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  • Title: The political economy of HIV / AIDS: a case study of the "Kariba nexus".
    Author: Webb D.
    Journal: AIDS Anal Afr; 1998 Apr; 8(2):7-9. PubMed ID: 12293624.
    Abstract:
    HIV/AIDS in southern Africa threatens the re-establishment of political and economic stability in the region after decades of conflict. 4 of the 5 highest HIV prevalence countries in the world are in southern Africa. While the process of re-integration has partly shaped the epidemiology of HIV in the region and contributes to its continued spread, the impact of AIDS will also create negative forces which will counteract the process of regionalization. The end of longstanding conflicts and turmoil in southern Africa has been followed by the massive movement of returning migrants together with considerable internal displacement. This movement has considerable implications for the spread of HIV. The example of the Kariba nexus is presented. Possibly the world's current area of highest HIV seroprevalence is the nexus centered upon Lake Kariba on the Zambia/Zimbabwe border. The area, encompassing the Southern Province of Zambia up as far as Lusaka and Mongu in Western Province, western and central Zimbabwe, northern Botswana, and the Caprivi Strip of Namibia, is characterized by large movements of people involved in formal and informal sector trading. The high 1996 adult HIV seroprevalence in Francistown, Botswana, of 43.1% suggests cross-border movements with neighboring Bulawayo, Zimbabwe. High regional HIV prevalence, planning to cope with the impact of HIV/AIDS, private sector costs, political factors, welfare implications, and recommendations are discussed.
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