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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Institutions, power and para-State alliances: a critical assessment of HIV/AIDS politics in South Africa, 1999-2008
Author:Powers, Theodore
Periodical:Journal of Modern African Studies (ISSN 0022-278X)
Geographic term:South Africa
health policy
political action
External link:https://www.jstor.org/stable/43302040
Abstract:From 1999 to 2008, delays in the adoption of a comprehensive treatment and prevention programme shortened the lives of people living with HIV/AIDS in South Africa. While the slow implementation of antiretroviral therapy has been attributed to a lack of institutional capacity, dissident views on HIV/AIDS and the effects of fiscal austerity, it was also an expression of power. This article analyses how the South African HIV/AIDS movement overcame this exercise of power by the AIDS dissident faction of the African National Congress (ANC) through the legal system, particularly the Constitutional Court. Through a series of legal cases the leading organizations in the HIV/AIDS movement developed ties with COSATU and moderate elements within the ANC. The ANC's dissident faction responded to this by developing para-State partnerships with non-State organizations to support the AIDS dissident agenda. The study highlights the need to expand the para-State concept to take into account a wider range of social formations and the historically particular conditions under which they emerge. Bibliogr., note, sum. [Journal abstract]