In the delta region of Nigeria, women seeking HIV care face a plethora of deeply gendered inequalities. As a result, HIV-positive women are often unable to use the treatment schemes that are seemingly available to them. Pathologies of Patriarchy brings together a geographic analysis of gendered inequalities with practical implementation questions concerning the limits of current global health programming. This book is an experiential analysis of HIV treatment programs that includes first-hand accounts of how female patients explain and cope with the poor access to and the inconsistencies in the delivery of HIV service care that complicates their adherence to treatment, as well as the complex power relations they navigate daily. Eloho Ese Basikoro also addresses the failures of policymakers who talk about gender mainstreaming but fail to deliver sustainable health services for disenfranchised women suffering from the social stigma and alienation associated with seropositivity. This inter-regional study is of great interdisciplinary interest to a wide variety of scholars and policymakers, whether they are researching gendered inequality from a geographical, anthropological, or global health perspective or are interested in broader concerns about development and inequality in sub-Saharan Africa.
Eloho Ese Basikoro is founder and President of BATOP Research and Consulting Services.
List of Acronyms
Chapter 1: Remapping Illness and Interventions Beyond the Biomedical
PART I: HISTORY, POLITICS AND AIDS GOVERNANCE
Chapter 2: HIV/AIDS in Nigeria, Denialism and Response
Chapter 3: The Political-Economy of Oil and Socio-Ecological Contingencies of the Niger Delta
PART II: EMBODIED ACCOUNTS
Chapter 4: Constructed Identities and Power: (Re)Constructing the Notions of Care and Responsibility
Chapter 5: Feminism in Nigeria: Patriarchy and the Conflicting Discourses of Empowerment
Chapter 6: “It is the Fear”: Contextualizing the Politics of HIV/AIDS Non-Disclosure
Chapter 7: AIDS Support Networks as Emerging Spaces of Therapeutic Citizenship
Chapter 8: To Cope: Institutional Responsibility versus Individual Agency
Chapter 9: Normalizing HIV/AIDS, and the Discourse of Exceptionalism
PART III: MA(I)NSTREAMING GENDER IN HIV/AIDS INTERVENTIONS
Chapter 10: Two Sides of a Coin: Policy and Practice in Tension
Appendix: Inventory of HIV/AIDS Policy Texts
Drawing on her 2016 dissertation (medical geography, Univ. of Washington), Basikoro has written an exhaustive. . . analysis of how living in patriarchal societies located in sub-Saharan Africa affects HIV-positive women. Basikoro conducted intensely personal interviews with HIV-positive women about their experiences accessing medical treatment in countries where women are undervalued not only by their husbands, but also by a male-dominated social system in which gender discrimination is institutionalized. Few women have jobs that would allow them to support themselves and their children, and they choose to stay in unhappy and sometimes violent marriages in order to make sure that they and their children are financially supported. Many respondents admitted to feeling emotionally and physically drained by the responsibilities of taking care of the home, the children, and the husband, all of which leads them to forgo medical care or to seek it only sporadically. For readers interested in the specifics of how male-dominated social structures can affect access to medical care especially for HIV-positive women, this volume provides insight. . . Summing Up: Recommended. Graduate students, faculty, and professionals.