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Paying the price of HIV in Africa: cash transfers and the depoliticisation of HIV risk

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  • Deborah Johnston

Abstract

Despite biomedical innovation, HIV incidence remains high in some African countries. HIV-related cash-transfer projects propose a solution. However, the author raises concerns about their success from a political economy perspective. Where structural change is invoked by these projects, it is too narrowly conceived. Some cash-transfer projects focus solely on 'nudging' choices about risky sex, without considering the wider set of factors that increase HIV incidence. Consequently, the promise of HIV-related cash transfers is dangerously exaggerated. Instead they obscure the underlying causes of high HIV prevalence, by focusing on individual behaviour and a limited, neoliberal-friendly menu of options.

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  • Deborah Johnston, 2015. "Paying the price of HIV in Africa: cash transfers and the depoliticisation of HIV risk," Review of African Political Economy, Taylor & Francis Journals, vol. 42(145), pages 394-413, September.
    • Handle: RePEc:taf:revape:v:42:y:2015:i:145:p:394-413
    DOI: 10.1080/03056244.2015.1064815
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    1. Angus Deaton, 2010. "Instruments, Randomization, and Learning about Development," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 424-455, June.
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    Cited by:

    1. Bridget O'Laughlin & Ben Fine & Deborah Johnston & Ana C. Santos & Elisa Waeyenberge, 2016. "Forum 2016," Development and Change, International Institute of Social Studies, vol. 47(4), pages 640-663, July.
    2. Jaspars, Susanne & Adan, Guhad M. & Majid, Nisar, 2019. "Food and power in Somalia: business as usual? A scoping study on the political economy of food following shifts in food assistance and in governance," LSE Research Online Documents on Economics 103138, London School of Economics and Political Science, LSE Library.

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