title: Antiretroviral Therapy and Nutrition in Southern Africa: Citizenship and the Grammar of Hunger.
abstract: How might we understand and respond to the new forms of hunger that arise with the massive rollout of antiretroviral therapy (ART) for HIV in southern Africa? Rather than 'merely' a technical problem of measurement, medicine or infrastructure, I suggest that a philosophical question arises concerning the relationship between the experience of hunger, the utterances that communicate that experience, and the bodily regimes of well-being and ill-being indexed by such utterances. Taking the gut as a particular kind of mediator of experience, I draw on ethnographic fieldwork conducted in KwaZulu-Natal, South Africa to open up a set of questions on acknowledgment and avoidance. The central question concerns the divergent concepts of 'grammar' that confront the relationship between hunger and ART.
authors.affiliation: a Department of Sociology and Social Anthropology , Stellenbosch University , Matieland , South Africa.
authors.forename: Thomas
authors.initials: T
authors.lastname: Cousins
mesh_terms: D060432:Anthropology, Medical; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D015658:HIV Infections / Q000188:drug therapy* / Q000208:ethnology*; D006297:Health Services Accessibility; D006801:Humans; D006815:Hunger / Q000208:ethnology*; D009748:Nutrition Disorders / Q000208:ethnology*; D011057:Politics; D013019:South Africa
chemical_list: D044966:Anti-Retroviral Agents
keywords: Ethics; HIV/AIDS; ethnography; grammar; treatment as prevention