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directly observed therapy; when the healthcare worker meets with a person to make sure they are taking their meds |
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individual health care worker who makes sure that a patient is adhering to their treatment; connection to the web of resources for navigating the healthcare and support system |
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Denial/Disbelief; Fear, Uncertainty, Shame; Anger and Resentment; Depression; Self-hate and stigma; Acceptance and lifestyle adjustment |
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gap between expected cultural ideal & individual's evaluation of their life |
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a collection of narratives that serve as both substance and context for an understanding of the meanings of illness experience |
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the emergent effects of illness on one’s social interactions and relationships |
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integrative, instrumental, transmissive, descriptive or factual |
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four themes in narratives |
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survival, reciprocity, appreciation, average life |
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gay or bisexual men who want to be HIV positive and may actively pursue HIV infection through sex with HIV positive men |
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HIV positive gay or bisexual men who want to infect HIV negative men, usually with the consent of the HIV negative men |
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sexually deviant and hyper-masculine gay or bisexual men |
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the way in which people living with HIV appropriate ART as a set of rights and responsibilities to negotiate these at times conflicting moral economies |
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4 Moral Imperative Arguments |
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Humanitarian, Public Health, Economic, (Inter)national security |
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multilateral fund between governments, NGOs, regional and global experts |
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$15 billion over 5 years promised by US gov't: Treat, Prevent, Care; had to use name-brand drugs |
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prostitution loyalty oath |
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to be supported by PEPFAR, a country must denounce prostitution/sex trafficking and can't support any related campaign (ruled unconstitutional, but influenced policies) |
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$48 billion over 5 years; relaxed abstinence requirement; target still HIV with no plans to address structural factors; post-Obama more integrated and coordinated with Global Fund |
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marital and family aspirations, emphasize how people’s social aspirations and trajectories influence their behavior in ways that are not easily predicted by or understood purely in terms of biomedical priorities |
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the ways in which individuals move in and out of treatment, how they understand their medications, and how they integrate therapy into their daily routines |
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those that satisfy the primary health care needs of the population; intended to be available within the context of functioning health systems at all times in adequate amounts, in the appropriate dosage forms, with assured quality, and at a price the individual and the community can afford |
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drug approved for sleeping sickness, but didn't make enough money so used for hair removal |
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World Trade Organization; protects free trade and patents, with rep. from different countries |
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Trade-Related Aspects of Intellectual Property Rights; protects patents, research and development, meant to stimulate innovation |
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producing generics within own country |
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reselling patented drugs to other countries |
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agreement of trade ministers to enable compulsory licensing and reconcile public health needs with private intellectual rights |
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2001; US requested 1.2 billion pills; Bayer was convinced to increase production and reduce price by 50% to cater to US demand within a month |
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AIDS Coalition to Unleash Power; activist group who effectively employed the media for messaging; advocated for greater access to drugs and coordinated national policy |
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treatment action campaigns, S. African activist group headed by Zackie Achmat; organizes people living with HIV and protests against pharmaceutical companies |
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PhRMA sued over allowing importation of "essential medicines" but dropped case due to "negative publicity" |
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basis of intervention interferes with actual transmission |
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topical compounds applied inside the vagina to decrease transmission of HIV |
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