By J. Kinsman
This e-book offers a background of AIDS keep an eye on in Uganda, from the beginning of the epidemic within the early Eighties up till 2005. Uganda is celebrated across the world as an AIDS 'success story', either for its bringing down HIV occurrence and occurrence over the Nineties, and for its cutting edge method of scaling up the availability of antiretroviral treatment.
Read or Download AIDS Policy in Uganda: Evidence, Ideology, and the Making of an African Success Story PDF
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Extra resources for AIDS Policy in Uganda: Evidence, Ideology, and the Making of an African Success Story
1990:1026). Thus, something that may appear to be self-evident to people at one level may be entirely irrelevant or incorrect to those at another. This point has great relevance for health care innovations, such as the provision of antiretroviral therapy (ART) for AIDS patients in Africa. Over the past few years, international and national policy makers have faced pressure to initiate treatment for as many people as possible, with numbers treated as the target of paramount importance. , 2010).
Since the trial ended with a clear, positive outcome, with important implications for controlling a serious condition, the techniques and principles standing behind this first RCT were given wide publicity. :11). , 2000; Randal, 1999). The idea of the RCT as the most objective tool for deriving evidence about the effectiveness of a health intervention was therefore first accepted within the very particular cultural and historical context of Britain in the 1940s. ” Just as with the wide acceptance of the QWERTY keyboard, or the development of the Internet, there was no predetermined certainty that medical research was going to lead to the invention and adoption of the RCT.
The focus here so far has been on epidemiological evidence, but it is important to note that evidence can also take many other forms. Epidemiological studies are by their very nature quantitative exercises, following a principle outlined by the nineteenth-century physicist Lord Kelvin: “To measure is to know” (cited in Lagerros, 2009:119). But this positivist perspective was challenged by fellow physicist Albert Einstein, who suggested that “not everything that counts can be counted; not everything that can be counted counts” (cited in McKee, 2004:153).