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South African Politics, Inequalities, and HIV/AIDS

Applications for Public Health Education

Margaret Rose Cunha received her MPH in Community Health Education from the University of Massachussets, Amherst. Her interests include promoting health among youth and researching health inequalities and education theory. In 2005, Ms Cunha established a Peer–to–Peer HIV Prevention program for high school students in Holyoke, Massachusetts. Address: 31 Hope Hill Road, Wallingford, CT 06492. [email: mrosecunha{at}gmail.com]

The bulk of the response to the HIV/AIDS crisis in South Africa has been in the form of interventions that address risk behaviors, but not the context in which such behaviors occur. Literature reviews have identified poverty, mobility, and gender inequality as the three major social determinants shaping the AIDS epidemic in developing nations and, specifically, in South Africa. This article first aims to describe how HIV/AIDS risk behavior is linked to social determinants and how social and political power structures have influenced these relationships.The second part of the article encourages public health professionals and HIV/AIDS activists to continue to develop both theories associated with health and inequalities, and interventions that call for social and economic change.

Key Words: HIV/AIDS prevention • HIV/AIDS education • public health • health inequalities • interventions • South Africa

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