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

<p>Abstract</p> <p>Background</p> <p>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 implement...

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Main Authors: Johnston Deborah, Mohiddin Abdu
Format: Article
Language:English
Published: BMC 2006-01-01
Series:Globalization and Health
Online Access:http://www.globalizationandhealth.com/content/2/1/1
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author Johnston Deborah
Mohiddin Abdu
author_facet Johnston Deborah
Mohiddin Abdu
author_sort Johnston Deborah
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Discussion</p> <p>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.</p> <p>Summary</p> <p>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.</p>
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spelling doaj.art-418bb166a4fd48deb288d3d06bc951d22022-12-22T02:51:36ZengBMCGlobalization and Health1744-86032006-01-0121110.1186/1744-8603-2-1HIV/AIDS mitigation strategies and the State in sub-Saharan Africa – the missing link?Johnston DeborahMohiddin Abdu<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Discussion</p> <p>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.</p> <p>Summary</p> <p>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.</p>http://www.globalizationandhealth.com/content/2/1/1
spellingShingle Johnston Deborah
Mohiddin Abdu
HIV/AIDS mitigation strategies and the State in sub-Saharan Africa – the missing link?
Globalization and Health
title HIV/AIDS mitigation strategies and the State in sub-Saharan Africa – the missing link?
title_full HIV/AIDS mitigation strategies and the State in sub-Saharan Africa – the missing link?
title_fullStr HIV/AIDS mitigation strategies and the State in sub-Saharan Africa – the missing link?
title_full_unstemmed HIV/AIDS mitigation strategies and the State in sub-Saharan Africa – the missing link?
title_short HIV/AIDS mitigation strategies and the State in sub-Saharan Africa – the missing link?
title_sort hiv aids mitigation strategies and the state in sub saharan africa the missing link
url http://www.globalizationandhealth.com/content/2/1/1
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