Chaos, co-existence, and the potential for collective action: HIV-related vulnerability in Brazil's international borders

Sheri A. Lippman, Deanna Kerrigan, Magda Chinaglia, Juan Díaz

Research output: Contribution to journalArticle

Abstract

In a country where quality HIV/AIDS prevention and care has been foremost on the national agenda, Brazil's extensive and diverse borders are one of the last unstudied potential hotbeds of HIV vulnerability. We carried out a rapid assessment of HIV-related services and the social context of HIV/AIDS at the Brazilian borders including current governmental and community response. The assessment was implemented in six frontier municipalities using the WHO's strategic approach methodology, which combines existing epidemiologic data with field-based qualitative data collection techniques, including observation of service delivery points and in-depth interviews and focus groups with local leaders, providers, and community members, in order to recommend context-specific HIV prevention strategies. This paper focuses on the qualitative findings regarding the role of the social context in shaping HIV vulnerability at the Brazilian borders. We documented a profound lack of governmental structure and response to HIV/AIDS at the borders as well as a notable absence of social cohesion and mobilization among the diverse population groups and communities situated at the borders with regard to HIV/AIDS. The weak governmental and community response is situated within a larger socio-political context of economic inequity and social division, which must be addressed if an effective response to HIV can be developed at Brazil's international borders. Possibilities for encouraging a collective response among the diverse border populations are explored.

Original languageEnglish (US)
Pages (from-to)2464-2475
Number of pages12
JournalSocial Science and Medicine
Volume64
Issue number12
DOIs
StatePublished - Jun 2007

Fingerprint

collective action
chaotic dynamics
chaos
human immunodeficiency virus
coexistence
collective behavior
Action Potentials
Brazil
vulnerability
AIDS
HIV
acquired immune deficiency syndrome
community
Acquired Immunodeficiency Syndrome
data collection method
population group
social cohesion
community response
WHO
mobilization

Keywords

  • Brazil
  • Collective action
  • Collective efficacy
  • Governance
  • HIV/AIDS
  • National borders

ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)

Cite this

Chaos, co-existence, and the potential for collective action : HIV-related vulnerability in Brazil's international borders. / Lippman, Sheri A.; Kerrigan, Deanna; Chinaglia, Magda; Díaz, Juan.

In: Social Science and Medicine, Vol. 64, No. 12, 06.2007, p. 2464-2475.

Research output: Contribution to journalArticle

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