HIV/AIDS mitigation strategies and the State in sub-Saharan Africa - The missing link?

Journal article

Mohiddin, A. and Johnston, D. (2006). HIV/AIDS mitigation strategies and the State in sub-Saharan Africa - The missing link? Globalization and Health. 2. https://doi.org/10.1186/1744-8603-2-1
AuthorsMohiddin, A. and Johnston, D.
Abstract

Background
The HIV/AIDS pandemic in sub-Saharan Africa is widely recognised as a development disaster threatening poverty reduction, economic growth and not merely a health issue. Its mitigation includes the societal-wide adoption and implementation of specific health technologies, many of which depend on functional institutions and State.

Discussion
Donor and International Institutions' strategies to mitigate HIV/AIDS in sub-Saharan Africa are premised on a single optimal model of the State, one which focuses on the decentralised delivery of public goods alone (such as healthcare) – the service delivery state. The empirical evidence, though sparse, of "successful" and "unsuccessful" sub-Saharan Africa states' performance in mitigating HIV/AIDS does not support this model. Rather, the evidence suggests an alternative model that takes a country context specific approach – encompassing political power, institutional structures and the level of health technology needed. This model draws on the historical experience of East Asian countries' rapid development.

Summary
For international public health policies to be effective, they must consider a country tailored approach, one that advocates a coordinated strategy designed and led by the State with involvement of wider society specific to each country's particular history, culture, and level of development.

Year2006
JournalGlobalization and Health
Journal citation2
PublisherSpringer
ISSN1744-8603
Digital Object Identifier (DOI)https://doi.org/10.1186/1744-8603-2-1
Web address (URL)http://www.scopus.com/inward/record.url?eid=2-s2.0-33646395435&partnerID=MN8TOARS
Publication dates
Online17 Jan 2006
Publication process dates
Accepted17 Jan 2006
Deposited13 Dec 2022
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Open
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