AIDS Policy in Uganda: Evidence, Ideology, and the Making of by J. Kinsman

By J. Kinsman

This publication offers a background of AIDS regulate in Uganda, from the beginning of the epidemic within the early Nineteen Eighties up until eventually 2005. Uganda is widely known the world over as an AIDS 'success story', either for its bringing down HIV prevalence and incidence over the Nineties, and for its cutting edge method of scaling up the supply of antiretroviral remedy.

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Extra resources for AIDS Policy in Uganda: Evidence, Ideology, and the Making of an African Success Story

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2000:335). A team from McMaster University in Canada was concerned about the then current process of clinical decision making, which was 24 AIDS POLICY IN UGANDA based primarily on “unsystematic observations” and mere “clinical experience” (Evidence-Based Medicine Working Group, 1992:2421). :2421). Treatment regimens based on EBM would be more effective, the Working Group argued, and patients would benefit greatly. :2420). The appropriate use of quantitative data derived from rigorously conducted studies would, it was argued, reassure the patient and guide the clinician through diagnosis and treatment.

Evidence is just one of these, and yet, since it carries with it the weight and authority of “objective science,” it may be held up as a particularly useful means of supporting a given policy. Consequently, it can take on a remarkable elasticity of meaning as politicians seek to justify their motives for action. (iii) Linking Evidence with Policy and Practice Given the overall objective of this book—to identify and explain the key influences and processes that have guided AIDS control in Uganda over the course of the epidemic—an examination of the links between research, policy, and the practice of intervention implementation is of central importance.

Hennekens and Buring (1987:3) subdivide epidemiology into two categories—descriptive and analytical—the first being concerned with the distribution of disease, and the second with the determinants of disease. As an experimental technique intended to determine whether a particular intervention prevents a particular disease, the RCT is clearly an analytical epidemiological approach. :22)—also falls into the analytical epidemiological category, although it is a passive, observational method rather than an interventionist or experimental one.

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