Migrants, money and the military: The social epidemiology of HIV/AIDS in Owambo, northern Namibia

In: NEPRU Occasional Paper, No. 4

Abstract

This paper examines the epidemiology of HIV with reference to Owambo, the most populous region of Namibia, and attempts to outline the factors determining its spread in this area. The political economy of the area, with established migrant labour patterns, marginal agricultural activity and a high dependency ratio, creates a high risk environment for the spread of HIV. Those most marginalised through gender and economic relations are forced into risk-taking sexual behaviour, as immediate needs override long term risks. Education about AIDS is vital and at present has already reached many people. Sections of the youth, in particular, show evidence of considerable behavioural change. Females face an economic dependency on men which is manifested through tansactional sex. (DÜI-Hff)