Who Governs Public Health? Donor Retreat and the Shifting Spheres of Influence in Southern African HIV/AIDS Policy Making

Oberth, Gemma

Who Governs Public Health? Donor Retreat and the Shifting Spheres of Influence in Southern African HIV/AIDS Policy Making

Journal Article

2012

Journal Title

Sociology Study

Link to Journal

http://www.davidpublishing.com/journals_info.asp?jId=1491

Publisher

David Publishing

Publisher

University of Cape Town

Department

Centre for Social Science Research(CSSR)

Faculty

Faculty of Humanities

Abstract

For the last decade, discussions about who governs policy on prevention and treatment of HIV/AIDS have revolved around the controversial relationship between Western donors and the power they have over their recipient governments. While these debates were once politically germane, recent trends show a decline of donor funding, as well as an increase of financial ownership of the epidemic within Southern Africa. Commensurate with this shifting financial influence, some well‐governed, wealthy African states are beginning to deviate from global M&E (monitoring and evaluation) indicators. These policy movements, away from global M&E indicators, also correlate with increases in HIV prevalence, which signals the need for further investigation into policy efficacy.

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