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Title: A socio-economic analysis of HIV : exploring the relationship between population mobility and HIV risk in Tanzania
Author: Deane, Kevin
Awarding Body: SOAS, University of London
Current Institution: SOAS, University of London
Date of Award: 2013
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Population mobility has long been associated with the dynamics of HIV transmission. Initial concerns focused on the historical spread of the disease, whereas more recent concerns view mobile populations as engaging in higher levels of risky sexual behaviours than non-mobile populations. Two main case studies South African mineworkers and truck drivers, illustrate this, with lessons from these cases applied across all forms of mobility. However, a review of statistical analyses that test for differences in risk behaviours and HIV rates between 'mobile' and 'non-mobile' groups shows that there is no universal correlation, suggesting that the relationship between mobility and HIV requires further unpacking. This project explored the underlying socio-economic determinants of flows of people and how engaging in these processes creates risky sexual contexts and influences individual risk behaviours, through a case study in Tanzania. Three mobile groups were studied - farmers who farm land away from home, maize traders and dagaa sellers. Results from focus group discussions and in-depth interviews highlight that the requirements of each economic activity, and the factors that draw mobile groups to specific destinations influence patterns of movement and the conditions of moving, including where mobile individuals live and sleep, who they stay with, and the general relationship they have with the destination area. This has implications for the nature of relationships they have whilst away, how they access local sexual networks, who potential sexual partners are, and whether condoms are used. However, the sexual behaviour of mobile groups is also shaped by local sexual norms around sex and exchange and the structure of local value chains, in which economic and social power is expressed at specific gendered interfaces. These influences are distinct from but entangled with the mobility narrative, and emphasise that mobile and non-mobile groups may experience risk in similar ways.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral