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Breaking silences and upholding confidences: responding to HIV in the Lihir Islands, Papua New Guinea

Hemer, S.R.

Medical Anthropology 34(2): 124-138

2015

ISSN/ISBN: 0145-9740
PMID: 25226438
DOI: 10.1080/01459740.2014.944263
Document Number: 626682
Various forms of silence are understood to characterize the response to HIV/AIDS in the Lihir Islands in Papua New Guinea. While some efforts have been made to prevent HIV and educate residents, these seem not to have been in proportion to its classification as a high-risk setting for transmission, given social factors associated with the Lihir gold mine. Confidentiality is both practiced yet critiqued in Lihir as another form of silencing that detracts from efforts to emphasize the serious nature of HIV, promote its prevention, and care for those who live with it. 'Breaking the silence' has come to be seen as key to preventing HIV in Lihir, yet while certain silences are acknowledged, others have escaped scrutiny.

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