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O'Manique critically examines the evolution of the policy response to AIDS in Sub-Saharan Africa through a feminist political economy lens, focusing on the relationship between neo-liberalism, the spread of AIDS and the hegemonic policy response. It explores the ways in which AIDS has been constructed as a 'development' problem and how AIDS knowledges and institutions have evolved and have shaped interventions in the AIDS sector. Central to the analysis is a historical case-study of Uganda.
The issue of universal and free access to treatment is now a fundamental goal of the international community. Based on original data and field studies from Brazil, Thailand, India and Sub-Saharan Africa under the aegis of ANRS (the French nationalagency for research on Aids and viral hepatitis, this timely and significant book both assesses the progress made in achieving this objective and presents a rigorous diagnosis of the obstacles that remain. Placing particular emphasis on the constraints imposed by TRIPS as well as the poor state of most public health systems in Southern countries, the contributing authors provide a comprehensive analysis of the huge barriers that have yet to be overcome in order to attain free access to care and offer innovative suggestions of how they might be confronted. In doing this, the book renews our understanding of the political economy of HIV/AIDS in these vast regions, where the disease continues to spread with devastating social and economic consequences. This volume will be a valuable addition to the current literature on HIV/AIDS in developing countries and will find widespread appeal amongst students and academics studying economics, sociology and public health. It will also be of interest to international organizations and professional associations involved in the fight against pandemics.
Sub-Saharan Africa is a region devastated by HIV/AIDS. The extent of the epidemic is only now becoming clear, as increasing numbers of people with HIV are becoming ill. In the absence of massively expanded prevention, treatment and care efforts, the AIDS death toll on the continent is set to escalate rapidly. Despite progress being achieved in localized settings, the alarming statistics reflect the continuing failure of advanced countries to mount a response that matches the scale and severity of the African HIV/AIDS crisis. Over and above the colossal personal suffering, the dire social and economic consequences for fragile nation-states are already being felt, not only in health but in education, industry, agriculture, transport, human resources and economies in general. Countries already crippled by drought, poverty, debt, forced migration and civil war must now contend with massive deterioration in child survival rates and life expectancy, the erosion of the economic family base, massive and insupportable demands on health and public services, chronic labour shortages and volatile national security. Through a critical and detailed exploration of specific case studies, this invaluable volume brings together an unparalleled array of international contributors to redefine the political and economic contours of this calamitous epidemic. It examines the impact of the shortfalls in the 'Global Fund' allocation, the slow pace of administrative processing of aid and the weaknesses of institutional responses to the crisis from African countries and their partners in the global health community. It is essential reading for all concerned with public health, epidemiology, HIV/AIDS research, globalization, development, Africa and indeed our shared future. Features include: ” Unique assessments of HIV/AIDS and its impact on democracy and governance in African states ” Wide-ranging regional and country studies by the foremost thinkers in their fields ” Multi-disciplinary contributions from areas including: Politics, Sociology, Public Health and Development Studies ” Compelling and convincing evidence, thematic in approach ” Innovative and culturally specific insights for long-term planning, care and support
This book investigates civil society regionalization in Southern Africa. The point of departure is the study of 'new regionalism', which refers to the wave of regional integration globally since the 1980s. However, whilst the current regionalism studies undoubtedly contributes to a deeper understanding of regional processes, important gaps remain, in particular the relatively scant emphasis given to civil society. This particularly relates to regions in the global South, including Southern Africa. The overarching aim of this book is therefore to analyse the dynamics of civil society regionalization in Southern Africa, both empirically and from a theoretical perspective, through analysing the cases of trade and HIV/AIDS. The study finds that CSOs can be more active in regional governance than has previously been conceptualized and are also highly active in terms of constructing regionalization through framing issues and, to a less extent, making identities 'regional'. Furthermore, the book enhances knowledge of the heterogeneous nature of civil society regionalization. Lastly, it is demonstrated that 'going regional' is only partly an autonomous process and also has to be understood as under the influence of the deeper statist and capitalist social structures marking the regional order in Southern Africa.
This book is for students and scholars studying political economy, public policy, and global health, and all those who are interested in knowing how ordinary Africans think about the response to the AIDS epidemic. It studies the divergent priorities of donors and citizens in response to AIDS intervention in Africa.
During the past five decades, sub-Saharan Africa has received more foreign aid than has any other region of the world, and yet poverty remains endemic throughout the region. As Kenneth Kalu argues, this does not mean that foreign aid has failed; rather, it means that foreign aid in its current form does not have the capacity to procure development or eradicate poverty. This is because since colonialism, the average African state has remained an instrument of exploitation, and economic and political institutions continue to block a majority of citizens from meaningful participation in the economy. Drawing upon case studies of Angola, Cameroon, Chad, Equatorial Guinea, Democratic Republic of the Congo, and Nigeria, this book makes the case for redesigning development assistance in order to strike at the root of poverty and transform the African state and its institutions into agents of development.
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Across Africa, HIV/AIDS is slowly killing millions of people in the prime of their lives, weakening state structures, deepening poverty and reversing the gains in life expectancy achieved over the past century. Although many who study the dynamics of Africas AIDS crisis accept that, to some degree, its entrenchment is a socially produced phenomenon, few have examined how the course and intensity of the epidemic have been affected by the continents ubiquitous poverty, the impact of the pervasive structural adjustment programmes or Africas marginalization in the process of globalization until now. This book explores the socio-economic context of Africas vulnerability to HIV/AIDS as well as assessing the politics of domestic and global response. Using primary and secondary data, it charts the power relations driving Africas HIV/AIDS epidemic, frustrating the possibility of alleviation and recovery as well as working to relegate the continent to a bleak and vulnerable future. In this sense, the book marks a radical departure by providing a comprehensive analysis of Africas vulnerability to AIDS and the challenges confronting policy makers as they seek to reverse its escalating prevalence on the continent. AIDS in Africa is an immensely valuable introduction to the greatest pandemic facing the world today.
In the years since the end of apartheid, South Africans have enjoyed a progressive constitution, considerable access to social services for the poor and sick, and a booming economy that has made their nation into one of the wealthiest on the continent. At the same time, South Africa experiences extremely unequal income distribution, and its citizens suffer the highest prevalence of HIV in the world. As Archbishop Desmond Tutu has noted, “AIDS is South Africa’s new apartheid.” In Ancestors and Antiretrovirals, Claire Laurier Decoteau backs up Tutu’s assertion with powerful arguments about how this came to pass. Decoteau traces the historical shifts in health policy after apartheid and describes their effects, detailing, in particular, the changing relationship between biomedical and indigenous health care, both at the national and the local level. Decoteau tells this story from the perspective of those living with and dying from AIDS in Johannesburg’s squatter camps. At the same time, she exposes the complex and often contradictory ways that the South African government has failed to balance the demands of neoliberal capital with the considerable health needs of its population.
This report presents three hypothetical case studies for how the AIDS epidemic in Africa could evolve over the next 20 years based on policy decisions taken today by African leaders and the rest of the world; and considers the factors likely to drive the future responses of African countries and the international community. The scenarios draw on the age-old tradition of story-telling, rather than using data projections, to explore the wider context of the AIDS epidemic, reflecting the complexity of the subject matter.