1st Edition

HIV Scale-Up and the Politics of Global Health

Edited By Nora Kenworthy, Richard Parker Copyright 2015
    266 Pages
    by Routledge

    266 Pages
    by Routledge

    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 health Nora J. Kenworthy and Richard Parker

    2. ‘All they do is pray’: Community labour and the narrowing of ‘care’ during Mozambique’s HIV scale-up Ippolytos Kalofonos

    3. Participation, decentralisation and déjà vu: Remaking democracy in response to AIDS? Nora J. Kenworthy

    4. Elusive accountabilities in the HIV scale-up: ‘Ownership’ as a functional tautology Daniel E. Esser

    5. Evidence and AIDS activism: HIV scale-up and the contemporary politics of knowledge in global public health Christopher J. Colvin

    6. Up-scaling expectations among Pakistan’s HIV bureaucrats: Entrepreneurs of the self and job precariousness post-scale-up Ayaz Qureshi

    7. HIV testing as prevention among MSM in China: The business of scaling-up Elsa L. Fan

    8. Bringing the state back in: Understanding and validating measures of governments’ political commitment to HIV Radhika J. Gore, Ashley M. Fox, Allison B. Goldberg and Till Bärnighausen

    9. ‘Low-hanging fruit’: Counting and accounting for children in PEPFAR-funded HIV/AIDS programmes in South Africa Lindsey J. Reynolds

    10. Towards the embodiment of biosocial resistance? How to account for the unexpected effects of antiretroviral scale-up in the Central African Republic Pierre-Marie David

    11. Meaningful change or more of the same? The Global Fund’s new funding model and the politics of HIV scale-up Anuj Kapilashrami and Johanna Hanefeld

    12. After the Global Fund: Who can sustain the HIV/AIDS response in Peru and how? Ana B. Amaya, Carlos F. Caceres, Neil Spicer and Dina Balabanova

    13. Confronting ‘scale-down’: Assessing Namibia’s human resource strategies in the context of decreased HIV/AIDS funding Liita-Iyaloo Cairney and Anuj Kapilashrami

    14. HIV scale-up in Mozambique: Exceptionalism, normalisation and global health Erling Høg

    15. AIDS policy responsiveness in Africa: Evidence from opinion surveys Ashley M. Fox


    Dr. Nora Kenworthy is an interdisciplinary researcher in public health, political science, and anthropology. Her work focuses on intersecting social and political factors in global health. She is currently Assistant Professor in the School of Nursing and Health Studies at the University of Washington Bothell, USA.

    Dr. Richard Parker is a pioneer scholar of structural and political-economic factors shaping HIV/AIDS globally and the politics of HIV and global health policy. He is currently Professor of Sociomedical Sciences and Anthropology and Director of the Center for the Study of Culture, Politics and Health at Columbia University, USA.