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Strings AttachedAIDS and the Rise of Transnational Connections in Africa$
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Nadine Beckmann, Alessandro Gusman, and Catrine Shroff

Print publication date: 2014

Print ISBN-13: 9780197265680

Published to British Academy Scholarship Online: January 2015

DOI: 10.5871/bacad/9780197265680.001.0001

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Transnational Religious Networks Encounter Community Realities

Transnational Religious Networks Encounter Community Realities

HIV Prevention in Zambia1

Chapter:
(p.107) 6 Transnational Religious Networks Encounter Community Realities
Source:
Strings Attached
Author(s):

Amy S. Patterson

Publisher:
British Academy
DOI:10.5871/bacad/9780197265680.003.0006

This chapter analyses the disjuncture between the Abstinence and Be Faithful (AB) programmes of HIV prevention supported by many transnational FBOs and funded by PEPFAR, and the implementation of those programmes in urban Zambia. While AB messages are conveyed to some sub-populations, they are noticeably absent among Zambian support groups for people living with HIV, groups that have increasingly become involved in HIV prevention. This disconnect results from different understandings of prevention, assumptions about personal responsibility and autonomy in sexual choices, local groups’ desire to develop non-prevention programmes, and the need for poverty reduction among many Zambians. The multiple layers of policy implementation evident in a programme like PEPFAR created space for these nuanced interpretations, demonstrating how local organisations may exhibit power in their relations with donors.

Keywords:   HIV prevention, abstinence, be faithful, PEPFAR, Zambia, faith-based organisations, poverty, sexual autonomy

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