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Before HIVSexuality, Fertility and Mortality in East Africa, 1900-1980$
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Shane Doyle

Print publication date: 2013

Print ISBN-13: 9780197265338

Published to British Academy Scholarship Online: January 2014

DOI: 10.5871/bacad/9780197265338.001.0001

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Conclusion and Epilogue

Conclusion and Epilogue

AIDS and Demographic Change in Historical Context

(p.381) Conclusion and Epilogue
Before HIV

Shane Doyle

British Academy

This chapter considers the role of long-term changes in patterns of fertility, mortality, and STDs in the emergence and control of HIV in this region. It emphasizes that in order to explain the rapidity with which HIV became a mass epidemic in a largely rural context, it is necessary to examine the long history of changes in marriage, adolescent sexuality, leisure, materialism, and perceptions of risk. Equally, the remarkable success of AIDS control programmes in both southern Uganda and Buhaya can only be understood through an analysis of the series of campaigns aimed at improving public morality beginning in the early twentieth century, which helped legitimize sex as a topic of serious debate. Finally, the chapter also examines in detail the intimate relationship between fertility and mortality in Africa.

Keywords:   Tanzania, Uganda, Ankole, Buganda, Buhaya, HIV/AIDS, sexuality, leisure, rural, urban

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