Abstract
Africa, the poorest region of the world, has the highest HIV/AIDS rate. The puzzling question is why? And even more puzzling, within Africa, why does Southern Africa have the highest HIV rates? Indeed, South Africa has the largest absolute number of people living with HIV of any nation. Was the spread of this virus inevitable in Southern Africa? Or could a firewall have been built by governments and by civil society? This chapter takes a preliminary look at both the formal and the informal institutions in place in South Africa, and by extension in most of Southern Africa, and how they provided the dry underbrush necessary for the rapid spread of HIV in the region.
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References
Alston, Lee J., Thrainn Eggertson and Douglass C. North (eds) (1996), Empirical Studies in Institutional Change (New York: Cambridge University Press).
Bailey, Robert C., Francis A. Plummer and Stephen Moses (2001), ‘Male Circumcision and HIV Prevention: Current Knowledge and Future Research Directions’, The Lancet Infectious Diseases, 1 (4): 223–31.
Bates, Robert H. (1989), Beyond the Miracle of the Market: the Political Economy of Agrarian Development in Kenya (New York: Cambridge University Press).
Cameron, D. William, et al. (1989), ‘Female to Male Transmission of Human Immunodeficiency Virus Type 1: Risk Factors for Seroconversion in Men’, The Lancet, 2: 403–7.
Ensminger, Jean (1992), Making a Market: the Institutional Transformation of an African Society (New York: Cambridge University Press).
Firmin-Sellers, Kathryn (1996), The Transformation of Property Rights in the Gold Coast: an Empirical Study Applying Rational Choice (New York: Cambridge University Press).
Halperin, Daniel T. and Robert C. Bailey (1999), ‘Male Circumcision and HIV Infection: 10 Years and Counting’, The Lancet, 354: 1813–15.
Marck, Jeff (1997), ‘Aspects of Male Circumcision in Sub-Equatorial African Cultural History’, Health Transition Review, 7: 37–359.
Murdock, George Peter (1967), Ethnographic Atlas (Pittsburgh: University of Pittsburgh Press).
Nkurunziza, Janvier D. and Robert H. Bates (2003), ‘Political Institutions and Economic Growth in Africa’, Center for International Development, Harvard University, Working Paper 98, March.
North, Douglass C. (1990), Institutions, Institutional Change and Economic Performance (New York: Cambridge University Press).
North, Douglass C. (1991), ‘Institutions’, Journal of Economic Perspectives, 5 (1): 97–112.
Szabo, Robert, and R. V. Short (2000), ‘How Does Male Circumcision Protect Against HIV Infection?’, British Medical Journal, 320: 1592–4.
United States Department of Health and Human Services (2003), http://www. cdc.gov/nchs/products/pubs/pubd/hestats/circumcisions/circumcisions.htm
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© 2004 Palgrave Macmillan, a division of Macmillan Publishers Limited
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Kauffman, K.D. (2004). Why is South Africa the HIV Capital of the World? An Institutional Analysis of the Spread of a Virus. In: Kauffman, K.D., Lindauer, D.L. (eds) AIDS and South Africa: the Social Expression of a Pandemic. Palgrave Macmillan, London. https://doi.org/10.1057/9780230523517_2
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DOI: https://doi.org/10.1057/9780230523517_2
Publisher Name: Palgrave Macmillan, London
Print ISBN: 978-1-4039-3256-3
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