Artigo Revisado por pares

HIV among Peacekeepers and its Likely Impact on Prevalence on Host Countries' HIV Epidemics

2009; Taylor & Francis; Volume: 16; Issue: 3 Linguagem: Inglês

10.1080/13533310903036400

ISSN

1743-906X

Autores

Massimo Lowicki-Zucca, Sarah Karmin, Karl-Lorenz Dehne,

Tópico(s)

International Development and Aid

Resumo

Abstract Concerns have been expressed with regard to the public health impact of HIV-positive peacekeepers in the countries in which they serve. This article tests three common contentions: (1) that troop contributing countries have higher prevalence than that of the host country; (2) that HIV prevalence of the peacekeeping mission is higher than that of the host country; and (3) that peacekeepers have a large public health impact on the HIV epidemics of the host countries. Using 2008 prevalence data as well as mission information from the UN Department of Peacekeeping Operations, this article argues against these notions. Acknowledgements The statements in this article and the views of the authors do not necessarily reflect the policies or the views of UNICEF or UNAIDS. We thank Dr Megh Gurung, HIV/AIDS Policy Adviser, and Semra Asefa, HIV/AIDS Coordination Officer, UN Department of Peacekeeping Operations, for their important suggestions in terms of language and context, and James Hedges for his analysis of sources. Notes Christopher Wren, 'UN Council Addresses HIV/AIDS in its Forces', New York Times, 20 Jan. 2001 (at http://query.nytimes.com/gst/fullpage.html?res=950DE5D8143CF933A157sC0A9679C8B63). UNAIDS, On the Front Line: A Review of Policies and Programmes to Address HIV/AIDS among Peacekeepers and Uniformed Services: Engaging Uniformed Services in the Fight Against HIV/AIDS, 2003 (at: http://data.unaids.org/Publications/IRC-pub05/JC950FrontLine_en.pdf ). Ibid. 'Ninteenth Meeting of UNAIDS Programme Coordinating Board, Lusaka, Zambia, 6–8 December 2000', AIDS, Security and Humanitarian Response, 31 Oct. 2006, PCB (19) 2006–07; Widodo Soeprapto et al., 'HIV and peacekeeping operations in Cambodia', The Lancet, 1995, 346, pp. 1304–5; Roxanne Bazergan, HIV/AIDS Policies for Blue Helmets, occasional paper No.96, Institute for Security studies, 25 June 2008, p.3. Colin McInnes, 'HIV/AIDS and Security', International Affairs, Vol.82, No.2, 2006, p.319; International Crisis Group, 'HIV/AIDS as a Security Issue in Africa: Lessons from Uganda', Kampala and Brussels, 2004, p.1; Lindy Heinecken, 'Strategic Implications of HIV/AIDS in South Africa', Journal of Conflict, Security and Development, Vol.1, No.1, 2006, pp.109–15; Harley Feldman, Kelley Lee and Preeti Patel, 'The National Security Implications of HIV/AIDS', PLoS Med, Vol.3, No.6, 2006, (at: www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1475649); Laurie Garrett, 'HIV and National Security: Where are the Links?', Council on Foreign Relations, 2005 (at: www.cfr.org/content/publications/attachments/HIV_National_Security.pdf); US President's Emergency Plan for AIDS Relief (PEPFAR), Ghana: HIV Peer Educators Serve as Role Models in the Armed Forces, 2006 (at: www.pepfar.gov/pepfar/press/84903.htm). Alan Whiteside, Alex De Waal and Tsadkan Gebre-Tensae, 'AIDS, Security and the Military in Africa: A Sober Appraisal', African Affairs, Vol.105 (419), 2006, pp. 201–18; Bazergan (see n.4 above). Roxanne Bazergan and Philippa Easterbrook, 'HIV and UN Peacekeeping Operations', AIDS: Official Journal of the International AIDS Society, Vol.17, No.2, 2003, pp.278–9; Garrett, (see n.5 above); John Kemoli Sagala, 'HIV/AIDS Prevention Strategies in the Armed Forces in Sub-Saharan Africa: A Critical Review', Armed Forces & Society, Vol.34, 2008, p.292; John Kemoli Sagala, 'HIV/AIDS and the Military in Sub-Saharan Africa: Impact on Military Organizational Effectiveness', Africa Today, Vol.53, No.1, 2006, p.57; Whiteside et al. (see n.6 above). Whiteside et al. (see n.6 above). DPKO–DFS, Information Management Unit, Field Personnel Division, UN Department of Field Support, New York; DPKO, 'UN Mission's Contributions by Country, 31 Mar. 2008 Report'. Massimo Lowicki-Zucca, Paul B. Spiegel, Sherrie Kelly, Karl–Lorenz Dehne, Neff Walker and Peter D. Ghys, 'Estimates of HIV Burden in Emergencies', Sexually Transmitted Infections, Vol.84 (suppl.1), 2008, pp.142–8. DPKO–DFS (see n.9 above). DPKO–DFS (see n.9 above); UNAIDS, '2008 Report on the Global AIDS Epidemic', 2008 (at: http://data.unaids.org/pub/GlobalReport/2008/JC1510_2008GlobalReport_en.zip). International Crisis Group (see n.5 above); McInnes (see n.5 above); Sagala (see n.7 above). US Department of Defense HIV and AIDS Prevention Program (USDHAPP), Office of Defense Cooperation HIV/AIDS Prevention Program - Senegal, Department of Defense HIV/AIDS Prevention Program, 2008 (at: www.nhrc.navy.mil/programs/dhapp/news/factsheet1206.html). Whiteside et al. (see n.6 above). PEPFAR (see n.5 above). UNAIDS (see n.2 above). Centre for Security Sector Management, 'Assessing and Analysing HIV/AIDS Pre-deployment Policies and Practices of UN Troop Contributing Countries: A Report to UNAIDS', unpublished paper, Cranfield University, Aug. 2008. DPKO's policy is preclusion from deployment, based on fitness and chronic medical conditions including clinically diagnosed AIDS. International Federation of Red Cross and Red Crescent Societies, World Disasters Report: Focus on HIV and AIDS, Geneva, 2008, pp.124–5. Tim Franklin, 'India: Military Recruits to Undergo HIV Testing', HIV/AIDS Policy and Law Review, Vol.10, No.3, 2005, pp.29–30; Centre for Security Sector Management (see n.18 above); Sheikh Fazlil Karim Selim, 'Bangladesh Statement', UN General Assembly Special Session on HIV/AIDS, 25–27 June 2001, p.1 (at: (www.un.org/ga/aids/statements/docs/bangladeshE.html); UNAIDS, Custom analysis extract of: UNGASS -– Bangladesh National Composite Policy Index (NCPI) 2007 (at: http://data.unaids.org/pub/Report/2008/bangladesh_2008_ncpi_en.pdf). Centre for Security Sector Management (see n.18 above). UNAIDS, 2008 Report on the Global AIDS Epidemic, 2008 (at: (http://data.unaids.org/pub/GlobalReport/2008/JC1510_2008GlobalReport_en.zip). 'South Africa: Military's HIV Ban Unlawful', IRIN News, 2008 (at: www.plusnews.org/Report.aspx?ReportId=78273). Centre for Security Sector Management (see n.18 above). Sopiato Likimani, 'Medical and public health implications of HIV and AIDS in peacekeeping', unpublished report to DPKO, July 2007. Report of the Secretary-General, 'Special Measures for Protection from Sexual Exploitation and Sexual Abuse', UN doc. A/62/890, 25 June 2008. Meg Gurung and Elisabeth Lothe', HIV/AIDS Knowledge, Attitude and Practice Survey: UN Uniformed Peacekeepers in Haiti', Aug. 2007 (at: www.peacekeepingbestpractices.unlb.org/pbps/Pages/PUBLIC/ViewDocument.aspx?docid=879). Ibid. Soeprapto et al. (see n.4 above); Rodger Yeager, 'Civil–Military Alliance Response to the HIV/AIDS Epidemic in Nigeria, Concept Paper for the Leadership in Fighting the Epidemic Project for Nigeria', US Agency for International Development, Geneva, 2000. 'HIV in Humanitarian Situations: Peacekeeping and HIV May', Aids and Emergencies, 2007 (at: www.aidsandemergencies.org/cms/index.phpoption=com_content&task=view&id=34& Itemid=84). 'China Begins HIV Tests for Military Recruits', AIDS Asia, Sept.–Oct., Vol.3, No.5, 2001, p.7 (at: www.popline.org/docs/1406/164615.html).

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