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Title: HIV/AIDS prevention and treatment among war-affected and internally displaced populations : the case of Acoliland, northern Uganda
Author: Oloya, Acomo
ISNI:       0000 0004 2729 6235
Awarding Body: University of Bristol
Current Institution: University of Bristol
Date of Award: 2012
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This dissertation explores the impact of war and internal displacement on HIV / AIDS prevention and treatment interventions in Acoliland, northern Uganda. While the Ugandan government's HIV/AIDS policies have been seen globally as models of success, there were enormous challenges for these policies in Acoliland, which endured over two decades of war and the displacement of nearly 90% of the population. During this period there was infrastructural, economic, social and cultural devastation, with an increase in poverty, sexual violence and gender inequalities. Evidence suggests that HIV / AIDS interventions in Acoliland were far from effective despite seemingly well-funded and supported programmes by the government and international agencies. The study employed qualitative research methods using an exploratory single-case study design, semi-structured interviews and a purposive sampling of 21 participants from various organisations. Findings were thematically analysed within a proposed theoretical framework of Sociocultural Liminality, which draws from the work of Victor Turner (1969), 'The Ritual Process'. In the field of HIV/AIDS and population displacement, Sociocultural Liminality theory makes a unique contribution and adds new ideas to current thinking in policy, research and practice. Findings suggest many problems: social and cultural devastation during war and displacement influences sexual attitudes and behaviours; structural chauvinism affects service delivery; international funding to improve resources appears to have the opposite effect; behavioural theories and conventional HIV / AIDS prevention methods have many limitations; service providers are biased towards secure urban locations; and self-evaluation and reporting of service providers demonstrates a conflict of interests. The study concludes that war and displacement devastate the structure of a society and destroy social and cultural identities, both of which affect HIV / AIDS interventions. Recommendations are made for a deeper understanding of Sociocultural Liminality theory to analyse issues related to social and cultural devastation, power, gender, society, research, policies and humanitarian aid. Suggestions from participants are also discussed. ii
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available