Identity, Citizenship and the Teaching Profession: Theoretical Insights in the Study of Zambian Teachers Living with Human Immune–deficiency Virus (HIV)
DOI:
https://doi.org/10.14738/assrj.93.11924Abstract
This article discusses HIV positive teachers’ medicalisation in the Zambian context. It makes a theoretical appraisal of the dynamics of health in this HIV treatment era, viewing the era as leaving the AIDS pandemic between two streams: a disappearing tragedy and a treatable illness with latent psychological, social and economic effects [1]. Teacher training, teachers’ economic status, their use of effective pedagogy and many other factors have been chronicled extensively by various scholars across disciplines in research on education in developing countries. However, teachers’ experiences of illness and health conditions, as key actors in implementing the development agenda of many countries in Africa, have received very limited attention. The HIV/AIDS burden in Sub-Saharan Africa (SSA) is higher than available resources to deal with the pandemic effectively [2] while the number of people living with the virus and on ART in SSA countries, such as Zambia, remains high [3]. The above proposition in this paper is supported by three fundamental concepts which can be surmised as: governmentality and identity. These two concepts – when effectively synthesised – offer new ways of understanding the medical solutions, normalcy, and their limits in the everyday living of teachers who are on ART. Based on this theoretical analysis and its relation to existing empirical data, the central argument in the paper is that teachers’ daily lives seem to be filled with the socio-political and economic consequences of HIV medicalisation and that these consequences seem to shape and limit how teachers manage and make sense of their acquired ‘therapeutic citizenship’ status.
References
Lichtenstein, B., Review: Living with HIV and ARVs: Three Letter Lives. Corinne S. (2013). Hampshire, UK: Palgrave MacMillan, 2013. Contemporary Sociology, 2015. 44, (6): pp 857 – 858.
Kharsany ABM et al. ‘HIV Infection and AIDS in Sub-Saharan Africa: Current Status, Challenges and Opportunities.’ The Open AIDS Journal, 2016. 10:34-48. doi:10.2174/1874613601610010034. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893541/pdf/TOAIDJ-10-34.pdf
UNAIDS. ‘Fact Sheet 2017’.
Available at: http://www.unaids.org/en/resources/fact-sheet
UNDP. Human Development Report: Human Development for Everyone, 2016. Available at: http://hdr.undp.org/sites/default/files/2015_human_development_report.pdf
Central Statistical Office (CSO) [Zambia], Ministry of Health (MOH) [Zambia], and ICF International. Zambia Demographic and Health Survey 2013-14. Rockville, Maryland, USA: Central Statistical Office, Ministry of Health, and ICF International, 2014.
UNAIDS. Eastern and Southern Africa HIV Epidemic Profile. Johannesburg: UNAIDS Regional Support Team Eastern and Southern Africa, 2014. Available at http://www.unaidsrstesa.org/wp-content/uploads/2015/06/unaids_profile_Regional.pdf
United Nations Chronicle. HIV/AIDS - The Fourth Decade, 2011. Vol. XLVIII No. 1. Available at: https://unchronicle.un.org/issue/hivaids-fourth-decade
UNESCO., The Muscat Agreement. Global Education for All (2030 Targets). Meeting. Muscat, Oman. 12 – 14 May. 2014. Available at: http://unesdoc.unesco.org/images/0022/002281/228122E.pdf
Ren, B. ‘Medicalisation of Aging.’ Encyclopedia of Aging, 2002. Available at: www. encyclopedia.com. Accessed on 20 April 2017.
Squire, C., Living with HIV and ARVs: Three – Letter Lives. UK, Palgrave Macmillan, 2013.
Wahlberg A. and Nikolas R., The governmentalization of living: calculating global health, Economy and Society, 2015. 44:1, 60-90,
Risley C.L, Drake L.J, Bundy D., Economic Impact of HIV and Antiretroviral Therapy on Education Supply in High Prevalence Regions, 2012. PLoS ONE 7(11): e42909. doi:10.1371/journal.pone.0042909.
Whiteside, A. HIV and AIDS: a very short introduction. Oxford, Oxford University Press, 2016.
Squire, C., Being Naturalised, being left behind: The HIV citizen in the era of treatment possibility. Critical Public Health, 2010. 10, 4: 401 – 27.
Whiteside, A. HIV / AIDS and Development: Failures of Vision and Imagination. International Affairs (Royal Institute of International Affairs 1944), Vol. 82, No.2, HIV/AIDS-Special Issue, 2006. pp. 327-343.
Whyte, S.R., Working and Surviving: Government Employees on ART in Uganda. in W Geissler (ed.), Para-States and Medical Science: Making African Global Health. Duke University Press, 2015. pp. 207-233.
UNAIDS- ‘UNAIDS announces that the goal of 15 million people on life-saving HIV treatment by 2015 has been met nine months ahead of schedule’, 2015.
UNAIDS (2016). 'Fact Sheet 2016'. Available at:
http://www.unaids.org/en/resources/fact-sheet.
Squire, C. HIV in South Africa: Talking about the big thing. London: Routledge, 2007.
Goffman E., Stigma: Notes on the Management of Spoiled Identity. New Jersey: Penguin Books, 1968.
Stutterheim S.E et al. Stigma in the Dutch Health Care Sector: HIV-Positive Substance Users’ Experience and Health Care Providers’ Perspectives. ARC Journal of Nursing and Healthcare, 2017. 3(3): 11 – 22.
Kelly, M. J. and Bain, B., Education and HIV/AIDS in the Caribbean, 2003. Paris: UNESCO.
Bulley, B.S Governmentality: Notes on the Thoughts of Michel Foucault. Key Concept Series – Critical Legal Thinking online platform, 2014. Available at: http://criticallegalthinking.com/2014/12/02/governmentality-notes-thought-michel-foucault/
Turner, B.S. Citizenship and Social Theory. London: Sage, 2000.
Cruz, J. E. Neither Enemies nor Friends, Latinos, Blacks, Afro-Latinos. New York: Palgrave, 2005.
Pallesen H. Body, Coping and Self-identity. A qualitative 5-year follow-up study of stroke, Disability and Rehabilitation, 2014. 36: (3) pp 232-241.
Patterson A.S., Engaging Therapeutic Citizenship and Clientship: Untangling the reasons for therapeutic pacifism among people living with HIV in urban Zambia, Global Public Health. International Journal for Research, Policy and Practice, 2015. DOI: 10.1080/17441692.2015.1070053
Nguyen, K. V. The Republic of Therapy: Triage and Sovereignty in West Africa’s Time of AIDS. Durham, NC: Duke University Press, 2010.
Marshall T.H., Citizenship and Social Class. Cambridge: Cambridge University Press, 1950.
Johari J.C., Principles of Modern Political Science. New Delhi: Sterling Publishers, 2009.
Steenbergen, B. The Condition of Citizenship. London: Sage, 1994.
Whyte, S.R., Chronicity and control: framing ‘noncommunicable diseases’ in Africa, Anthropology & Medicine, 2012. 19:1, 63-74
Mweemba, P. et al. Quality of Life and Adherence to Antiretroviral Drugs. Medical Journal of Zambia, 2010. Vol 37 (1). pp 31 – 39.
Kippax, S. Reasserting the Social in a Biomedical Epidemic: The Case of HIV-Prevention. Position paper. London: University of South Wales Social Policy Research Center, 2010.
Harper, D., Beyond 'Delusion': Exploring Unusual Beliefs and Experiences. London: Routledge, 2009.
Whyte, S.R. (ed). Second Chances: Surviving AIDS in Uganda. Durham: Duke University Press, 2014.
Bennell, P. and Kwame A. Teacher Motivation in Sub-Saharan Africa and South Asia. DFID: Education Papers, 2007. Issue number: 71.
Buckler, A., Teachers’ Professional Capabilities and the Pursuit of Quality in Sub-Saharan African Education Systems: Demonstrating and Debating a Method of Capability Selection and Analysis. Journal of Human Development and Capabilities, 2016. 17(2): 161-177.
Sabina, C.A., Do people with HIV infection have a normal life expectancy in the era of combination antiretroviral therapy? BMC Medicine Journal, 2013. 11:251.
Okemakinde, T., Adewuyi, J. O., and Alabi, C. O. The Place of Teacher in National Development in Nigeria. European Journal of Humanities and Social Sciences, 2013. Vol. 19, No.1.
Wanekezi, A.U., Okoli, J. and Mezieobi, S. A., ‘Attitude of Student-Teachers Towards Teaching Practice in the University of Port Harcourt, Rivers State, Nigeria.’ Journal of Emerging Trends in Educational Research and Policy Studies, 2011. 2(1): pp 41-46.
Farrant, J.S., Principles and Practice of Education. Essex: Longman, 1980.
Cohen, D.K., Teaching: Practice and its predicaments. Cambridge, PhD Thesis: Harvard University Press, 2009.
Capel, S. Leask, M. and Younie, S., Learning to Teach in the Secondary School: A Companion to School Experience. New York: Routledge, 2016.
Siameja S. K., Measuring the Impact of HIV/AIDS on Economic Development in Zambia. PhD Thesis, 2011. The University of Waikato (Unpublished).
Allahar A.C. “The Politics of Ethnic Identity Construction” in Diasporas and Transnational Identities a special issue of Identity: An International Journal of Theory and Research, 2001. (1)3: 197-208.
Woodward, K. Understanding Identity. New York: Bloomsbury Publishing, 2003.
Berzonsky M., ‘A Social-Cognitive Perspective on Identity Construction’ in S.J. Schwartz et al. (eds.), Handbook of Identity Theory and Research. New York: Springer, 2011. pp 55 – 76.
Tao, S., “Why Are Teachers Absent? Utilising the Capability Approach and Critical Realism to Explain Teacher Performance in Tanzania.” International Journal of Educational Development, 2013. 33 (1): 2–14.
Flowers P., ‘HIV Transitions: Consequences for Self in an Era of Medicalisation’, in M. Davis and C. Squire. HIV Treatment and Prevention Technologies in International Perspective. New York: Palgrave, 2010.
Munachaka, J., Teachers’ Vulnerability to HIV/AIDS Infection: The Case of Lusaka District. Unpublished MA Dissertation, University of Zambia, 2006.
Mulubale, S., “Rethinking the Effects of Identity Politics in a Multi-ethnic Society: A Comparative Case Analysis of Zambia and Kenya,” Politikon, 2017. 44:1, 49-71.
Cast A.D and Burke, P.J., ‘A Theory of Self – Esteem.’ Journal of Social Forces. 80(3), 2003. pp 1041 – 1068.
Collyer F. (ed)., The Palgrave Hand Book of Social Theory in Health, Illness and Medicine. New York: Palgrave Macmillan, 2015.
Nakata, M. “Identity Politics: Who Can Count as Indigenous?” In The Politics of Identity: Emerging Indigeneity, edited by M. Harris, N. Martin, and C. Bronwyn, Sydney: UTSe Press, 2013. 125–146
Marmot, M., Status Syndrome: How Your Place on the Social Gradient Directly Affects Your Health. London: Bloomsbury Publishing, 2015.
Mulubale, S., Understanding the Seriousness of ‘Self’ Identity and Changing Process of HIV among Zambian School Teachers Living with Antiretroviral Therapy (ART). Athens Journal of Health and Medical Sciences, 2020. Volume 7: Issue 4 pp 197 – 216. DOI= 10.30958/ajhms.7-4-2.
Flowers P. et al. Diagnosis and stigma and identity amongst HIV positive Black Africans living in the UK, Psychology & Health, 2006. 21:1, 109 – 122.
Nguyen, K.V., “Antiretroviral Globalism, Biopolitics, and Therapeutic Citizenship.” In Global Assemblages, edited by Aihwa Ong and Stephen J. Collier, Blackwell Publishing Limited, 2008. 124 - 44.
Parker, R. D., ‘Five Theses on Identity Politics.’ Harvard Journal of Law & Public Policy, 2005. 29 (1), pp53 – 59.
Mulubale, S., Identity, Governmentality, Chronicity and Development: A Study of Zambian Teachers Living With and Affected by HIV and ‘Therapeutic Citizenship’, 2019. Doctoral dissertation, University of East London.
Ecks, S., Pharmaceutical Citizenship: antidepressant marketing and the promise of demarginalisation in India. Anthropol. Med, 2005. 12: 239-54.
Guardia, J.G., Developing Who I Am: A Self-Determination Theory Approach to the Establishment of Healthy Identities, Educational Psychologist, 2009. 44:2, 90-104.
Paparini, S and Rhodes, T., The biopolitics of engagement and the HIV cascade of care: a synthesis of the literature on patient citizenship and antiretroviral therapy, Critical Public Health Journal, 2016. Vol 26: 5 pp 501 – 517.
Rose, N. and Novas C., Biological Citizens, In Ong, A. and S. J. Collier (eds.) Global assemblages: technology, politics, and ethics as anthropological problems. Oxford, Blackwell Publishing, 2005. pp 439 - 464.
Murray, T. L., Governmentality. Anthropologica, 2007. Vol. 49. No. 2 pp 275 – 281.
Ratele K., Four (African) Psychologies, 2016. Theory and Psychology 1- 15.
De-Graft, A. et al. Tackling Africa’s chronic disease burden: from the local to the global. Globalisation and health, 2010. 6 (5). Available at: https://globalizationandhealth.biomedcentral.com/articles/10.1186/1744-8603-6-5 Accessed on 10/08/2017.
Robin, S.L., From Revolution to Rights in South Africa: Social Movements NGOs & Popular Politics after Apartheid, 2008. Suffolk: James Curry
Squire, C., “The Politics of Personal HIV stories” in Molly A. et al. (eds) The Routledge International handbook on Narrative and Life History. 2016 London: Routledge pp. 369 – 380.
Masing, A., Decolonising Social Thought and Contemporary Social Discourse: the diversification and globalisation of sociology. LSE Researching Sociology Blog, 2018. Available at: http://blogs.lse.ac.uk/researchingsociology/2018/03/01/decolonising-social-thought-and-contemporary-social-discourse-the-diversification-and-globalisation-of-sociology/
Mulubale S, Rohleder P, Squire C., LOLS@ stigma: comedy as activism in the changing times of the HIV epidemic. Critical Public Health, 2021. 31(3):255-67.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Sanny Mulubale, Katongo Bwalya, Janet Mundando
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors wishing to include figures, tables, or text passages that have already been published elsewhere are required to obtain permission from the copyright owner(s) for both the print and online format and to include evidence that such permission has been granted when submitting their papers. Any material received without such evidence will be assumed to originate from the authors.