HIV/AIDS AND CULTURE IN LATIN AMERICA

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HIV/AIDS AND CULTURE IN LATIN AMERICA Latin American Studies M262/ Community Health Sciences M250 Tuesdays, 10:00am-12:50pm, 2268 Franz Hall Spring 2013 Dr. Bonnie Taub Office Hours: Tuesdays, 1-2pm and by appointment Office Location: 36-078A, CHS- School of Public Health Tel. (310) 206-2117 Email: btaub@ucla.edu COURSE DESCRIPTION AND GOALS This course examines the cultural, social, political and economic context of people living with and at risk for HIV/AIDS in Latin America. The importance of cultural traditions and family focused societies, as well as globalization, to the experience of the epidemic among women, men, indigenous, mestizo and Afro-Latin groups, is of particular interest and will be explored. The prevalence, severity and groups at risk vary throughout the region and provide a unique opportunity for exploring cross-border and migration issues as well. The course will explore four aspects of the disease in the regions and countries of Latin America. (1) Public Health and Medical Aspects: Epidemiology, secondary infections, mental health, community health, risk groups and vulnerable populations, interventions at the family, community, policy and international levels aimed at addressing the problem in the countries of Latin America and the Caribbean and at the United States border (2) Cultural Context: Specific examples of regional variation with regards to beliefs and attitudes about the disease, its prevention and treatment, and the experience of living with AIDS, including traditional medicine and healing/psychic rituals as well as medical responses (3) Political and economic context: Stigma, poverty, migration, barriers and enhancers to prevention, treatment, education interventions and ongoing care. (4) Grass Roots Responses and Activism COURSE FORMAT The format of the course will be an interactive graduate seminar and will include lectures, films, discussion and presentations. COURSE PREREQUISITES The course will be open to interested graduate and professional students in Latin American Studies, Public Health, Anthropology, Sociology, Medicine, Social Welfare, Psychology and other disciplines.

M250: HIV/AIDS and Culture in Latin America/Spring 2013/Dr. Taub CHS M250: Learning Objectives linked to ASPH competencies Learning Objectives Competencies (Source in Parentheses) 1. Provide an understanding of Social & Behavioral Sciences # 2,#6, #10 (ASPH MPH) psychological, political, social, Diversity and Culture #1 (ASPH MPH) economic, cultural and Program Planning #1 (ASPH MPH) educational influences on health at the individual, and community levels in a regional global context 2. An exploration of health promotion and health education interventions, including clinical, socio-political, grass roots educational,epidemiological 3. Development of skills to critically research and assess the literature on cross-cultural health topics Social & Behavioral Sciences # 7 (ASPH MPH) Communication and Informatics # 10(ASPH MPH) Social & Behavioral Sciences # 3, #4, # 5, #10 (ASPH MPH) Diversity and Culture #9, #10 (ASPH MPH) Program Planning #2, #4, #5, #6 (ASPH MPH) READINGS Weekly reading assignments of books will be required (see later). Books will be available for purchase at the Ackerman Bookstore. Books: Abreu,AG,Noguer,I,Cowgill,K. HIV/AIDS in Latin American Countries: An Assessment of National Capacity, International Bank for Reconstruction and Development/ The World Bank, 2003 Farmer, Paul, AIDS and Accusation, Haiti and the Geography of Blame U of Calif. Press, Los Angeles, 2006(1992) Frasca,Tim HIV/AIDS in Latin America, Palgrave Macmillan, NY & England, 2005 Gutmann, Matthew, Fixing Men: Sex, Birth Control, and AIDS in Mexico, University of California Press, LA, 2007 Kelly,Patty Lydia s Open Door, Inside Mexico s Most Modern Brothel, University of California Press, 2008 Smallman,Shawn The AIDS Pandemic in Latin America,UNC Press,Chapel Hill, 2007 2

M262/M250: Spring 2013/Dr. Taub Recommended Whiteside, Alan HIV/AIDS A Very Short Introduction, Oxford Univ Press, 2008 Sontag, Susan Illness as Metaphor and AIDS and its Metaphors, Picador, NY 1989 Green,James Beyond Carnival- Male Homosexuality in Twentieth Century Brazil U of Chicago Press, 2000 Farmer, P. Infections and Inequalities, The Modern Plagues,UC Press, 2001 Kidder,Tracy Mountains Beyond Mountains, Random House, 2004 Farmer,Paul Pathologies of Power, Health, Human Rights and the War on the Poor, UCPress, 2005 ASSIGNMENTS AND EVALUATION 1. Class participation and weekly attendance (10%) Readings Discussion Leader- students to prepare discussion questions and a 2-3 page summary about books/readings and lead a discussion with others, during one of the following sessions: Week 4: AIDS and Accusation, Paul Farmer Week 5: Lydia s Open Door-Patty Kelly Week 6: Central American & South America chapters-frasca and Smallman Week 7:Fixing Men: Sex, Birth Control and AIDS- Matthew Guttman 2. Internet Research Assignment-research at least three websites/organizations focusing on HIV/AIDS in a particular region/country of Latin America, and write a three to four page review of them focusing on strong and weak aspects with regards to identifying risk groups and proposing or implementing interventions. Be prepared to turn in and discuss in class, week 8. (20%) 3. Final Paper on a topic of your choice related to HIV/AIDS in a country or region in Latin America. Paper to be 16-18 pages long, double-spaced. Paper due finals week, no later than Tuesday, June 11 by noon to Taub mailbox on the A level, Center for Health Sciences or emailed (60%). Your internet and paper topics may coincide. A one paragraph description of your paper topic with list of two references is due Week 6, May 8th. 4. Oral Presentation to the class about your final paper topic, lasting 15 minutes, including a one page handout summary. Student presentations to be given during class, weeks 9 and 10 (10%). 3

SESSION DATE TOPIC Spring 2013 Tuesdays SCHEDULE Spring 2013 HIV/AIDS and Culture in Latin America Latin American Studies 262/ CHS 250 Dr. Bonnie Taub 1 April 2 Introduction to the study of HIV/AIDS in the Americas 2 April 9 Public Health Issues & Epidemiology (Detels) 3 April 16 Cultural Context: Indigenous, Afro-Latin & European Influences Traditional Healers, Candomble, Grass Roots & Modern Infections; Case Example: Brazil, Odo Ya 4 April 23 Caribbean Quandries: Poverty, Tourism, Tuberculosis 5 April 30 Sex, Sex Workers, Stigma and Families in Mexico 6 May 7 Central American Concerns South America- Southern Cone, Andes 7 May 14 Narratives and the Arts 8 May 21 US Latinos & Mexican Border Issues: Experiences and Interventions/Internet Assignment due/discuss 9 May 28 Emerging Trends and Summary Student Presentations 10 June 4 Student presentations 4

LAS 262/CHS250: HIV/AIDS and Culture in Latin America/ Dr. Bonnie Taub/2013 READINGS Weeks 1 & 2: Introduction, Public Health & Epidemiology Abreu,AG,Noguer,I, Cowgill,K. HIV/AIDS in Latin American Countries: An Assessment of National Capacity, International Bank for Reconstruction and Development/ The World Bank, 2003 Chapter 1: Epidemiological Overview and Economic Impact Chapter 2: Epidemiological Surveillance: Resources, Testing Chapter 3:National Responses to the Epidemic Chapter 4:Key Areas for Interventions Week 3: Cultural Context-Brazil, Caribbean,Responses Frasca,Tim HIV/AIDS in Latin America, Palgrave Macmillan, England, 2005 Introduction, Two Lives Chapter: 5 Trinidad and Tobago Chapter 7: Brazil Smallman, Shawn The AIDS Pandemic in Latin America Chapter 2: Brazil Farmer, Paul, AIDS and Accusation, Haiti and the Geography of Blame U of Calif. Press, Los Angeles, 2006(1992) Part I: Ch 1-2 Week 4: Caribbean Farmer, Paul, AIDS and Accusation, Haiti and the Geography of Blame U of Calif. Press, Los Angeles, 2006(1992) Chapters 3-end Frasca,Tim HIV/AIDS in Latin America, Palgrave Macmillan,England, 2005 Chapter 1-Caribbean: Cuba and Haiti Week 5: Mexico Kelly,Patty Lydia s Open Door, Inside Mexico s Most Modern Brothel, University of California Press, 2008 5

READINGS CONTINUED:HIV/AIDS and Culture in Latin America/Taub Week 6: Central America Frasca: Chapter 3-Costa Rica Chapter 4-Guatemala Smallman, Shawn The AIDS Pandemic in Latin America,UNC Press,Chapel Hill,2007 Chapter 3-Central America and Mexico South America-Southern Cone, Andes, Frasca: Chapter 1: Peru-Testing Chapter 6: Argentina Chapter 8: Chile Week 7: -Narratives and Art, Mexico & Brazil Frasca: Chapter 2 :Mexico-Fatal Advances, p. 71-102 Smallman, Shawn The AIDS Pandemic in Latin America,UNC Press,Chapel Hill,2007 Chapter:7:Brazil-Seductive Models Week 8: US Latinos and Mexico Gutmann, Matthew, Fixing Men: Sex, Birth Control, and AIDS in Mexico, University of California Press, LA, 2007 Weeks 9 and 10 : Emerging Trends Summary/Student Presentations Smallman: Chapter 4-Spanish South America 6