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Begin forwarded message:

> From: H-Net Staff via H-REVIEW <h-rev...@lists.h-net.org>
> Date: July 6, 2020 at 2:11:58 PM EDT
> To: h-rev...@lists.h-net.org
> Cc: H-Net Staff <revh...@mail.h-net.org>
> Subject: H-Net Review [H-Africa]:  Burgess on Cynn,  'Prevention: Gender,  
> Sexuality, HIV, and the Media in Côte d'Ivoire'
> Reply-To: h-rev...@lists.h-net.org
> 
> Christine Cynn.  Prevention: Gender, Sexuality, HIV, and the Media in 
> Côte d'Ivoire.  Abnormalities: Queer/Gender/Embodiment Series. 
> Columbus  Ohio State University Press, 2018.  xi + 240 pp.  $29.95 
> (paper), ISBN 978-0-8142-5498-1; $99.95 (cloth), ISBN 
> 978-0-8142-1381-0.
> 
> Reviewed by Sarah S. Burgess (Camber Collective)
> Published on H-Africa (July, 2020)
> Commissioned by David D. Hurlbut
> 
> In Prevention: Gender, Sexuality, HIV and the Media in Côte 
> d'Ivoire, Christine Cynn argues that HIV prevention media in Côte 
> d'Ivoire has historically upheld ideals around neoliberalism, 
> national identity, hegemonic gender norms, and heterosexism. In deep, 
> insightful close readings, Cynn dissects various HIV/AIDS visual 
> media, including satirical newspaper columns, comedic television 
> sketches, and melodramas produced by nongovernmental organizations 
> (NGOs). Broadly speaking, these media are generally said to have one 
> key objective: promoting social and behavioral change to prevent 
> HIV/AIDS. Cynn's analysis argues that they also work to uphold 
> multiple (and at times, contradictory) social, economic, and 
> political agendas. 
> 
> In the introduction, Cynn provides background on her positionality 
> and methods, laying out how her work benefited from her own long-term 
> engagement in HIV prevention. She is also up-front about the 
> limitations of her research and analytical framework. Prior to 
> writing the book, Cynn worked as a community organizer and later as a 
> Fulbright researcher in Abidjan, the capital of Côte d'Ivoire, where 
> she worked closely with women living with HIV in Abidjan. Through 
> this experience, Cynn observed a "chasm" between the representation 
> of HIV prevention in the media and "the lived experiences of those 
> exposed to HIV prevention messages." While this observation is the 
> "point of departure" for this book, Cynn is up-front about the fact 
> that she does not attempt to, and does not, address this chasm (p. 
> 13). Nor does Cynn rely on the methods of social science or include 
> ethnographic data from the community of Ivorians with whom she worked 
> so closely. Rather, Cynn approaches HIV prevention media as a scholar 
> of literature and film, relying on close readings and asserting that 
> "humanities can make vital contributions to discussions that have 
> generally been limited to the purview of the sciences, and to a 
> lesser extent, the social sciences" (p. 12). The boundaries of Cynn's 
> lens lead to a unique, striking analysis but also suggest limits to 
> the extent to which a purely humanities lens can generate the 
> insights that Cynn calls for in her conclusion. 
> 
> Each chapter of _Prevention _looks at a different form of HIV 
> messaging. Cynn generally starts by examining the historical and 
> political context in which the media was produced and proceeds with a 
> close analytical reading of text, dialogue, and visual imagery, 
> dissecting how they work to produce multiple, often contradictory 
> meanings. Cynn examines a satirical column that pokes fun at, and 
> upholds, the single party state's response to the epidemic, and later 
> on dissects television programs from the 1980s and 1990s that 
> delivered HIV prevention messages through humor, while also 
> reproducing patriarchal gender norms. 
> 
> The most dynamic and original analysis appears in chapter 3, 
> "Regulating Female Reproductive Potential: Abortion and Family as HIV 
> Prevention." This is where the depth of Cynn's understanding of 
> historical Ivorian politics, the depth of her archival research, and 
> her analytical attention to detail shine most. Cynn begins this 
> chapter by looking at French colonial attempts to establish control 
> by promoting nuclear families. The chapter then draws on Jeane M. 
> Toungara's analysis, which posits that the state continued to promote 
> the nuclear family so as to encourage "capitalist economic 
> development" and maintenance of "a labor force" (p. 98). Then, Cynn 
> builds on this analysis and closely examines messaging and media at 
> the intersection of HIV/AIDS, reproduction, and abortion, following 
> how different narratives and anxieties around motherhood and 
> citizenship have both held steady and evolved over time. 
> 
> Between 1993 and 2003, Cynn writes, messages around motherhood and 
> HIV shifted dramatically. In the early 1990s, local and global actors 
> held and perpetuated deep anxiety that HIV-positive women would pass 
> infection to their infants, leading to high seroprevalence in the 
> population as a whole. In response to this anxiety, "astonishingly 
> officially unofficial (or unofficially official) messages" 
> contradicted state policy and religious doctrine on abortion and 
> strongly suggested seropositive women abort their fetuses (p. 96). 
> With deft analytical writing, Cynn shows how subtle symbols in a 
> television series--a doctor's white lab coat and a nun's white 
> habit--operated to produce these messages (p. 102). 
> 
> Later in the same chapter, Cynn examines "Fatoumata: HIV-Positive 
> Mother" (1999), an episode about motherhood in a video series on HIV 
> prevention. This media tells the story of an Ivorian woman who is 
> anxious about her HIV status, and what it says about her as a wife 
> and potential mother. The series follows Fatoumata as she carefully 
> follows medical advice to prevent HIV transmission to her child, 
> taking medication during pregnancy, and avoiding breastfeeding after 
> birth, and later, resisting pressure to use traditional medicine on 
> her son. Fatoumata, Cynn argues, is represented as a "virtuous mother 
> and wife" and "blameless victim" (p. 131). Analysis on the Fatoumata 
> segment concludes that while the story challenges stigma, it 
> "reinforces stigmatization against those who do not conform to 
> reproductively oriented, heteronormative gendering," reproducing the 
> legacy of colonial and state messaging that have sought political 
> control through heteronormative population control (p. 136).  
> 
> Although this analysis is provocative, in this instance, and other 
> instances like it, it feels incomplete without data on how the 
> intended audience received and interpreted the media. While Cynn 
> makes the case that promoting heterosexual ideals around motherhood 
> is part of colonial legacy, Africana womanist scholarship has argued 
> that the legacies of colonialism and capitalism have systematically 
> deteriorated and undermined families, and thus prioritizing family 
> and achieving motherhood can be understood as an act of 
> resistance.[1] At the end of the chapter on HIV and reproduction, I 
> was left wondering what exactly the media had achieved, and if it did 
> more work to challenge the stigma and support the desires of women 
> and their communities; or if it generated further pressure for women 
> to conform to hegemonic structures and norms; or if it represented 
> both resistance to and replication of colonial discourse. 
> 
> Cynn is well aware of the boundaries of her analysis. In the 
> introduction, she notes that she was unable to include "ethnographies 
> of resistant subjects of health interventions" or analysis of the 
> "alternative, unofficial modes of HIV prevention," noting that these 
> types of analysis would serve as a "welcome supplement" to her own 
> research (p. 13). Still, it is unfortunate that Cynn does not bring 
> ethnography, or data from her experience in the field, into her own 
> work, as in many places it would have made for a richer, more 
> productive analysis.  
> 
> "HIV prevention media" Cynn concludes, "calls for inquiries" that 
> extend beyond the normative frameworks and imagine "more open-ended 
> futures that extend beyond those offered, that are yet to come" (p. 
> 207). Having worked in the field of HIV prevention messaging myself, 
> I could not agree more, and am grateful for the additional 
> perspective that Cynn gave me through this work. Yet I wish that Cynn 
> had brought a little more social science into her methods, instead of 
> relying on future scholars to complement her analysis. Without 
> ethnography embedded in her analysis, some of it felt incomplete. A 
> more interdisciplinary approach would have (paradoxically) 
> strengthened her argument on the values of a humanities lens in 
> public health messaging and perhaps yielded further insight to help 
> us imagine or understand those open-ended futures. 
> 
> Note 
> 
> [1]. Clenora Hudson-Weems, _Africana Womanism: Reclaiming Ourselves_ 
> (New York: Routledge, 2019). 
> 
> Citation: Sarah S. Burgess. Review of Cynn, Christine, _Prevention: 
> Gender, Sexuality, HIV, and the Media in Côte d'Ivoire_. H-Africa, 
> H-Net Reviews. July, 2020.
> URL: https://www.h-net.org/reviews/showrev.php?id=55002
> 
> This work is licensed under a Creative Commons 
> Attribution-Noncommercial-No Derivative Works 3.0 United States 
> License.
> 
> 
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