The best books for understanding Africa’s AIDS pandemic (and feeling hopeful)

This book is exactly what the title promises, and a great place to start.

It’s written by a Swazi health economist who has worked on HIV in Africa for more than 30 years; I have learned a lot from Whiteside and his research over my years of covering this issue. The book looks at the biology and epidemiology of HIV, and also at all the ways it shapes societies.

Whiteside takes complicated concepts of population dynamics, sexual networking, AIDS, and geopolitical security and explains them briskly, clearly, concisely. His focus is the global AIDS epidemic, but his own work and the book are both deeply rooted in Africa.

I’m going to say right off the top that this book is not well written: it’s turgid and florid and hard to follow. But it’s also recent, unlike most of the books on my list, and it’s the first comprehensive accounting of PEPFAR, the extraordinary US intervention into the African pandemic.

It’s impossible to understand the huge shift in the dynamic of the pandemic without understanding how massively George Bush’s decision to support HIV treatment in Africa changed – well, everything – and Bass is the first writer to try to really dig into that story.

Craig Timberg was a reporting colleague when I was a correspondent in South Africa, and became a friend, one with whom I often passionately disagreed.

That’s why I suggest this book: it offers a very different perspective than mine. Craig and his co-author Halperin, an epidemiologist whose work had a big influence on Craig’s thinking, draw a clear through-line for how Western powers created the sparks of the African epidemic then vigorously fanned them.

A significant chunk of the book focuses on solutions (Halperin is a vociferous champion of male circumcision as an intervention to drive down the spread of the virus). It’s a brisk read that makes complex epidemiological dynamics accessible.

Wait, this book isn’t about Africa! No: it’s a biography of Dr. Paul Farmer, a co-founder of the medical humanitarian agency Partners in Health who died in 2022, and who had a major influence on how I, and thousands of others, think about providing healthcare in low-resource settings.

This extremely readable biography of Farmer focuses mostly on his work in Haiti – where Farmer did pioneering work on HIV treatment – and while it’s the other side of the world, it’s a crucial text for rethinking how we understand structural inequalities and access to health care.

The seeds of Farmer’s radical approach were taken by many idealistic medical workers into African HIV programs and indeed when he died, he was in Rwanda, where he co-founded the University of Global Health Equity.

Steinberg is one of South Africa’s great writers of narrative non-fiction; his work is oddly little known outside his home country and it was of huge value to me when I discovered it, not long after I moved to Johannesburg.

This book tracks the progress of a testing and treatment program in Lusikisiki, which had one of the highest HIV infection rates in the world. Part of the story is told through the eyes of a white doctor who expects that, once treatment is there, everyone will seek it out – and a young Black man named Sizwe, clever and successful, who shows all the reasons why HIV response is not as simple as opening up a clinic.

Steinberg’s book probes into some of the messier, less-well-understood dynamics that have driven the pandemic, and features voices rarely heard outside a community like Lusikisiki.