‘Ending AIDS’ between comparison and commensuration and the role of global health indicators

The use of targets and indicators in global health has become ubiquitous within global health and disease elimination programmes. The drive to ‘end AIDS’ has become a global flagship endeavour, including nation-states, donor organisations, NGOs, pharmaceutical companies, medical researchers, and act...

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Main Author: Tony Sandset
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Public Health
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/17441692.2024.2312435
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author Tony Sandset
author_facet Tony Sandset
author_sort Tony Sandset
collection DOAJ
description The use of targets and indicators in global health has become ubiquitous within global health and disease elimination programmes. The drive to ‘end AIDS’ has become a global flagship endeavour, including nation-states, donor organisations, NGOs, pharmaceutical companies, medical researchers, and activists. Almost synonymous with the campaign of ending AIDS is UNAIDS’ 90-90-90 targets. Beyond indicators’ role in neoliberal global health, an essential aspect of indicators and quantitative metrics is their ability to provide a basis for measurements and comparability across time and between different actors and entities. These processes are based on what has been called, commensuration, visual simplification, and serialisation. This article seeks to provide an account of how we can think about indicators in the drive to end AIDS as doing work that is contingent upon commensuration, simplification, and serialisation. The argument is that by attending to issues of commensuration, visual simplification, and serialisation we are better able to see how we risk erasing and foreclosing other forms of conceptualising what the end of AIDS could be. Logics of quantification risks erasing and foreclosing other qualitative aspects of the HIV epidemic as well as obscuring various epistemological tensions inherent in counting towards the end of AIDS.
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spelling doaj.art-5d4ebd79c79f466cb530b09bb0f2cb0b2024-12-03T19:27:47ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062024-12-0119110.1080/17441692.2024.2312435‘Ending AIDS’ between comparison and commensuration and the role of global health indicatorsTony Sandset0Research Fellow, Center for Sustainable Healthcare Education, Faculty of Medicine, University of Oslo, Oslo, NorwayThe use of targets and indicators in global health has become ubiquitous within global health and disease elimination programmes. The drive to ‘end AIDS’ has become a global flagship endeavour, including nation-states, donor organisations, NGOs, pharmaceutical companies, medical researchers, and activists. Almost synonymous with the campaign of ending AIDS is UNAIDS’ 90-90-90 targets. Beyond indicators’ role in neoliberal global health, an essential aspect of indicators and quantitative metrics is their ability to provide a basis for measurements and comparability across time and between different actors and entities. These processes are based on what has been called, commensuration, visual simplification, and serialisation. This article seeks to provide an account of how we can think about indicators in the drive to end AIDS as doing work that is contingent upon commensuration, simplification, and serialisation. The argument is that by attending to issues of commensuration, visual simplification, and serialisation we are better able to see how we risk erasing and foreclosing other forms of conceptualising what the end of AIDS could be. Logics of quantification risks erasing and foreclosing other qualitative aspects of the HIV epidemic as well as obscuring various epistemological tensions inherent in counting towards the end of AIDS.https://www.tandfonline.com/doi/10.1080/17441692.2024.2312435MetricsHIV/AIDScommensurationepidemiccomparison
spellingShingle Tony Sandset
‘Ending AIDS’ between comparison and commensuration and the role of global health indicators
Global Public Health
Metrics
HIV/AIDS
commensuration
epidemic
comparison
title ‘Ending AIDS’ between comparison and commensuration and the role of global health indicators
title_full ‘Ending AIDS’ between comparison and commensuration and the role of global health indicators
title_fullStr ‘Ending AIDS’ between comparison and commensuration and the role of global health indicators
title_full_unstemmed ‘Ending AIDS’ between comparison and commensuration and the role of global health indicators
title_short ‘Ending AIDS’ between comparison and commensuration and the role of global health indicators
title_sort ending aids between comparison and commensuration and the role of global health indicators
topic Metrics
HIV/AIDS
commensuration
epidemic
comparison
url https://www.tandfonline.com/doi/10.1080/17441692.2024.2312435
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