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Implementing AIDS policy in post-apartheid South Africa

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  • Schneider, Helen
  • Stein, Joanne
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    Abstract

    In common with the rest of the Southern African sub-continent, South Africa is currently experiencing a serious HIV epidemic. When it came into power in 1994, the new, Mandela-led government immediately mobilised funds and adopted a far-reaching AIDS Plan for the country. However, the implementation of AIDS policy in the first four years after 1994 has been characterised by a lack of progress and a breakdown of trust and co-operation, both within government and between government and NGOs. This paper outlines the political context which shaped the development of the AIDS Policy, then examines the difficulties of implementing a comprehensive response to AIDS in a country undergoing restructuring at every level. It questions the notion of "inadequate political will" as an explanation for lack of progress. Involvement by politicians has, in fact, been experienced as a double-edged sword in South Africa, with inappropriate, "quick-fix" actions creating conflict and hampering a more longer-term, effective response. The paper also highlights the importance of groupings outside of government in promoting effective policy actions, and the types of leadership required to mobilise a broad range of actors around a common vision. It concludes by emphasising the need to develop approaches to policy implementation rooted in the possibilities and constraints of the local situation, rather than relying on universal blue-prints developed out of context.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 52 (2001)
    Issue (Month): 5 (March)
    Pages: 723-731

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    Handle: RePEc:eee:socmed:v:52:y:2001:i:5:p:723-731

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    Related research

    Keywords: AIDS Policy Implementation South Africa;

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    Cited by:
    1. London, Leslie & Schneider, Helen, 2012. "Globalisation and health inequalities: Can a human rights paradigm create space for civil society action?," Social Science & Medicine, Elsevier, vol. 74(1), pages 6-13.

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