Working to make a difference? A narrative on HIV/AIDS, knowledge, and development partners in Nepal

Millions of dollars allocated to prevention and “scientific management” of HIV/AIDS in Nepal have produced disappointing outcomes with the number of people infected increasing alarmingly. Based on interviews and five months of participant observation with an international NGO as well as six years of related work as a Nepali journalist, the thesis argues that a less reductionist and micro-managed and more nuanced and culturally sensitive approach is needed. Communication strategies need to focus on reaching those who are untouched by the HIV infection or full-blown AIDS, who have no knowledge of the infected people in their circle. The thesis seeks to be instrumental in making the policy makers of international development agencies more understanding of the traditional/oral culture and knowledge systems of people in countries like Nepal. Critical reflection on existing approaches will lead to better strategies for stemming the spread of HIV/AIDS without undermining cultural traditions and values.