tanzania illustrates that these community-based networks of care — essential to the survival of many — are partly the product of the AIDS industry, which encourages the establishment of community-based organizations and voluntary service delivery rather than more formalized systems of care. Community-based organizations, however, are so poorly supported that they often deploy self-destructive strategies. The need to strategically navigate the AIDS industry creates tension and even conflict among HIV-positive activists, the people they represent and the wider community, which undermines rather than strengthens community-based interventions. Whilst the AIDS industry promises inclusion of HIV-positive people in the response to HIV/AIDS, it succeeds only partially, with the result that it may potentially do more harm than good.
authors: University of Leeds.
authors: Jelke
authors: J
authors: Boesten
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000191:economics / Q000208:ethnology / Q000266:history; D003153:Community Health Services / Q000191:economics / Q000266:history / Q000331:legislation & jurisprudence; D003695:Delivery of Health Care / Q000191:economics / Q000208:ethnology / Q000266:history / Q000331:legislation & jurisprudence; D006678:HIV; D019981:Health Care Sector / Q000191:economics / Q000266:history / Q000331:legislation & jurisprudence; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D010361:Patients / Q000266:history / Q000331:legislation & jurisprudence / Q000523:psychology; D044382:Population Groups / Q000193:education / Q000208:ethnology / Q000266:history / Q000331:legislation & jurisprudence / Q000523:psychology; D011203:Poverty / Q000191:economics / Q000208:ethnology / Q000266:history / Q000331:legislation & jurisprudence / Q000523:psychology; D013636:Tanzania / Q000208:ethnology