Nana K. Poku - The Political Economy of AIDS in Africa

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THE POLITICAL ECONOMY OF AIDS IN AFRICA

Global Health

Series Editors: Nana K. Poku and Robert L. Ostergard, Jr.

The benefits of globalization are potentially enormous, as a result of the increased sharing of ideas, cultures, life-saving technologies and efficient production processes. Yet globalization is under trial, partly because these benefits are not yet reaching hundreds of millions of the worlds poor and partly because globalization has introduced new kinds of international problems and conflicts. Turmoil in one part of the world now spreads rapidly to others, through terrorism, armed conflict, environmental degradation or disease.

This timely series provides a robust and multi-disciplinary assessment of the asymmetrical nature of globalization. Books in the series encompass a variety of areas, including global health and the politics of governance, poverty and insecurity, gender and health and the implications of global pandemics.

Also in the series

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The Political Economy of AIDS in Africa

Edited by
NANA K. POKU
University of Southampton, UK
and
Commission for HIV/AIDS and Governance
Economic Commission for Africa, Ethiopia
ALAN WHITESIDE
University of KwaZulu-Natal, South Africa

First published 2004 by Ashgate Publishing

Published 2017 by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
711 Third Avenue, New York, NY 10017, USA

Routledge is an imprint of the Taylor & Francis Group, an informa business

Copyright Nana K. Poku and Alan Whiteside 2004

Nana K. Poku and Alan Whiteside have asserted their right under the Copyright, Designs and Patents Act, 1988, to be identified as the editors of this work.

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.

Notice:
Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.

British Library Cataloguing in Publication Data
The political economy of AIDS in Africa. - (Global health)
1.AIDS (Disease) - Economic aspects - Africa 2.AIDS
(Disease) - Social aspects - Africa 3.AIDS (Disease)
Political aspects - Africa 4.Economic development - Social
aspects - Africa 5.Africa - Economic conditions - 1960
6.Africa - Social conditions - 1960- 7.Africa - Politics
and government - 1960
I.Poku, Nana, 1971- II.Whiteside, Alan
362.196979200967

Library of Congress Cataloging-in-Publication Data
The political economy of AIDS in Africa/ edited by Nana K. Poku and Alan Whiteside.
p.; cm. -- (Global health)
Includes bibliographical references and index.
ISBN 978-0-7546-3897-1-ISBN 978-0-7546-3898-8
1. AIDS (Disease)--Africa. 2. AIDS (Disease)--Social aspects--Africa. 3. AIDS
(Disease)--Economic aspects--Africa. 4. Medical policy--Africa.
[DNLM: 1. Acquired Immunodeficiency Syndrome--Africa. 2. HIV Infections--Africa.
3. Health Policy--Africa. 4. Socioeconomic Factors--Africa. WC 503 P7692 2004] I.
Poku, Nana, 1971- II. Whiteside, Alan. III. Series.

RA643.86.A35P64 2004
362.19697920096--dc22

2003028034

Typeset by Martingraphix

ISBN 13: 978-0-7546-3898-8 (pbk)
ISBN 13: 978-0-7546-3897-1 (hbk)

Contents

Nana K. Poku and Alan Whiteside

Alan Whiteside

Douglas Webb

Nana K. Poku

Alex de Waal

Carolyn Baylies

Morenike Folayan

Robert L. Ostergard, Jr. and Matthew R. Tubin

Alan Whiteside, Robert Mattes, Samantha Willan, and Ryann Manning

Ian Taylor

Daniel Low-Beer and Rand Stoneburner

Robert Mattes and Ryann Manning

Alan Whiteside and Nana K. Poku

Carolyn Baylies
Reader, School of Sociology and Social Policy, University of Leeds

Morenike Folayan
Department of Preventive Dentistry, Obafemi Awolowo University Teaching Hospital

Daniel Low-Beer
Director of the Unit on Health and Population Evaluation at Cambridge University

Ryann Manning
Research Intern, Health Economics and HIV/AIDS Research Division, University of KwaZulu-Natal

Robert Mattes
Associate Professor of Political Studies and Director, Democracy in Africa Research Unit in the Centre for Social Studies at the University of Cape Town

Robert L. Ostergard, Jr.
Associate Director, Institute of Global Cultural Studies and Assistant Professor, Political Science and Africana Studies, State University of New York at Binghamton

Nana K. Poku
Research Director, Commission on HIV/AIDS and Governance in Africa, UN Economic Commission for Africa, and Reader, University of Southampton

Rand Stoneburner
Epidemiologist who has worked with Centers for Disease Control, the New York Public Health Department and the World Health Organization

Ian Taylor
Senior Lecturer, Department of Political and Administrative Studies, University of Botswana

Matthew R. Tubin
Graduate student, Department of Political Science, University of Pennsylvania

Alex de Waal
Director, Justice Africa

Douglas Webb
HIV/AIDS Advisor, Save the Children

Alan Whiteside
Director, Health Economics and HIV/AIDS Research Division, University of KwaZulu-Natal

Samantha Willan
Project Director and Researcher, Health Economics and HIV/AIDS Research Division, University of KwaZulu-Natal

AfricASO	African Council of AIDS Service Organisations
AIDS	Acquired Immunodeficiency Syndrome
AIDSCAP	AIDS Control and Prevention Project
ANC	African National Congress
ANC	Ante-natal clinics
ARV	Anti-retroviral (drug)
ASOs	AIDS service organisations
AZT	Anti-retroviral drug aziothymidine, marketed as Zidovudine
CAFOD	Catholic Agency for Overseas Development
CBOs	Community based organisations
CHGA	Commission on HIV/AIDS and Governance in Africa
CISGHAN	Civil Society Consultative Group on HIV/AIDS in Nigeria
CSWs	Commercial sex workers
DFID	(British) Department For International Development
DHS	Demographic and Health Surveys
DPT	Diphteria, Pertusis, Tetanus (vaccine)

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