Title Page, Copyright

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Contents

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pp. v -vi

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Foreword

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pp. vii-x

A great deal has been written in the last two decades about HIV/AIDS, especially on the pandemic affl icting Southern Africa. What does this book add, not merely to our library of continuing tragedy, but to the hope that we can someday turn it into an archive helping us learn from the past? In Southern Africa we are barely making a dent in rates of new infection. Prevention has always been...

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Acknowledgments

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pp. xi-xiii

This book was a pleasure to write. I learned a great deal. For that I am grateful to many people. Above all, I would like to thank the many HIV/AIDS peer educators who appear in this book (under pseudonyms) or contributed to the research in so many different ways. It would be hard to fi nd a kinder, more interesting, or more dedicated group...

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1 “Empowered with Information I Have Influenced a Lot of People”

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pp. 1-43

Robert Mokwena is a forty-five-year-old African miner who works for Mineco — a fictitious name for a large South African mining company. Over the past decade he has watched family and friends die. His best friend of many years, Benny Modise, died shortly after telling Mokwena that he was HIV-positive. At the time of his friend’s death, antiretroviral treatment was unavailable. As he became more and...

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2 “People Are Dying, but They Don’t Listen When We Tell Them”

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pp. 44-70

Many outside of South Africa may be puzzled that businesses that are not in health care are responding to the AIDS epidemic. Why are South African businesses — slowly at first and now more visibly — responding to the problem of HIV/AIDS, and how is that response unfolding? When questioned, many company managers and management consultants initially offer an economic rationale. Since HIV/AIDS primarily affects those of working age, it makes...

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3 “For the Love of People”

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pp. 71-93

Many outside of South Africa may be puzzled that businesses that are not in health care are responding to the AIDS epidemic. Why are South African businesses — slowly at first and now more visibly — responding to the problem of HIV/AIDS, and how is that response unfolding? When questioned, many company managers and management consultants initially offer an economic rationale...

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4 Backstage Social Divisions

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pp. 94-141

A half dozen or so peer educators are holding their monthly meeting in Robert Mokwena’s office in the mining hostel where well over a thousand men live far from their homes. Mokwena has had an office for only a couple of years, though he’s been a peer educator for six. He was promoted to a clerk after twenty years working...

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5 Slipping Out of Order

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pp. 142-179

There is a sharp contrast between the work of peer educators and institutional responses to HIV/AIDS. Although peer educators welcome corporate initiatives around AIDS, they are aware that these responses often fall short of what is needed. Mokwena in Mineco made the point by contrasting the missionary-zeal of peer education...

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6 To Speak with One Voice

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pp. 180-203

While peer educators strive to change the behavior of their peers, some also recognize the limits of strategies restricted to working with individuals. To put it simply, there are too many avenues of escape for those who prefer, for one reason or another, not to listen to the messages of peer educators, irrespective of its vernacular delivery...

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7 Social Space, Leadership, and Action

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pp. 204-216

In South Africa, one in three women between the ages of twenty-five and twenty-nine and one in five men in their thirties are infected with HIV. South Africa is not alone in facing these levels of HIV infection; many other sub-Saharan African countries face similar or even higher prevalence rates. In developed countries AIDS is largely contained as a problem of marginal groups with specific factors...

Appendix 1

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pp. 217-228

Appendix 2

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pp. 229-234

References

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pp. 235-244

Index

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pp. 245-252