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28
In contrast, what explains the lack of an early, independent AIDS
bureaucracy and a multisectoral program in South Africa? Though a multisectoral
program was finally implemented in 2000, South Africa lacked an early institutional
environment conducive to fighting HIV/AIDS. According to Gauri and Lieberman
(2004:10):
Throughout the history of the AIDS epidemic, there has not been a clear
center of power for the direction of AIDS policy, as the various AIDS
policy-making structures have been granted limited autonomy, and have
often been contradicted by various national executives.
In 2000, for example, South African President Thabo Mbeki avoided the subject of
HIV/AIDS in his speech at the International AIDS Conference and defended those
scientists who claim that HIV does not cause AIDS. More recently, Mbeki has
removed a deputy health minister who, unlike the health minister (who has
recommended that eating garlic can cure the disease), was knowledgeable and active
in promoting an anti-HIV/AIDS policy framework.11 Clearly, the political
environment in South Africa was not conducive to the creation of an AIDS
bureaucracy when the epidemic was on the rise and this stunted the implementation
of a successful multisectoral program. The authors point to this as a likely factor for
the difference in HIV/AIDS rates between these two countries.
According to Gauri and Lieberman (2004), the political determinants that
seemed to help in the curbing of HIV/AIDS are a decentralized, open political
environment with a voice given to all members of society. It is the argument of this
11 “Sacking the wrong health minister,” The Economist 16 Aug. 2007.
Object Description
| Title | Political determinants and economic effects of HIV/AIDS: a push for the multisectoral approach |
| Author | Davis, Dollie |
| Author email | dollieda@usc.edu; dolliesdavis@gmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Political Economy & Public Policy |
| School | College of Letters, Arts and Sciences |
| Date defended/completed | 2008-07-15 |
| Date submitted | 2008 |
| Restricted until | Unrestricted |
| Date published | 2008-10-30 |
| Advisor (committee chair) | Wise, Carol |
| Advisor (committee member) |
Nugent, Jeffrey B. Chi, Iris |
| Abstract | The proposed dissertation offers an explanation for the large differences in HIV/AIDS rates among 89 low and middle-income countries throughout the Sub Saharan African, Asian, and Latin American regions over a ten-year period (1995-2005). The HIV/AIDS rates in these countries vary widely and seemingly independently of economic wealth. One possible determinant of these differences is the presence and degree of development of strong multisectoral programs aimed at both prevention and cure of HIV/AIDS. The main hypothesis for this dissertation is: "A country's success in combating HIV/AIDS lies in the government's ability to implement an effective multisectoral program." This hypothesis is explored through quantitative models using data from the ten-year period (1995-2005). Results show that the presence of a multisectoral program over the ten-year period is associated with a significantly lower HIV/AIDS incidence rate by 2005. This effect is produced by controlling for various political, economic, societal, and institutional factors. Although there is some anecdotal evidence which suggests that multisectoral programs help to improve the HIV/AIDS problem in developing countries, there has been little if any empirical work done on this subject to date. |
| Keyword | multisectoral; HIV/AIDS; economic development |
| Geographic subject (region) | Carribbean |
| Geographic subject (continent) | Africa; Asia; South America |
| Coverage date | 1995/2005 |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m1724 |
| Contributing entity | University of Southern California |
| Rights | Davis, Dollie |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | cisadmin@lib.usc.edu |
| Filename | etd-Davis-2422 |
| Archival file | uscthesesreloadpub_Volume44/etd-Davis-2422.pdf |
Description
| Title | Page 36 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@lib.usc.edu |
| Full text | 28 In contrast, what explains the lack of an early, independent AIDS bureaucracy and a multisectoral program in South Africa? Though a multisectoral program was finally implemented in 2000, South Africa lacked an early institutional environment conducive to fighting HIV/AIDS. According to Gauri and Lieberman (2004:10): Throughout the history of the AIDS epidemic, there has not been a clear center of power for the direction of AIDS policy, as the various AIDS policy-making structures have been granted limited autonomy, and have often been contradicted by various national executives. In 2000, for example, South African President Thabo Mbeki avoided the subject of HIV/AIDS in his speech at the International AIDS Conference and defended those scientists who claim that HIV does not cause AIDS. More recently, Mbeki has removed a deputy health minister who, unlike the health minister (who has recommended that eating garlic can cure the disease), was knowledgeable and active in promoting an anti-HIV/AIDS policy framework.11 Clearly, the political environment in South Africa was not conducive to the creation of an AIDS bureaucracy when the epidemic was on the rise and this stunted the implementation of a successful multisectoral program. The authors point to this as a likely factor for the difference in HIV/AIDS rates between these two countries. According to Gauri and Lieberman (2004), the political determinants that seemed to help in the curbing of HIV/AIDS are a decentralized, open political environment with a voice given to all members of society. It is the argument of this 11 “Sacking the wrong health minister,” The Economist 16 Aug. 2007. |
