By Emma-Louise Anderson, Amy S. Patterson
This quantity examines how neighborhood actors reply to Africa’s excessive dependence on donor overall healthiness money. It specializes in the massive infusion of donor cash to handle HIV and AIDS into Malawi and Zambia and the next slow-down in that investment after 2009. How do local community reply to this dynamic relief structure and the myriad of possibilities and constraints that accompany it? This publication conceptualizes established enterprise, and the within which neighborhood actors can at the same time act and be based, and investigates stipulations less than which established service provider happens. Drawing upon empirical facts from Malawi and Zambia accumulated among 2005 and 2014, the paintings interrogates the nuanced recommendations of based organisation: performances of compliance, extraversion, and resistance under the road. The findings elucidate the dynamic interactions among actors which regularly take place “off degree” yet which undergird macro-level improvement processes.
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Additional resources for Dependent Agency in the Global Health Regime: Local African Responses to Donor AIDS Efforts
As of 2014, 40 % of Zambians lived in urban areas, where over 70 % of people work in the informal economy (Resnick 2011). Urban slum dwellers describe high rates of crime, alcohol and drug abuse, and sexual violence. Government health clinics are overcrowded and lack basic medications, schools are 24 DEPENDENT AGENCY IN THE GLOBAL HEALTH REGIME understaffed, and sanitation and garbage collection are largely absent (FGDs, PLHIV groups, Ndola, June 11, 2014). Thus, despite Zambia’s impressive growth rates, poverty and inequality are widespread.
The second ideational trajectory is faith-based approaches to health, suffering, and death. While religious individuals and institutions have been criticized for their stigmatizing actions and rhetoric against PLHIV (Patterson 2013), in reality faith-based approaches have been heterogeneous. Religious leaders in Africa and the West have used sacred texts to emphasize compassion, care, and alleviation of suffering to support the expansion of ART access. For example, Muslim leaders in Nigeria supported ART access, because “God has never made a disease for which He has not also sent its medicine” (Tocco 2010).
Authentic groups were those with deep roots in the community; they had not simply been formed when donors arrived and wanted to start a project. Authentic groups were tied to respected local leaders (such as pastors or imams) who knew the community’s inhabitants and their needs; they also had “permanent” structures (such as church buildings) in many communities, and they reﬂected community values, reciprocal ties among members, and the moral economy of dependence (Marshall and van Saanen 2007).
Dependent Agency in the Global Health Regime: Local African Responses to Donor AIDS Efforts by Emma-Louise Anderson, Amy S. Patterson