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HIV|AIDS policy in Africa: what has worked in Uganda and what has failed in Botswana?

Author

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  • Tim Allen

    (LSE, London, UK)

  • Suzette Heald

    (Brunel University)

Abstract

A comparison of HIV|AIDS policies in Botswana and Uganda is revealing. It helps to highlight the kinds of policies that are necessary to come to terms with the pandemic in Africa, where it is already a public health disaster. It is argued that the promotion of condoms at an early stage proved to be counter-productive in Botswana, whereas the lack of condom promotion during the 1980s and early 1990s contributed to the relative success of behaviour change strategies in Uganda. Other important factors included national and local-level leadership, the engagement (or alienation) of religious groups and local healers and, most controversially, procedures of social compliance. We end with a call for more draconian measures than are currently envisaged. Copyright © 2004 John Wiley & Sons, Ltd.

Suggested Citation

  • Tim Allen & Suzette Heald, 2004. "HIV|AIDS policy in Africa: what has worked in Uganda and what has failed in Botswana?," Journal of International Development, John Wiley & Sons, Ltd., vol. 16(8), pages 1141-1154.
    • Handle: RePEc:wly:jintdv:v:16:y:2004:i:8:p:1141-1154
    DOI: 10.1002/jid.1168
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    RePEc Biblio mentions

    As found on the RePEc Biblio, the curated bibliography for Economics:
    1. > Economics of Welfare > Health Economics > Economics of Pandemics > Policy responses

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    Cited by:

    1. Elliott Green, 2013. "The Rise and Fall of Decentralization in Contemporary Uganda," WIDER Working Paper Series wp-2013-078, World Institute for Development Economic Research (UNU-WIDER).
    2. Elizabeth Lule & Markus Haacker, 2012. "The Fiscal Dimension of HIV/AIDS in Botswana, South Africa, Swaziland, and Uganda," World Bank Publications - Books, The World Bank Group, number 2382, December.
    3. Green, Elliott, 2013. "The Rise and Fall of Decentralization in Contemporary Uganda," WIDER Working Paper Series 078, World Institute for Development Economic Research (UNU-WIDER).
    4. Pauline Peters & Peter A. Walker & Daimon Kambewa, 2008. "Striving for Normality in a Time of AIDS in Malawi," CID Working Papers 167, Center for International Development at Harvard University.
    5. Peter Evans, 2006. "Extending the 'Institutional' Turn: Property, Politics and Development Trajectories," WIDER Working Paper Series RP2006-113, World Institute for Development Economic Research (UNU-WIDER).
    6. Gausset, Quentin & Mogensen, Hanne Overgaard & Yameogo, Wambi Maurice Evariste & Berthé, Abdramane & Konaté, Blahima, 2012. "The ambivalence of stigma and the double-edged sword of HIV/AIDS intervention in Burkina Faso," Social Science & Medicine, Elsevier, vol. 74(7), pages 1037-1044.

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