There is no question about the seriousness of the AIDS epidemic
in
Africa. It has been clear for some years that problems associated with
the epidemic are enormous. The depth of the problem has been
documented repeatedly. Now that we have moved into what is
described below as the ‘acceptance-response phase’, it is timely
to look
beyond present problems to the legacy that will remain once the
epidemic has been confronted by medical science and endured by its
millions of victims and their families, most especially in Africa. This
article argues that as a result of many pre-existing conditions, having
little to do with AIDS, aggressive responses to the epidemic, especially
by the international community, are likely to undermine African
autonomy and impede future development, particularly politically and
psychologically. While AIDS is one of many deterrents to development,
it has, in many affected countries contributed significantly to
undermining their future prospects.
From several perspectives the AIDS epidemic can be seen to have
levelled an enormous toll on Africa, especially in the eastern and
southern regions. This article confines itself to the non-medical
consequences of the epidemic where it has been most profound.
Although the epidemic has possibly passed its peak, evidence of the toll
of the disease, with its related health problems is now clear. In its wake
are serious multidimensional problems: anthropological, sociological,
economic and political. AIDS has greatly diminished prospects for
increased autonomy in many countries, and dashed hopes for major
improvements in their quality of life. These multisectoral dimensions of
the AIDS impact are likely to affect African development negatively
for many years to come. As an extreme example of the enormous
difficulties, a recent report suggests an HIV rate of 50 per cent in seven
armies in central Africa. Such reports highlight consequences that
affect development prospects in general. These and related problems
undermine the sense of nationalism and national identity so eagerly
fought for in all parts of Africa during the independence era. This
article focuses on these dimensions of the epidemic and suggests possible
consequences in terms of national development in those countries most
affected.