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Aids, Orphans, and Development in Sub-Saharan Africa: A Review of the Dilemma of Public Health and Development

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  • Joe L.P Lugalla

    (Department of Anthropology, University of New Hampshire, 316 Huddleston Hall, Durham, NH, 03824, USAjlpl@cisunix.unh.edu Lugalla@hotmail.com)

Abstract

HIV/AIDS is having devastating consequences on families, young children, and other vulnerable social groups. In this paper, I review the impact of HIV/AIDS on families and development in sub-Saharan Africa. I begin by showing the magnitude of the problem and the factors that have led to rapid spread of HIV/AIDS in this sub-continent. I discuss gender inequality, poverty, social inequality, and globalization, and show how these facilitate the rapid spread of the epidemic. I show how AIDS is creating a mass of orphans on the one hand, and how it is impacting development and creating new public health contradictions on the other. By orphans I mean all those children who have lost either a mother or father or both parents due to AIDS. I argue that AIDS is destroying families and communities and is also manufacturing a great number of orphaned children who are powerless and vulnerable. In order to solve this problem, I suggest the adoption of appropriate, pragmatic, and realistic short-and long-term strategies of dealing with the problem. I conclude by suggesting that the long-term strategy aimed at reducing the number of orphaned children will involve the adoption of appropriate strategies that seek to control HIV/AIDS once and for all.

Suggested Citation

  • Joe L.P Lugalla, 2003. "Aids, Orphans, and Development in Sub-Saharan Africa: A Review of the Dilemma of Public Health and Development," Journal of Developing Societies, , vol. 19(1), pages 26-46, March.
    • Handle: RePEc:sae:jodeso:v:19:y:2003:i:1:p:26-46
    DOI: 10.1177/0169796X0301900102
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    References listed on IDEAS

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    1. Joe L. P. Lugalla & Jesse Kazeni Mbwambo, 1999. "Street Children and Street Life in Urban Tanzania: The Culture of Surviving and its Implications for Children’s Health," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 23(2), pages 329-344, June.
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