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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:South Africa's HIV/AIDS Policy, 1994-2004: How Can it be Explained?
Author:Butler, AnthonyISNI
Year:2005
Periodical:African Affairs: The Journal of the Royal African Society
Volume:104
Issue:417
Period:October
Pages:591-614
Language:English
Geographic term:South Africa
Subjects:AIDS
health policy
Politics and Government
Health and Nutrition
History and Exploration
External link:https://www.jstor.org/stable/3518808
Abstract:This article explains South Africa's controversial post-1994 HIV/AIDS policy. It isolates two competing sets of policy prescriptions: a 'mobilization/biomedical' paradigm that emphasized societal mobilization, political leadership and anti-retroviral treatments; and a 'nationalist/ameliorative' paradigm that focused on poverty, palliative care, traditional medicine, and appropriate nutrition. It explains the ascendancy of the ameliorative paradigm in terms of its administrative and political viability in South African conditions. It explores how public sector institutions circumscribed the viability of biomedical interventions, while political institutions and State-society relations reduced knowledge transfer and policy learning. It then investigates the intellectual context that shaped the political viability of each paradigm. Finally it argues that the ANC accommodated proponents of each policy paradigm, and that instrumental calculation of the dangers of an inequitable and unsustainable anti-retroviral programme best explains the government's continued adherence to a cautious prevention and treatment policy. Bibliogr., notes, ref., sum. [Journal abstract]
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