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Challenges for Recovery in the Face of a Sustained HIV/AIDS Crisis and Structural Mismanagement: Lessons from Swaziland

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Abstract

In the 21st century, where disease outbreaks occur, how quickly they spread, and how difficult they are to treat, are all heavily influenced by human organization and behavior. Here, I examine the case of Swaziland to evaluate potential pathways towards recovery in the face of a sustained epidemic. This paper draws from an extensive review of existing literature and selective interviews with local stakeholders to explore the pervasive impacts of HIV/AIDS on Swazi society and to evaluate possible entry points to bolster resilience. Current responses, including improved access to education and distribution of Anti Retro Viral medication, are useful in theory but implementation has been highly fragmented. This Thesis suggests that significantly improving human health and wellbeing in this context will require a comprehensive reassessment of what governance should look like in a post HIV Swaziland. Based on this analysis, I propose potential avenues towards recovery including strengthening the national education system, promoting local governance and, crucially, enabling coordination across national objectives.

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