Abstract/Details

Of blood and belonging: the practice of antiretroviral treatment among hiv-positive youth in south africa's eastern cape

Vale, Beth.  University of Oxford (United Kingdom). ProQuest Dissertations Publishing, 2015. 10658710.

Abstract (summary)

HIV-positive adolescents are an increasingly numerous and challenging population in the South African HIV/AIDS epidemic. Their access to, and retention in, ART care has become a pressing public health concern. Comprised of four journal articles, this thesis explores the practice of antiretroviral treatment (ART) among a cohort of HIV-positive adolescents (age 10-19) in South Africa's Eastern Cape. By 'practice', I mean the volatile, situated and relational 'work' that goes into young people's everyday achievement of ART - into consuming daily medication, regularly attending health appointments, and participating in HIV programmes. Through an exploration of the ways in which some HIV-positive adolescents use, appropriate, or reject ART care; this thesis contributes to a much-needed evidence-base on the needs and survival strategies of adolescent ART users. Data for this study was gathered through eight months of multi-method ethnographic fieldwork with 23 HIV-positive youth, their families, and local health workers. The findings elucidate adolescent ART as a complex (and often volatile) form of social incorporation, through which young people negotiate survival, care and moral connection in contemporary South Africa. Enrolling in ART meant being encompassed into a (often hierarchical) set of social relationships, through which adolescents sought belonging, recognition and protection, amid profound insecurity. Through ART and its associated programmes, adolescents and their families attempted to strengthen familial ties, appeal to powerful patrons, petition for care, and access basic resources. Yet these pursuits were often deeply ambivalent, as discipline, blame, and resentment often came encased in the terms of care. At the crux of each article is an attempt to understand how adolescents, often alongside their families, negotiated both the social stakes and possibilities of ART. Through these discussions, we might better be able to grasp the fragility and complexity of young people's retention in ART.

Indexing (details)


Subject
South African studies;
Human immunodeficiency virus--HIV;
Acquired immune deficiency syndrome--AIDS;
Teenagers
Classification
0654: South African Studies
Identifier / keyword
(UMI)AAI10658710; Social sciences
Title
Of blood and belonging: the practice of antiretroviral treatment among hiv-positive youth in south africa's eastern cape
Author
Vale, Beth
Number of pages
0
Degree date
2015
School code
0405
Source
DAI-C 75/01, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
University/institution
University of Oxford (United Kingdom)
University location
England
Degree
Ph.D.
Source type
Dissertation or Thesis
Language
English
Document type
Dissertation/Thesis
Note
Bibliographic data provided by EThOS, the British Library’s UK thesis service: https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.712100
Dissertation/thesis number
10658710
ProQuest document ID
1937379650
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
https://www.proquest.com/docview/1937379650