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Beyond the biomedical and behavioural: towards an integrated approach to HIV prevention in the Southern African mining industry

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  • Campbell, Catherine
  • Williams, Brian

Abstract

While migrant labour is believed to play an important role in the dynamics of HIV-transmission in many of the countries of southern Africa, little has been written about the way in which HIV/AIDS has been dealt with in the industrial settings in which many migrant workers are employed. This paper takes the gold mining industry in the countries of the Southern African Development Community (SADC) as a case study. While many mines made substantial efforts to establish HIV-prevention programmes relatively early on in the epidemic, these appear to have had little impact. The paper analyses the response of key players in the mining industry, in the interests of highlighting the limitations of the way in which both managements and trade unions have responded to HIV. It will be argued that the energy that has been devoted either to biomedical or behavioural prevention programmes or to human rights issues has served to obscure the social and developmental dimensions of HIV-transmission. This argument is supported by means of a case study which seeks to highlight the complexity of the dynamics of disease transmission in this context, a complexity which is not reflected in individualistic responses. An account is given of a new intervention which seeks to develop a more integrated approach to HIV management in an industrial setting.

Suggested Citation

  • Campbell, Catherine & Williams, Brian, 1999. "Beyond the biomedical and behavioural: towards an integrated approach to HIV prevention in the Southern African mining industry," Social Science & Medicine, Elsevier, vol. 48(11), pages 1625-1639, June.
    • Handle: RePEc:eee:socmed:v:48:y:1999:i:11:p:1625-1639
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    Citations

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    Cited by:

    1. I Jones & C.M Nyland & M.G Pollitt, 2001. "How do Multinationals Build Social Capital? Evidence from South Africa," Working Papers wp220, Centre for Business Research, University of Cambridge.
    2. Coast, Ernestina, 2006. "Local understandings of, and responses to, HIV: Rural-urban migrants in Tanzania," Social Science & Medicine, Elsevier, vol. 63(4), pages 1000-1010, August.
    3. Deborah Johnston & Kevin Deane & Matteo Rizzo, 2015. "The political economy of HIV," Review of African Political Economy, Taylor & Francis Journals, vol. 42(145), pages 335-341, September.
    4. Hirsch, Jennifer S., 2014. "Labor migration, externalities and ethics: Theorizing the meso-level determinants of HIV vulnerability," Social Science & Medicine, Elsevier, vol. 100(C), pages 38-45.
    5. Rispel, L.C. & Peltzer, K. & Nkomo, N. & Molomo, B., 2010. "Evaluating an HIV and AIDS Community Training Partnership Program in five diamond mining communities in South Africa," Evaluation and Program Planning, Elsevier, vol. 33(4), pages 394-402, November.
    6. Coulson, Nancy, 2018. "The role of workplace health and safety representatives and the creeping responsibilisation of occupational health and safety on South African mines," Resources Policy, Elsevier, vol. 56(C), pages 38-48.
    7. Sarlota Ratang, 2017. "Public Perception toward the Impact of People Activities in Sand and Stone Mining on Economy and Environment in Nulokla Village Jayapura," Journal of Education and Vocational Research, AMH International, vol. 8(2), pages 45-48.

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