Deborah Johnston - The Political Economy of HIV in Africa: The Political Economy of HIV in Africa

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The Political Economy of HIV
in Africa

Biomedical revolutions seem to have radically altered the environment for HIV transmission: anti-retrovirals (ARVs) and drugs to reduce mother-to-child transmission promise to cut HIV transmission rates, as does male medical circumcision. However, the hopeful messages of UNAIDS are tempered with warnings about expenditure shortfalls and calls for funding. Contributions to this book remind us that, along with the external financial constraints, there have been new fractures in state power and in the organisation of health systems. More than this, the book fundamentally calls into question whether biomedical interventions can change the social roots of this disease. As well as considering new policy approaches, the book reasserts a long-standing political economy approach to HIV and to adapt it to reflect new competing theoretical approaches. The chapters attempt to connect the debates about HIV/AIDS to larger discussions about globalisation, class differentiation, inequity and uneven development in African countries.

This book was originally published as a special issue of the Review of African Political Economy.

Deborah Johnston is a Reader in Development Economics at SOAS University of London, UK. She is a development economist whose research looks at the application of economics, political economy and feminist economics to issues of poverty, ill-health and wellbeing.

Kevin Deane is a Senior Lecturer in International Development at the University of Northampton, UK. His educational background is in development economics, but his research draws on a range of disciplines including political economy, development studies, economics, public health and epidemiology, with an application to the economic and social drivers of the HIV/AIDS epidemic.

Matteo Rizzo is a Senior Lecturer in Development Research Methods at the Department of Development Studies, Senior Lecturer in the Economics of Africa at the Department of Economics and a Member of the Centre of African Studies, all at SOAS University of London, UK. He is an editorial board member of the Review of African Political Economy.

The Political Economy of HIV
in Africa

Edited by

Deborah Johnston, Kevin Deane and Matteo Rizzo

First published 2018

by Routledge

2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN, UK

and by Routledge

711 Third Avenue, New York, NY 10017, USA

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

2018 ROAPE Publications Ltd

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.

Trademark 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

A catalogue record for this book is available from the British Library

ISBN 13: 978-1-138-74163-8

Typeset in Times New Roman

by RefineCatch Limited, Bungay, Suffolk

Publishers Note

The publisher accepts responsibility for any inconsistencies that may have arisen during the conversion of this book from journal articles to book chapters, namely the possible inclusion of journal terminology.

Disclaimer

Every effort has been made to contact copyright holders for their permission to reprint material in this book. The publishers would be grateful to hear from any copyright holder who is not here acknowledged and will undertake to rectify any errors or omissions in future editions of this book.

Contents

1. i
2. iii
3. iv
4. v
5. vi

Citation Information

The chapters in this book were originally published in the Review of African Political Economy, volume 42, issue 145 (September 2015). When citing this material, please use the original page numbering for each article, as follows:

Editorial

The political economy of HIV

Deborah Johnston, Kevin Deane and Matteo Rizzo

Review of African Political Economy, volume 42, issue 145 (September 2015), pp. 335341

Chapter 1

Trapped in the prison of the proximate: structural HIV/AIDS prevention in southern Africa

Bridget OLaughlin

Review of African Political Economy, volume 42, issue 145 (September 2015), pp. 342361

Chapter 2

The political economy of concurrent partners: toward a history of sexlovegift connections in the time of AIDS

Mark Hunter

Review of African Political Economy, volume 42, issue 145 (September 2015), pp. 362375

Chapter 3

Wealthy and healthy? New evidence on the relationship between wealth and HIV vulnerability in Tanzania

Danya Long and Kevin Deane

Review of African Political Economy, volume 42, issue 145 (September 2015), pp. 376393

Chapter 4

Paying the price of HIV in Africa: cash transfers and the depoliticisation of HIV risk

Deborah Johnston

Review of African Political Economy, volume 42, issue 145 (September 2015), pp. 394413

Chapter 5

Exploring the complexity of microfinance and HIV in fishing communities on the shores of Lake Malawi

Eleanor MacPherson, John Sadalaki, Victoria Nyongopa, Lawrence Nkhwazi, Mackwellings Phiri, Alinafe Chimphonda, Nicola Desmond, Victor Mwapasa, David G. Lalloo, Janet Seeley and Sally Theobald

Review of African Political Economy, volume 42, issue 145 (September 2015), pp. 414436

Chapter 6

Revisiting the economics of transactional sex: evidence from Tanzania

Kevin Deane and Joyce Wamoyi

Review of African Political Economy, volume 42, issue 145 (September 2015), pp. 437454

Debates

Chapter 7

The key questions in the AIDS epidemic in 2015

Alan Whiteside OBE

Review of African Political Economy, volume 42, issue 145 (September 2015), pp. 455466

Chapter 8

15 years of War on AIDS: what impact has the global HIV/AIDS response had on the political economy of Africa?

Sophie Harman

Review of African Political Economy, volume 42, issue 145 (September 2015), pp. 467476

Chapter 9

Breaking out of silos the need for critical paradigm reflection in HIV prevention

Justin O. Parkhurst and Moritz Hunsmann

Review of African Political Economy, volume 42, issue 145 (September 2015), pp. 477487

Chapter 10

Microfinance and HIV prevention

Janet Seeley

Review of African Political Economy, volume 42, issue 145 (September 2015), pp. 488496

For any permission-related enquiries please visit: http://www.tandfonline.com/page/help/permissions

Notes on Contributors

Alinafe Chimphonda was a Research Assistant with the Malawi Liverpool Wellcome Trust in Malawi.

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