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The study of HIV/AIDS in African
populations has led me to
explore methodological issues in measurement and estimation
of HIV prevalence and AIDS mortality,
as well as behavioral mechanisms that account for the
unequal spread of HIV. I am particularly
interested in the interplay between individual agency and
marriage market constraints, and their implications for individual exposure to HIV
and population-level HIV prevalence.
I have been, and continue to be involved in fieldwork
projects in Malawi, South Africa and Ethiopia. In South
Africa, we are establishing a system for linking data from
the
Agincourt Health and Demographic Surveillance System
with records from health facilities. The primary objective
is to study access to treatment and to evaluate
community-based interventions for improving the uptake of
health services. With colleagues in Ethiopia, we maintain a
surveillance of burials at all cemeteries of Addis Ababa to
substitute for a deficient vital registration system. We
have used these data for demonstrating the demographic
impact of HIV/AIDS on mortality, and more recently also to
document the reversal in AIDS mortality following the
rollout of an antiretroviral therapy program.
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