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Volume 352:649-652 February 17, 2005 Number 7
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Women, Inequality, and the Burden of HIV
Bisola O. Ojikutu, M.D., M.P.H., and Valerie E. Stone, M.D., M.P.H.

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Driving through KwaZulu-Natal, South Africa, one is struck by the lush farmland and beautiful coast. Beyond this panorama, however, lie rural communities such as Umbumbulu, with its unemployment rate of 60 percent and rampant violence, where 40 percent of women seeking prenatal care are positive for the human immunodeficiency virus (HIV).1

Thandi Dlamini (not her real name) grew up in a crowded four-room house in Umbumbulu with 13 family members. As the youngest girl, she was charged with cooking, cleaning, and caring for her elders. At 19 years of age, she met her first boyfriend. From the perspective of Thandi . . . [Full Text of this Article]


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Dr. Ojikutu is a fellow in infectious diseases at the Massachusetts General Hospital and Brigham and Women's Hospital, Boston; and Dr. Stone is an associate professor in the Division of AIDS, Harvard Medical School, and the Department of Medicine, Massachusetts General Hospital, Boston.




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