Why would many Zambians be reluctant to access lifesaving antiretroviral treatment? Does the process of accessing an HIV test in Zambia promote an identity that can change individuals' livelihood strategies? What happens to individuals when people access treatment? Voluntary testing and treatment centres and the HIV-prevention programmes that support them have come to embody explicit messages about 'health,' 'progress,' 'civilisation' and 'modernity,' and through this they compel individuals to take on a particular identity. In Zambia the pursuit of HIV testing and biomedical treatment forces individuals to locate themselves somewhat differently in relation to community support structures, placing their faith in the future on an uneasy foundation of a 'modern' identity. This is embodied in the deep-rooted suspicion that many Zambians have toward the international HIV/AIDS-response sector from which HIV and AIDS treatment programmes are derived. Drawing upon the notion of 'therapeutic citizenship' I examine why the 'AIDS industry' continues to symbolise such tension. I explore how individuals believe their identity will shift through participation in HIV testing and treatment options and how that might impact long-term and short-term livelihood strategies.

The ongoing HIV/AIDS pandemic in southern Africa continues to manifest itself in unexpected ways. While the consequences of the disease appear straightforward in some aspects-e.g., medical, labor, cost-in other respects the repercussions, while large, are nonetheless highly nuanced and can be counterintuitive. This paper reports on the intersection of HIV/AIDS, migration, livelihood adaptation, land tenure, and forest conservation, to outline how adaptation to the pandemic has reworked significant aspects of land tenure to result in increased forest conservation in southern Zambia in the near to medium-term. The research uses a combination of ethnography, case studies, household survey and spatial analyses and finds that HIV/AIDS is used in customary legal settings to enhance land access. We also draw links to practical and theoretical implications of the relationship between HIV/AIDS, land tenure, and deforestation in Sub-Saharan Africa.

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Abstract:This article explores how international discourses on AIDS prevention have been incorporated into national-level programs that promote particular lifestyle and livelihood strategies in Zambia, particularly within the realms of wife inheritance, widowhood, and marriage. In response, Zambian communities have recast these narratives to inform local political economies, identities, and struggles for power. Often community and national-level efforts work at odds with each other, as each seeks to legitimize various moralities and codes of behavior. At the local level actors choose the strategies that most effectively mitigate the impact of HIV/AIDS and also enhance their overall well-being.

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