'Teach a Man to Fish': The Doctrine of Sustainability and Its Effects on Three Strata of Malawian Society.

This paper analyzes the social impacts of the commitment to "sustainability" in donor-funded AIDS programs. Using survey, interview, and ethnographic data from rural Malawi, we examine how efforts to mobilize and empower local communities affect three strata of Malawian society: the villagers these programs are meant to help, the insecure local elites whose efforts directly link programs to their intended beneficiaries, and, more briefly, national elites who implement AIDS policies and programs. We describe indirect effects of sustainability on the experiences, identities, and aspirations of Malawians-effects that are much broader and deeper than the direct impacts of funding.

Hearsay Ethnography: Conversational Journals as a Method for Studying Culture in Action.

Social scientists have long struggled to develop methods adequate to their theoretical understanding of meaning as collective and dynamic. While culture is widely understood as an emergent property of collectivities, the methods we use keep pulling us back towards interview-situated accounts and an image of culture as located in individual experience. Scholars who seek to access supra-individual semiotic structures by studying public rituals and other collectively-produced texts then have difficulty capturing the dynamic processes through which such meanings are created and changed in situ.

Public health. Reassessing HIV prevention.

The largest investments in AIDS prevention targeted to the general population are being made in interventions where the evidence for large-scale impact is uncertain.

Ties of dependence: AIDS and transactional sex in rural Malawi.

In sub-Saharan Africa, the exchange of sex for material support-labeled "transactional sex" by Western observers--is claimed by some to be a major driver of the AIDS pandemic. Transactional sex is described as akin to prostitution, a degraded form of sexual expression forced on vulnerable women by economic desperation. Using evidence from rural Malawi, we demonstrate that patron-client ties and a moral obligation to support the needy, which are fundamental to African social life, are central elements of transactional sex.