Nyatsanza, Tarsisio Majinya (2015) Developing a Transformative Approach to HIV/AIDS Education: an Analysis of Scotland and Zimbabwe
Total Page:16
File Type:pdf, Size:1020Kb
Nyatsanza, Tarsisio Majinya (2015) Developing a transformative approach to HIV/AIDS education: an analysis of Scotland and Zimbabwe. PhD thesis. http://theses.gla.ac.uk/6438/ Copyright and moral rights for this thesis are retained by the author A copy can be downloaded for personal non-commercial research or study, without prior permission or charge This thesis cannot be reproduced or quoted extensively from without first obtaining permission in writing from the Author The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the Author When referring to this work, full bibliographic details including the author, title, awarding institution and date of the thesis must be given Glasgow Theses Service http://theses.gla.ac.uk/ [email protected] i DEVELOPING A TRANSFORMATIVE HIV/AIDS EDUCATION: AN ANALYSIS OF SCOTLAND AND ZIMBABWE TARSISIO MAJINYA NYATSANZA Submitted in Fulfilment of the Requirement for the Degree of Doctor of Philosophy School of Education College of Social Sciences University of Glasgow 26th September 2014 ii Abstract Global statistics indicate that currently 35 million people are living with HIV of which 4, 634 are living in Scotland (out of a total population of 5 295 00) and the figure for Zimbabwe is estimated at 1, 400 000 (out of a total population of 14 149 648). In this thesis, I have suggested a framework that goes beyond a limited analysis of the complexity of understanding the HIV/AIDS origins, its evolution and prevalence beyond the epidemiological mapping. The approach allows for the development of a more rational, inclusive, broader and sustainable HIV/AIDS Education (Wood 2014, Wood and Rolleri 2014). This approach is not only emancipatory but also empowers (Freire 2000, Freire 2004) both those affected and infected by the HIV/AIDS epidemic. I have chosen both Scotland and Zimbabwe as each of them has dealt with the epidemic in different ways. Scotland has had significant success in combating HIV/ AIDS through various initiatives. Zimbabwe on the other hand, is an example of a developing country in sub-Saharan Africa with one of the highest levels of HIV/AIDS infected and affected people in the world (UNAIDS Country Report 2014). I used ‘selected’ documentary analysis that is, looking at selected documents that contain the major policy responses to the HIV/AIDS epidemic. I also conducted interviews with key informants using semi-structured interview questions and then analysed the resultant data using a range of heuristic tools. The main findings of this research included how a number of conspiracy theories were constructed in order to explain the origins and the evolution of HIV/AIDS. Examples of these conspiracy theories included the homosexual link to HIV/AIDS, witchcraft and biological warfare among others. Other issues discussed focused on conspiracy as the construction of otherness, moralising the epidemic, assessing the impact of culture, religion and politics on the epidemic as well as the implications of these issues on Sex Education. The thesis concluded with suggesting a iii framework for developing a transformative approach to HIV/AIDS and Sex Education. iv Dedication This Doctoral Thesis is dedicated to my dear Parents: Cecilia (1924-1983) and Fausto Douglas Nyatsanza (1921-1983). Although both of them did not live long enough to see and celebrate the value of all their efforts, they still remained my greatest source of inspiration in that they were my first educators who taught me the virtues of hard work, resilience and to always aspire to achieve the exceptional. And Also to: My dear late brother Prosper Nyatsanza (21.08.1957- 18.02.1996) He was always very inspirational and appreciative of my academic endeavours. Zororai murugare! v TABLE OF CONTENTS Title i Abstract ii Dedication iv Table of Contents v Acknowledgements xiii Author's declaration xvi 1.0 CHAPTER ONE - INTROUCTION TO THESIS 1 1.1 General Introduction 1 1.2 Aims of the Thesis 1 1.3 Rationale 2 1.4 Methodology 2 1.4.1 Reflexive Stance 3 1.5 Fieldwork 4 1.6 Structure of Thesis 5 1.6.1 Chapter One 6 1.6.2 Chapter Two 6 1.6.3 Chapter Three 6 1.6.4 Chapter Four 7 1.6.5 Chapter Five 7 1.6.6 Chapter Six 7 1.6.7 Chapter Seven 8 1.6.8 Chapter Eight 8 1.7 Terminology 8 1.7.1 AIDS 8 1.7.2 ARVs 9 1.7.3 Asylum Seeker 9 1.7.4 Colonial 9 1.7.5 Epidemic 9 1.7.6 HIV 9 1.7.7 Refugee 10 1.7.8 Post-colonial 10 vi 1.7.9 Pre-colonial 10 1.7.10 Sex Education 10 1.7.11 Witchcraft 10 1.8 Brief Histories of Scotland and Zimbabwe 11 1.8.1 Introduction 11 1.9 Brief History of Scotland 12 1.9.1 Introduction 12 1.9.2 Map of Scotland 12 1.9.3 Pre-Devolution 12 1.9.4 Demographics 13 1.9.5 Migration 14 1.9.6 Devolution 16 1.9.7 Church and State relations Since the 19th Century 17 1.9.8 Religion, National Identity and Imperialism 18 1.9.9 Post-Devolution 19 1.9.10 Multiculturalism, Sectarianism and Racism 20 1.9.11 Section 2A 21 1.9.12 Conclusion 22 1.10 Brief History of Zimbabwe 23 1.10.1 Introduction 23 1.10.2 Map of Zimbabwe 23 1.10.3 The Pre-colonial Period 24 1.10.4 The Colonial Period 26 1.10.5 Missionary Role in the Colonial Process 26 1.10.6 The Pioneer Column 27 1.10.7 Racial Segregation 27 1.10.8 Federation 28 1.10.09 Liberation War and The Land Issue 28 1.10.10 Post-colonial 29 1.10.11 The Period of Success 29 1.10.12 The Crisis Era: 1997 Onwards 30 1.10.13 Conclusion 31 vii 2.0 CHAPTER TWO - HEURISTIC TOOLS 32 2.1 Introduction 32 2.2 Research Paradigms and Documentary Analysis 32 2.2.1 Qualitative and Quantitative Methods 32 2.2.2 The Qualitative Research Paradigm 33 2.2.3 Hybrid Approach 34 2.2.4 Documentary Analysis 36 2.3 Narratives 38 2.3.1 Origins and Definitions of Narratives 31 2.3.2 Structure of Narratives 39 2.3.3 Contexts of Narratives 40 2.3.4 The Purpose of Narratives 41 2.3.5 Narratives as a Heuristic Tool in this Research 42 2.3.6 Use of ‘Narrative’ Relating to Policy and Key 46 Informants 2.4 Attitudes to Sexuality 48 2.4.1 Introduction 48 2.4.2 Repression of Sexuality 49 2.4.3 An Example of Medicalising Sexual Behaviour 51 2.4.4 Negative Conceptions of Sexuality 53 2.4.5 Foucault’s Definition of Power 53 2.4.6 Implications of Locating Sex in the Restrictive 54 Domain 2.4.7 Some Emerging Issues 55 2.4.8 Perceptions of Sex/Sexuality 57 2.4.9 Sexual Deviance 58 2.4.10 The HIV/AIDS Policy Matrix 68 2.4.11 Feminist Critique of Foucault 63 2.4.11.1 Introduction 63 2.4.11.2 The Evolution of Studies on Sexuality 64 2.4.11.3 Some Feminist Perspectives on Foucault 67 2.4.11.4 Some African Feminist Views on sexuality and 70 HIV/AIDS viii 2.4.12 Concluding Remarks 71 2.5 The Post-colonial Lens 72 2.5.1 Definition of Post-colonial 72 2.5.2 Edward Said on Orientalism 74 2.5.3 The Relevance of the Post-colonial heuristic lens 76 2.5.4 Challenges of Post-colonialism 78 2.5.5 The Collusion of the missionary and colonial 80 discourses 2.5.6 Issues of Morality 82 2.6 Conclusion 86 3.0 CHAPTER THREE - THE HIV/AIDS SCENARIO IN SCOTLAND 88 3.1 Introduction 88 3.2 Reactions to HIV/AIDS in Scotland 88 3.3 HIV/AIDS Narratives in Scotland 90 3.3.1 Gay/Homosexual Narrative 90 3.3.2 Blood and Blood Products Narrative 91 3.3.3 The Arrival of Eastern Europeans and the 92 Intravenous Drug Users (IDUs) Narrative 3.3.4 Devolution and the Dispersal of Asylum Seekers and 94 Refugees to Scotland Narrative 3.3.5 Responses to HIV/AIDS in Scotland 95 3.3.6 Government Responses 96 3.3.6.1 The Penrose Enquiry 97 3.3.7 Voluntary Sector Responses 99 3.3.8 Religious/Faith-based Responses 104 3.3.9 Media Responses 106 3.4 Conclusion 107 4.0 CHAPTER FOUR - THE HIV/AIDS SCENARIO IN ZIMBABWE 109 4.1 Introduction 109 4.2 The Contextual Framework 109 4.3 The Impact of Zimbabwe’s Colonial History 111 4.4 The Impact of Culture 114 ix 4.5 The Role of Religion 116 4.6 The Role of Politics and Government 117 4.6.1 Background to the Zimbabwe Land Question 120 4.6.2 Zimbabwe Land Reform 121 4.6.3 Farm Invasions and Urban Housing 122 4.6.4 Operation Murambatsvina 125 4.6.5 Impact of Land Invasion and Poverty Issues 126 4.7 The Role of NGOs 128 4.8 HIV/AIDS Policy Developments 129 4.9 Understanding Re-Negotiated notions of the body and the self 129 4.10 Bases for Comparison 132 5.0 CHAPTER FIVE - METHODOLOGY 135 5.1 Introduction 135 5.2 Qualitative Research 135 5.3 Ethics 137 5.4 The Research Process 137 5.4.1 Access to Research Data Collection 137 5.4.2 Pilot Study 138 5.4.3 Sample 138 5.4.4 Research Participants in the Main Study 141 5.4.5 Semi-structured Interviews 141 5.4.6 Categories of Key Informants 142 5.4.7 Key to Codes 142 5.4.8 Profile of Key Informants in Zimbabwe 142 5.4.9 Key Informants in Zimbabwe 143 5.4.10 Total Number of Respondents 144 5.5 Scotland 144 5.5.1 Scotland key Informants 144 5.5.2 Demographics of Key Informants 145 5.6 Reflections on Positionality 145 5.6.1 Introduction 145 5.6.2 Research Context 146 x 5.6.3 Personal and Professional Background 146 5.7 Evaluation of Key Informants 153 5.8 Thematic Analysis 159 6.0 CHAPTER SIX - FINDINGS 162 6.1 Introduction to Findings in Scotland and Zimbabwe 162 6.2 Scotland Thematic Responses 162 6.2.1 Origins 162 6.2.2 Responses to the HIV/AIDS Epidemic 165 6.2.3 Politicians and the Health Sector 165 6.2.4 Churches 167 6.2.5 Media and Communication about HIV/AIDS 170 6.2.6 Consensus on the Role of Media 170 6.2.7 Tensions Surrounding Media Messages 171 6.2.8 Examples of Negative Media Messages on HIV/AIDS in 172 Scotland 6.2.9 Implications and Contestations of Media Messages 175 HIV/AIDS Messages in Scotland 6.2.10 New Social Media 175 6.2.11