 |
The
University Of Zambia |
 |
|
University of Zambia Medical LibraryAIDS in Zambia Bibliography: IntroductionTable of Contents: Acknowledgments:This bibliography was compiled by Douglas Webb of UNICEF, with assistance from James Sulwe and Rosemary Likwa (MOH). Special thanks go to Doreen Mulenga (NASTLP), Bathsheba Ng'andu, Maimuna Ginwalla (UNICEF), Regina Shakakata, Alan Fleming, Peter Godfrey-Faussett and Connie Osborne (UTH), Virgina Bond, Rachel Baggaley and Alan Haworth. Cover design by Anthony Byrne. For print copies of the bibliography contact the National AIDS Programme at Ndeke House, c/o Clement Mwale
Introduction: Information collection and dissemination is integral to this forward looking process - planning for the future and improving our responses to the epidemic (which is now endemic) is dependent on the flow of reliable and sound information. Information as a tool for responding to the epidemic is a prerequisite to effective action. The dynamism and complexity of the epidemic demands that we remain vigilant in documenting change, at a biological and social level. The rationale behind this bibliography is that information is essential for all people involved in the workings of the epidemic: researchers, non-governmental organisations, government, activists, people living with AIDS, the churches, community groups, health workers, donors and academia. It is to these people that this work is addressed. This bibliography attempts to provide a comprehensive guide as to the state of HIV/AIDS research in Zambia as of mid 1995. The collection of 218 abstracts and synopses cover five main thematic areas: epidemiology, biomedical and clinical research, socio-behavioural studies, the impact of HIV/AIDS and alleviating the impact of HIV/AIDS. All of the articles are necessarily about Zambia - the majority report on empirical work while some are policy analyses or overview reports. Some of the works are to be found in academic journals but most are unpublished. Their status is unimportant but the findings are not and this collection aims to bring many relatively unseen' works to light. Many academic theses are included for example, mostly from the University of Zambia, as well as works from more established researchers. There is no doubt that the quality of the pieces varies considerably, and in abstracting the documents the main findings are highlighted. The space given to each work does not reflect on its quality - in all cases the reader is encouraged, where possible, to consult the original document. This is unfortunately impossible in relation to many of the reports presented at conferences, both in Zambia and abroad (namely the International AIDS conferences and the International AIDS in Africa conferences). The location of each work is given, but this cannot be considered as completely reliable, and must be treated as a guide only. The articles, while grouped into sections and subsections are listed chronologically, allowing the reader to trace the evolution of understanding in a certain topic. Many of the early seminal works have been included due to their importance in laying the foundations for understanding the aetiology of AIDS. The early works of Anne Bayley, for example, concerning the recognition of a new form of Kaposi's sarcoma represent the first reported cases of AIDS in southern Africa, although the link to HTLV-III (as HIV was then known) had yet to be made (articles 53-56). Other early important works include the postnatal vertical transmission of HIV (33-35), paediatric Kaposi's sarcoma (37), the development of approaches in home and community based care (203-218) and more recently the interaction of HIV and tuberculosis (85-100). Indeed, research in Zambia in many areas of the epidemic can be considered to be at the forefront of the understanding of the dynamism within the spread of HIV/AIDS. The collation of the these articles does, however, highlight some areas of concern. The geographical bias of research in the urban centres along the line of the rail, especially Lusaka, is very pronounced. This Lusaka-centred bias is understandable for many of the medical papers due to technological constraints but there still appears to be an unwillingness of researchers to explore other parts of the country. For example, Livingstone has the highest antenatal HIV prevalence rate in the country (32% in 1994) yet not one study identified was conducted in this area. Rural areas on the whole are completely neglected except for the considerable amount of work conducted in the Chikankata area (Mazabuka, Southern Province) and a series of studies in Chiawa (Lusaka Rural). Northern, Luapula, Northwestern, Western and Eastern Provinces can claim a handful of identified studies between them. This urban and especially Lusaka bias in research is a cause for concern as it ignores the distribution of HIV and AIDS cases, and neglects the majority of people in this country. Similarly, in terms of thematic areas, little attention is paid to the human consequences of the epidemic - the analysis of coping strategies and impacts of demographic change. These are areas of serious neglect at present and researchers should be encouraged to realise the importance of localised demographic shifts. Fundamentally, this bibliography aims to inform future research and advise policy. The database will be maintained periodically and it is the intention of NASTLP and UNICEF to publish updated versions regularly. Feedback in terms of layout and article contributions can improve the document in subsequent editions, and users are encouraged to suggest possible alterations and additions. Abbreviations:
[Table of Contents] [AIDS/Zambia Index] [Bibl. Contents] [Alphabetical Index] [Zamnet] [UNZA] [UNZA Library] Send comments and/or suggestions to: medlib@unza.zm or lenny@library.health.ufl.edu Copyright © 1996-2001, The University of Zambia Medical Library and Lenny Rhine Guide to Medical Resources WWW site: http://www.medguide.org.zm/
Last updated January 14, 1999 |
|
|
UNIVERSITY OF ZAMBIA Med Guide Index Zamnet UNIVERSITY OF ZAMBIA UNIVERSITY OF ZAMBIA Library CONTACTING SCHOOL OF MEDICINE OTHER INSTITUTIONS BACK TO SOM HOME PAGE DEPARTMENTS Central Board of Health Send comments and/or suggestions
to: Stan chewe |