Aging in the Context of HIV/AIDS: Spaces for Renegotiation and Recomposition of Mutual Solidarity in Burkina Faso

Author:

Ouedraogo Ramatou1,Attané Anne2,Gyasi Razak M1ORCID

Affiliation:

1. African Population and Health Research Center (APHRC), Nairobi, Kenya

2. Institut de Recherche pour le Developpement (IRD)/LPED, Marseille, France

Abstract

Purpose: The HIV-infected older people in sub-Saharan Africa are inevitably vulnerable to chronic health-related conditions, yet the needed social support for these people is mostly inadequate. Drawing on the anthropology of disease and health paradigms, this study explores the recomposition of multidimensional and multidirectional nature of mutual familial support for older people living with or affected by HIV/AIDS in Burkina Faso. Methods: We conducted multiple in-depth interviews among 147 individuals recruited from nonprofit organizations in Ouagadougou, Bobo-Dioulasso, Ouahigouya, and Yako through 2 projects funded by the National Agency for AIDS Research. Thematic and narrative analytical frameworks were used to analyze the data. Results: We found that older people suffered serious socioeconomic and psychological challenges associated with HIV/AIDS. Older people were particularly vulnerable to the double burden of HIV/AIDS and caregiving responsibility for family members infected with the disease. However, the infected older people who received adequate treatment and familial support regained sociocultural positions as agents for cultural transition and material/emotional resources. Conclusions: Although HIV/AIDS potentially renegotiated the nature, intensity, and direction of familial support for vulnerable older people, the extrafamily solidarity seems an integral part of the great cycle of reciprocity and intrafamily mutual support. Health and policy interventions targeted at strengthening the interpersonal relationships and support for HIV/AIDS-infected and HIV/AIDS-affected older people are needed to improve their independence and well-being.

Publisher

SAGE Publications

Subject

Infectious Diseases,Dermatology,Immunology

Reference40 articles.

1. Anthropology of AIDS: Modes of Engagement

2. The Republic of Therapy

3. Ouattara F, Gruénais ME, Huygens P, Traoré A. Sida, stigmatisation et exclusion. Etude anthropologique au Burkina Faso (Bobo-Dioulasso, Banfora, Niangoloko et Orodara). Rapport final, IRD-SHADEI; 2017:127.

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