Preaching Prevention: Born-Again Christianity and the Moral Politics of AIDS in Uganda PDF
Preview Preaching Prevention: Born-Again Christianity and the Moral Politics of AIDS in Uganda
PREACHING PREVENTION Born-Again Christianity and the Moral Politics of AIDS in Uganda Lydia Boyd PREACHING PREVENTION PERSPECTIVES ON GLOBAL HEALTH Series editor: James L. A. Webb, Jr. The History of Blood Transfusion in Sub- Saharan Africa, by William H. Schneider Global Health in Africa: Historical Perspectives on Disease Control, edited by Tamara Giles- Vernick and James L. A. Webb, Jr. Preaching Prevention: Born- Again Christianity and the Moral Politics of AIDS in Uganda, by Lydia Boyd The Experiment Must Continue: Medical Research and Ethics in East Africa, 1940–2014, by Melissa Graboyes PREACHING PREVENTION Born- Again Christianity and the Moral Politics of AIDS in Uganda Lydia Boyd Ohio University Press Athens Ohio University Press, Athens, Ohio 45701 ohioswallow . com © 2015 by Ohio University Press All rights reserved To obtain permission to quote, reprint, or otherwise reproduce or distribute material from Ohio University Press publications, please contact our rights and permissions department at (740) 593-1154 or (740) 593-4536 (fax). Printed in the United States of America Ohio University Press books are printed on acid-f ree paper ™ All photographs are by the author. 25 24 23 22 21 20 19 18 17 16 15 5 4 3 2 1 Library of Congress Cataloging- in- Publication Data Boyd, Lydia, author. Preaching prevention : born- again Christianity and the moral politics of AIDS in Uganda / Lydia Boyd. p. ; cm. — (Perspectives on global health) Includes bibliographical references and index. ISBN 978-0-8214-2169-7 (hc : alk. paper) — ISBN 978-0-8214-2170-3 (pb : alk. paper) — ISBN 978-0-8214-4532-7 (pdf) I. Title. II. Series: Perspectives on global health. [DNLM: 1. United States. President’s Emergency Plan for AIDS Relief. 2. Acquired Immunodeficiency Syndrome— prevention & control— Uganda. 3. Acquired Immunodeficiency Syndrome— prevention & control— United States. 4. HIV Infections—prevention & control— Uganda. 5. HIV Infections— prevention & control— United States. 6. Christianity—U ganda. 7. Christianity— United States. 8. Health Policy— Uganda. 9. Health Policy— United States. 10. Sexual Abstinence— Uganda. 11. Sexual Abstinence— United States. WC 503.6] RA643.86.U33 362.19697'920096761— dc23 2015026459 For Dave CONTENTS List of Illustrations ix Ac know ledg ments xi Introduction The Politics and Antipolitics of Miracles 1 PART I. THE CONTEXT OF A POLICY American Compassion and the Politics of AIDS ONE Prevention in Uganda 27 AIDS at Home TWO Urbanization, Religious Change, and the Politics of the House hold in Twentieth- and Twenty- First- Century Uganda 55 PART II. ENGAGEMENTS “Abstinence Is for Me, How about You?” THREE The Meaning and Morality of Sex 79 Abstinence and the Healthy Body FOUR Spiritual Frameworks for Health and Healing, or “The Right Way to Live Long” 106 Faithfulness FIVE Urban Sexuality and the Moral Dilemmas of Love 130 PART III. IN A POLICY’S WAKE Freedom and the Accountable Subject SIX Uganda’s Anti- Homosexuality Bill 157 vii Epilogue Beyond the Accountable Subject 180 Notes 187 Bibliography 217 Index 233 viii Contents ILLUSTRATIONS Figures 1.1. “Safe sex is no sex!” rally in support of abstinence, Kampala, October 2006 52 2.1. “Fight abstinence stigma”; Christian abstinence activists 71 3.1. “Abstinence is for me, how about you?” 80 3.2. “Marriage is a fortress”; Mukono abstinence workshop, January 2007 88 4.1. “It’s healthy 2 abstain”; rally in support of abstinence, Kampala, October 2006 108 5.1. Faithfulness flag, Kampala, World AIDS Day 2006 131 6.1. “We should drive out homosexuality” 162 Map 2.1. Uganda and Buganda 59 ix
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