« Ce sont maintenant les résistances qui vont nous tuer ». Insécurités pharmaceutiques, ruptures de stock et résistances aux traitements contre le VIH en Afrique centrale

Concerns about antiretroviral drug stock shortages and their consequences in terms of biological resistance to HIV treatment have gone relatively unnoticed until recently. Indeed, these problems that have recently taken a more important place in global health policies, have been put in the backgroun...

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Main Author: Pierre-Marie David
Format: Article
Language:fra
Published: Association Anthropologie Médicale Appliquée au Développement et à la Santé
Series:Anthropologie & Santé
Subjects:
Online Access:https://journals.openedition.org/anthropologiesante/4643
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author Pierre-Marie David
author_facet Pierre-Marie David
author_sort Pierre-Marie David
collection DOAJ
description Concerns about antiretroviral drug stock shortages and their consequences in terms of biological resistance to HIV treatment have gone relatively unnoticed until recently. Indeed, these problems that have recently taken a more important place in global health policies, have been put in the background of an international agenda since 2009 upheld by a global and voluntarist vision of the eradication of the disease and the achievement of "a world without AIDS" by 2030. The failure of antiretroviral therapies in resource-poor countries is even now described as the "fourth epidemic". While technical expertise is needed to understand these shortages and resistances to deal with them, a broader anthropological perspective allows to conceive them as the side effects of the massification of antiretroviral treatments involving intertwined intimate, biological and social dimensions. By proposing an ethnography of treatment failures in the Central African Republic, this article examines the biological, individual, social and political effects of a "pharmaceutical insecurity", experienced in many African settings, which constitutes the counterpart of the biological and political promises generated by mass treatments.
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spelling doaj.art-629ed13cc5bc4bc89ac9da5012c31d0e2024-02-14T14:40:23ZfraAssociation Anthropologie Médicale Appliquée au Développement et à la SantéAnthropologie & Santé2111-50281910.4000/anthropologiesante.4643« Ce sont maintenant les résistances qui vont nous tuer ». Insécurités pharmaceutiques, ruptures de stock et résistances aux traitements contre le VIH en Afrique centralePierre-Marie DavidConcerns about antiretroviral drug stock shortages and their consequences in terms of biological resistance to HIV treatment have gone relatively unnoticed until recently. Indeed, these problems that have recently taken a more important place in global health policies, have been put in the background of an international agenda since 2009 upheld by a global and voluntarist vision of the eradication of the disease and the achievement of "a world without AIDS" by 2030. The failure of antiretroviral therapies in resource-poor countries is even now described as the "fourth epidemic". While technical expertise is needed to understand these shortages and resistances to deal with them, a broader anthropological perspective allows to conceive them as the side effects of the massification of antiretroviral treatments involving intertwined intimate, biological and social dimensions. By proposing an ethnography of treatment failures in the Central African Republic, this article examines the biological, individual, social and political effects of a "pharmaceutical insecurity", experienced in many African settings, which constitutes the counterpart of the biological and political promises generated by mass treatments.https://journals.openedition.org/anthropologiesante/4643anthropologyHIVmedicationshortagesresistancespharmaceutical insecurities
spellingShingle Pierre-Marie David
« Ce sont maintenant les résistances qui vont nous tuer ». Insécurités pharmaceutiques, ruptures de stock et résistances aux traitements contre le VIH en Afrique centrale
Anthropologie & Santé
anthropology
HIV
medication
shortages
resistances
pharmaceutical insecurities
title « Ce sont maintenant les résistances qui vont nous tuer ». Insécurités pharmaceutiques, ruptures de stock et résistances aux traitements contre le VIH en Afrique centrale
title_full « Ce sont maintenant les résistances qui vont nous tuer ». Insécurités pharmaceutiques, ruptures de stock et résistances aux traitements contre le VIH en Afrique centrale
title_fullStr « Ce sont maintenant les résistances qui vont nous tuer ». Insécurités pharmaceutiques, ruptures de stock et résistances aux traitements contre le VIH en Afrique centrale
title_full_unstemmed « Ce sont maintenant les résistances qui vont nous tuer ». Insécurités pharmaceutiques, ruptures de stock et résistances aux traitements contre le VIH en Afrique centrale
title_short « Ce sont maintenant les résistances qui vont nous tuer ». Insécurités pharmaceutiques, ruptures de stock et résistances aux traitements contre le VIH en Afrique centrale
title_sort ce sont maintenant les resistances qui vont nous tuer insecurites pharmaceutiques ruptures de stock et resistances aux traitements contre le vih en afrique centrale
topic anthropology
HIV
medication
shortages
resistances
pharmaceutical insecurities
url https://journals.openedition.org/anthropologiesante/4643
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