The global expansion of HIV programming (HIV "scale-up") and the growth of global health in the past decade reshaped politics, power, civic relations, and citizen subjectivities in countries across the globe. This book draws on interdisciplinary research from numerous sites in the Global South to examine the political dimensions of HIV and global health programming. The chapters reflect extensive methodological diversity and geographic range, yet exhibit striking resonance with the book’s core themes. Collectively, the authors paint a complex global portrait of a unique period in the social history of HIV, as the pandemic enters its fourth decade, and the global response reaches its peak. The book contemplates "scale-up" (and, subsequently, "scale-down") as an object of analysis and an historical shift in the politics of response to global crisis. Ultimately, HIV/AIDS campaigns provide a template for the broader expansion of global health projects and institutions. These transnational shifts and expansions necessitate further critical evaluations across social science and public health disciplines. By collecting diverse perspectives on the political legacies of HIV and global health, this book provides a unique history of the present, cataloguing emerging practices and policies that will have long-term social impacts.
This book was originally published as a special issue of Global Public Health.
1. Introduction: HIV scale-up and the politics of global health2. ‘All they do is pray’: Community labour and the narrowing of ‘care’ during Mozambique’s HIV scale-up3. Participation, decentralisation and déjà vu: Remaking democracy in response to AIDS?4. Elusive accountabilities in the HIV scale-up: ‘Ownership’ as a functional tautology 5. Evidence and AIDS activism: HIV scale-up and the contemporary politics of knowledge in global public health6. Up-scaling expectations among Pakistan’s HIV bureaucrats: Entrepreneurs of the self and job precariousness post-scale-up7. HIV testing as prevention among MSM in China: The business of scaling-up8. Bringing the state back in: Understanding and validating measures of governments’ political commitment to HIV9. ‘Low-hanging fruit’: Counting and accounting for children in PEPFAR-funded HIV/AIDS programmes in South Africa10. Towards the embodiment of biosocial resistance? How to account for the unexpected effects of antiretroviral scale-up in the Central African Republic11. Meaningful change or more of the same? The Global Fund’s new funding model and the politics of HIV scale-up12. After the Global Fund: Who can sustain the HIV/AIDS response in Peru and how?13. Confronting ‘scale-down’: Assessing Namibia’s human resource strategies in the context of decreased HIV/AIDS funding14. HIV scale-up in Mozambique: Exceptionalism, normalisation and global health15. AIDS policy responsiveness in Africa: Evidence from opinion surveys