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Medical Anthropology Quarterly

In the shadow of HIV: Fear, rumor, and stigma among young women living with HIV in COVID-19 pandemic in Western Kenya

    Mariam Florence Yusuf, Washington Onyango-Ouma, Ruth Jane Prince, Paul Wenzel Geissler

    Abstract

    Drawing on ethnographic research in Dudi village in Western Kenya, this article explores how the lingering legacies of the 1990s HIV/AIDS epidemic shaped local perceptions of, and responses to, the COVID-19 pandemic and related vaccine controversies. Focusing on the lives of young women living with HIV, the article traces how their experiences of navigating HIV care, stigma, and gendered expectations intersected with anxieties around COVID-19 vaccination. These narratives are embedded within a broader historical and social landscape marked by grief, moral judgement, and structural exclusion. Past experiences with HIV are shown to inform contemporary fears around vaccination, reigniting multi-layered forms of stigma and casting women’s bodies as sites of risk, suspicion, and control. By situating these responses within the long shadow of the AIDS epidemic, the article highlights how disease, memory, and gendered moralities continue to shape health experiences and interventions in deeply unequal ways.