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AIDS Final
Key Terms
32
Anthropology
Undergraduate 2
12/11/2011

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Cards

Term
DOT
Definition
directly observed therapy; when the healthcare worker meets with a person to make sure they are taking their meds
Term
Case Manager
Definition
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
Term
Stages of Acceptance
Definition
Denial/Disbelief; Fear, Uncertainty, Shame; Anger and Resentment; Depression; Self-hate and stigma; Acceptance and lifestyle adjustment
Term
Quality of life (Bloom)
Definition
gap between expected cultural ideal & individual's evaluation of their life
Term
life story
Definition
a collection of narratives that serve as both substance and context for an understanding of the meanings of illness experience
Term
social course of illness
Definition
the emergent effects of illness on one’s social interactions and relationships
Term
four types of narratives
Definition
integrative, instrumental, transmissive, descriptive or factual
Term
four themes in narratives
Definition
survival, reciprocity, appreciation, average life
Term
bug chasers
Definition
gay or bisexual men who want to be HIV positive and may actively pursue HIV infection through sex with HIV positive men
Term
gift givers
Definition
HIV positive gay or bisexual men who want to infect HIV negative men, usually with the consent of the HIV negative men
Term
pigs
Definition
sexually deviant and hyper-masculine gay or bisexual men
Term
Therapeutic citizenship
Definition
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
Term
4 Moral Imperative Arguments
Definition
Humanitarian, Public Health, Economic, (Inter)national security
Term
Global Fund
Definition
multilateral fund between governments, NGOs, regional and global experts
Term
PEPFAR I
Definition
$15 billion over 5 years promised by US gov't: Treat, Prevent, Care; had to use name-brand drugs
Term
prostitution loyalty oath
Definition
to be supported by PEPFAR, a country must denounce prostitution/sex trafficking and can't support any related campaign (ruled unconstitutional, but influenced policies)
Term
PEPFAR II
Definition
$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
Term
Life Projects
Definition
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
Term
therapeutic itineraries
Definition
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
Term
essential drugs
Definition
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
Term
eflornithine
Definition
drug approved for sleeping sickness, but didn't make enough money so used for hair removal
Term
WTO
Definition
World Trade Organization; protects free trade and patents, with rep. from different countries
Term
TRIPS
Definition
Trade-Related Aspects of Intellectual Property Rights; protects patents, research and development, meant to stimulate innovation
Term
compulsory licensing
Definition
producing generics within own country
Term
parallel importing
Definition
reselling patented drugs to other countries
Term
Doha Declaration
Definition
agreement of trade ministers to enable compulsory licensing and reconcile public health needs with private intellectual rights
Term
Bayer Anthrax incident
Definition
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
Term
ACT UP
Definition
AIDS Coalition to Unleash Power; activist group who effectively employed the media for messaging; advocated for greater access to drugs and coordinated national policy
Term
TAC
Definition
treatment action campaigns, S. African activist group headed by Zackie Achmat; organizes people living with HIV and protests against pharmaceutical companies
Term
PhRMA v. S. African gov
Definition
PhRMA sued over allowing importation of "essential medicines" but dropped case due to "negative publicity"
Term
Biomedical Prevention
Definition
basis of intervention interferes with actual transmission
Term
microbicides
Definition
topical compounds applied inside the vagina to decrease transmission of HIV
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