Download The World Bank and HIV/AIDS : setting a global agenda by Sophie Harman PDF
By Sophie Harman
The governance of the HIV/AIDS pandemic has come to symbolize a multi-faceted and intricate operation during which the area financial institution has set and sustained the worldwide schedule for through the area financial institution. The governance of HIV/ AIDS. via fiscal incentive they've got restructured the is a political foundations of nations in sub-Saharan Africa and the pursuit of switch in nation, undertaking that seeks to embed liberal perform via person, nation, and societal neighborhood behaviour. on the center of this tradition is the force to impose blueprint neoliberal market-based strategies on a personal-global issue.
This e-book unravels how the Bank’s reliable governance time table and dedication to participation, possession and transparency manifests itself in perform, during the Multi-Country AIDS software (MAP), and crucially the way it is pushing an time table that sees a shift in either international future health interventions and kingdom configuration in sub-Saharan Africa. The booklet considers the mechanisms utilized by the financial institution – and the issues therein – to interact the country, civil society and the person in responding to the HIV/AIDS difficulty, and the way those mechanisms were exported to different worldwide initiatives similar to the worldwide Fund and UNAIDS. Harman argues in end that not just has the financial institution set the worldwide time table for HIV/AIDS, yet underpinning this can be a wider dedication to liberal governance reform via neoliberal incentive.
Making an immense contribution to our knowing of world governance and foreign politics, this ebook can be of curiosity to scholars and students of politics, overseas political financial system, diplomacy, improvement stories and civil society.
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Sample text
In many African countries, where the public sector was the largest employer, structural adjustment led to mass unemployment. For example ‘[i]n Uganda, a World Bank-supported retrenchment programme had cut the public employee list from 320,000 to 150,000 between 1990 and 1995’ (Harrison 2002: 62). Job losses in the public sector had a particularly negative impact upon health services with provision becoming intertwined with cost-cutting measures, over equity in provision and severe understaffing (Poku 2002: 531; Whiteside 2002: 191–192).
As such, the book argues that the World Bank has set the global HIV/AIDS agenda. It has done so through a specific form of good governance reform in which the state, civil society, local communities and intergovernmental organisations have embedded practices of neoliberal market-based strategies to combat The complexity of HIV/AIDS governance 19 the epidemic. This reform has been operationalised through the MAP across subSaharan Africa and the Bank’s specific brand of multi-sectoralism. The governance of HIV/AIDS is not just about the practice of governing, but is a political project that seeks to embed liberal practice through individual, state and community behaviour.
Community as the focus of CSO engagement and as a form of implementation procedure for Bank projects was thus not new within the MAP when it was introduced 20 years later or specific to HIV/AIDS. Community and individual responsibility was embedded in the working practices of the Bank since its first forays into healthcare provision in the era of structural adjustment. Civil society emergent The consequences and impact of structural adjustment upon the structure of developing states and issues such as healthcare provision (or lack thereof) and the rise of community provision facilitated an upsurge of civil society activity as a whole, not just in relevance to the health sector.