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Studies in Comparative International Development

, Volume 41, Issue 3, pp 47–73 | Cite as

Boundary institutions and HIV/AIDS policy in Brazil and South Africa

  • Varun Gauri
  • Evan S. Lieberman
Article

Abstract

Why have some national governments acted more aggressively to address the HIV/ AIDS pandemic than others? More specifically, what explains, widely varied responses across Brazil and South Africa—two countries where one might have expected more similarity than difference? We argue thatboundary institutions—those sets of rules and practices that give social and political meaning to group identities—help explain this puzzle. Institutions interact with other pressures to structure the dissemination of information, the construction of risk, and priorities within society. Where institutions divide groups deeply, elites and ordinary citizens are less likely to feel volnerable, and more likely to blame other groups, making aggresive government action far less likely.

Keywords

Human Immunodeficiency Virus Comparative International Development Racial Identity Human Immunodeficiency Virus Prevalence Government Response 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Alesina, Alberto, Reza Baqir, and William Russell Easterly. 1999. “Public goods and Ethnic Divisions.”Quarterly Journal of Economics 114(4): 1243–1284.CrossRefGoogle Scholar
  2. Altman, Dennis. 1999. “Globalization, Political Economy, and HIV/AIDS.”Theory and Society 28: 559–584.CrossRefGoogle Scholar
  3. Associated Press (AP). 1987. “Botha: Terrorists Bring AIDS to South Africa,” via Lexis/Nexis Academic Search, 20 March 1987.Google Scholar
  4. Associated Press (AP). 1994. “Newspaper Alleges Police Killed, Spread AIDS” via Lexis/Nexis Academic Search, 2 December 1984.Google Scholar
  5. Baldwin, Peter. 1999.Contagion and the State in Europe, 1830–1930. Cambridge; New York: Cambridge University Press.Google Scholar
  6. —. 2005.Disease and Democracy: The Industrialized World Faces AIDS. Berkeley; New York: University of California Press: Milbank Memorial Fund.Google Scholar
  7. Barnett, Tony, and Alan Whiteside. 2002.AIDS in the Twenty-First Century: Disease and Globalization. Houndmills Basingstoke, Hampshire; New York: Palgrave Macmillian.Google Scholar
  8. Barth, Frederik. 1969.Ethnic Groups and Boundaries. Boston: Little Brown.Google Scholar
  9. Bennett, Janette. 1990. “AIDS Budget Up, but ‘It’s Not Enough’”Cape Argus, 1 December 1990.Google Scholar
  10. Biehl, João. 2004. “The Activist State: Global Pharmaceuticals, AIDS, and Citizenship in Brazil.”Social Text 22(3): 105–132.CrossRefGoogle Scholar
  11. Boone, Catherine, and Jake Batsell. 2001. “Politics and AIDS in Africa: Research Agendas in Political Science and International Relations.”Africa Today 48.Google Scholar
  12. Boyle, Brendon. 1988. “AIDS Cited as Reason to Bar Blacks from South African Resort.” UPI via Lexis/Nexis Academic Search, 10 January 1988.Google Scholar
  13. Brooke, James. 1993. “In Deception and Denial, an Epidemic Looms,”New York Times, 25 January 1993, Al.Google Scholar
  14. Bulatao, Rodolfo A. and John A. Ross. 2002. “Rating Maternal and Neonatal Health Services in Developing Countries.”Bulletin of the World Health Organization 80: 721–727.Google Scholar
  15. Cerqueira Marcelo, and Luiz Mott. 2002. “Interfaces da Violência: AIDS e Homofobia.” InO Outro Como um Semlhante: Direitos Humanos e AIDS, eds. Cristina Câmara et al. Ministério da Saúde.Google Scholar
  16. Clarke, Lee, and James F. Short. 1993. “Social Organization and Risk: Some Current Controversies.”Annual Review of Sociology 19: 375–399.CrossRefGoogle Scholar
  17. Cohen, Cathy J. 1999.The Boundaries of Blackness: AIDS and the Breakdown of Black Politics. Chicago, IL: University of Chicago Press.Google Scholar
  18. Crewe, Mary. 1992.AIDS in South Africa: The Myth and the Reality. London, England: Penguin Books.Google Scholar
  19. De Waal, Alex. 2003. “How Will HIV/AIDS Transform African Governance?”African Affairs 102: 1–23.Google Scholar
  20. Douglas, Mary, and Aaron Wildavsky. 1983.Risk and Culture: An Essay on the Selection of Technical and Environmental Dangers. University of California Press.Google Scholar
  21. Easterly, William, and Ross Levine. 1997. “Africa’s Growth Tragedy: Policies and Ethnic Divisions,”The Quarterly Journal of Economics 112(4): 1203–1250.CrossRefGoogle Scholar
  22. Galvão, Jane. 2000.AIDS No Brasil: A Agenda de Construção de uma Epidemia. São Paulo: ABIA /Editora 34.Google Scholar
  23. Garbus, Lisa. 2003.South Africa: Country AIDS Policy Analysis Project. San Francisco: AIDS Policy Research Center, University of California, San Francisco.Google Scholar
  24. Gauri, Varun, Chris Beyrer, and Denise Vaillancourt, 2006. “From Human Rights Principles to Public Health Practice: HIV/AIDS Policy in Brazil.” InPublic Health and Human Rights, ed. Chris Beyrer. Baltimore, MD: Johns Hopkins University Press, forthcoming.Google Scholar
  25. Gauri, Varun, and Peyvand Khaleghian. 2002. “Immunization in Developing Countries: Its Political and Institutional Determinants.”World Development 30(12): 2109–2132.CrossRefGoogle Scholar
  26. Gibson, James L. 2003. “The Legacy of Apartheid.”Comparative Political Studies 36(7): 772–800.CrossRefGoogle Scholar
  27. Grindle, Merilee Serrill, and John W. Thomas. 1991.Public Choices and Policy Change: The Political Economy of Reform in Developing Countries. Baltimore, MD: Johns Hopkins University Press.Google Scholar
  28. Grundligh, Louis. 2001. “Government Responses to HIV/AIDS in South Africa as Reported in the Media, 1983–1994.”South African Historical Journal 45: 124–153.Google Scholar
  29. Gumede, William M. 2005.Thabo Mbeki and the Battle for the Soul of the ANC. Cape Town: Zebra Press.Google Scholar
  30. Hamilton, Robin. 1991. Special Issue on HIV/AIDS. Johannesburg, South Africa: South African Institute of Race Relations.Google Scholar
  31. Heller, Patrick. 2001. “The Politics of Democratic Decentralization in Kerala, South Africa, and Porto Alegre.”Politics and Society 29(1): 131–163.CrossRefGoogle Scholar
  32. Hickey, Allison. 2004. “New Allocations for ARV Treatment: An Analysis of 2004/5 National Budget from an HIV/AIDS Perspective.” InOccasional Papers: Idasa-Budget Information Services.Google Scholar
  33. Human Sciences Research Council. 2005.South African National HIV, Prevalence, HIV Incidence, Behaviour and Communication Survey, 2005. Nelson Mandela Foundation/HSRC.Google Scholar
  34. Hyden, Goran, and Kim Lanegran. 1993. “AIDS, Policy, and Politics: East Africa in Comparative Perspective.”Policy Studies Review 12(1/2): 46–65.Google Scholar
  35. Inglehart, Ronald, et al. 2004. World Values Surveys and European Values Surveys. 1981–4, 1990–3, 1995–7, 2000–1,” [Computer file]. ICPSR version. Ann Arbor, MI: Institute for Social Research [producer], 2004. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor].Google Scholar
  36. Jacobs, Sean, and Richard Calland. 2002.Thabo Mbeki’s World: The Politics and Ideology of the South African President. Pietermaritzburg; London; New York: University of Natal; Zeb Books.Google Scholar
  37. Jamal L.F., Romera S., Santos, N.J., Bueno S.M., Monteiro A.L., Nascimento C.M., Rodrigues N.M., Ruiz E.A. 2002. Ethnicity in HIV/AIDS Patients of the São Paulo State STD/AIDS Referral and Training Center. Paper read at International AIDS Conference, 7–12 July 2002, at Barcelona, Spain.Google Scholar
  38. King, Gary, Robert Keohane, and Sidney Verba. 1994.Designing Social Inquiry: Scientific Inference in Qualitative Research. Princeton, NJ: Princeton University Press.Google Scholar
  39. Knight, Jack. 2002. Informal Institutions and the Microfoundations of Politics, Prepared for the conference, Informal Institutions and Politics in the Developing World. Weatherhead Center for International Afrairs, Harvard University, 5–6 April. (unpublished manuscript).Google Scholar
  40. Kohli, Atul. 2004.State-Directed Development: Political Power and Industrialization in the Global Periphery. Cambridge, UK; New York: Cambridge University Press.Google Scholar
  41. Lamont, Michèle, and Virág Molnár. 2002. “The Study of Boundaries in the Social Sciences.”Annual Review of Sociology 28: 167–195.CrossRefGoogle Scholar
  42. “Lekota: ‘No AIDS Alarm in SA’,” Mail and Guardian online 2003. Accessed 8 October 2003, 〈www. mg.co.za〉.Google Scholar
  43. Levi, Margaret. 1988.Of Rule and Revenue. Berkeley, CA: University of California Press.Google Scholar
  44. —. 1997.Consent, Dissent, and Patriotism. New York: Cambridge University Press.Google Scholar
  45. Levy, Tania. 1990. “All Must Become Involved in Fight to Control AIDS”.Business Day, August 27, 1990.Google Scholar
  46. Lieberman, Evan S. 2003.Race and Regionalism in the Politics of Taxation in Brazil and South Africa. Cambridge Studies in Comparative Politics. Cambridge, UK; New York: Cambridge University Press.Google Scholar
  47. Lieberman, Evan S. 2004. The Politics Determinants of HIV/AIDS Prevention Regimes: Preliminary Results from Cross-National Statistical Analysis. Princeton, NJ. (unpublished manuscript)Google Scholar
  48. Marx, Anthony. 1998.Making Race and Nation. Cambridge: Cambridge University Press.Google Scholar
  49. Miguel, Edward. 2004. “Tribe or Nation? Nation Building and Public Goods in Kenya versus Tanzania.”World Politics 56: 327–362.CrossRefGoogle Scholar
  50. Ministerio da Saúde. 2005. Personal Communication.Google Scholar
  51. Ministerio da Saúde, Coordenação Nacional da DST e AIDS. 2000.Legislação Sobre DST e AIDS no Brasíl.Google Scholar
  52. Nathanson, Constance A. 1996. “Disease Prevention as Social Change: Toward a Theory of Public Health.”Population and Development Review 22(4): 609–637.CrossRefGoogle Scholar
  53. Nattrass, Nicoli. 2004.The Moral Economy of AIDS in South Africa, Cambridge Africa collection. Cambridge, U.K.; New York: Cambridge University Press.Google Scholar
  54. Ngwena, Charles. 1998. “Legal Responses to AIDS: South Africa.” InLegal Responses to AIDS in Comparative Perspective, ed. S. Frankowski. The Hague, The Netherlands: Kluwer Law International.Google Scholar
  55. Nobles, Melissa. 2000. “History Counts: A Comparative Analysis of Racial/Color Categorization in US and Brazilian Censuses.”American Journal of Public Health 90(11): 1738–1745.Google Scholar
  56. Okie, Susan. 2006. “Fighting HIV—Lessons from Brazil.”New England Journal of Medicine 354(19): 1977–1981.CrossRefGoogle Scholar
  57. Parker, Richard G. 1994a. “Public Policy, Political Activism, and AIDS in Brazil.” InGlobal AIDS Policy, ed. Douglas A. Feldman. London: Bergin and Garvey.Google Scholar
  58. — 1994bA AIDS no Brasil, 1982–1992, Coleção História social da AIDS; no. 2. Rio de Janeiro, RJ: ABIA: IMS-UERJ: Relume Dumará.Google Scholar
  59. Phillips, Howard. 2001. “AIDS in the Context of South Africa’s Epidemic History: Preliminary Historical Thoughts.”South African Historical Journal 45: 11–26.CrossRefGoogle Scholar
  60. Posner, Daniel. 2004. “Measuring Ethnic Fractionalization in Africa.”American Journal of Political Science 48(4): 849–863.Google Scholar
  61. Ramphele, Mamphela. 2005. HIV/AIDS: The Mirror in South Africa’s Face. Speech delivered at the 2005 South African AIDS Conference, Durban, 7–10 June.Google Scholar
  62. Republic of South Africa (RSA). 2000. HIV/AIDS/STD Strategic Plans for South Africa 2000–5.Google Scholar
  63. Reuters. 2004. “Brazil: 3 Billion Free Condoms,”New York Times, 12 August 2004.Google Scholar
  64. Riding, Alan. 1985. “Fright Grips Brazil as AIDS Cases Suddenly Rise.”New York Times, 25 August 1985, 4.Google Scholar
  65. Riding, Alan. 1986. “Brazil Called Lax in AIDS Treatment.”New York Times, 15 December 1986, 11.Google Scholar
  66. Schneider, Helen. 2002. “On the Fault-Line: The Politics of AIDS Policy in Contemporary South Africa.”African Studies 61(1): 145–167.CrossRefGoogle Scholar
  67. Sen, Amartya Kumar. 1999.Development as Freedom. 1st. ed. New York: Knopf.Google Scholar
  68. Shisana, Olive, Leickness Chisamu Simbayi, and Human Sciences Research Council. 2002.Nelson Mandela/HSRC Study of HIV/AIDS: South African National HIV Prevalence, Behavioural Risks and Mass Media: Household Survey 2002. Cape Town: Human Sciences Research Council.Google Scholar
  69. Skidmore, Thomas E. 1995.Black into White: Race and Nationality in Brazilian Thought.Durham: Duke University Press.Google Scholar
  70. Sontag, Susan. 2001.Illness as Metaphor and AIDS and Its Metaphors. New York: Farrar, Straus and Giroux.Google Scholar
  71. Steinmo, Sven, Kathleen Thelen, and Frank Longstreth, eds. 1995.Structuring Politics: Historical Institutionalism in Comparative Analysis. New York: Cambridge University Press.Google Scholar
  72. Stepan, Nancy. 1991.The Hour of Eugenics: Race, Gender, and Nation in Latin America. Ithaca: Cornell University Press.Google Scholar
  73. Surratt, HL, and JA Inciardi. 1998. “Unraveling the Concept of Race in Brazil: Issues for the Rio de Janeiro Cooperative Agreement Site.”J Psychoactive Drugs 30(3): 255–260.Google Scholar
  74. Tajfel, Henri, and John C. Turner. 1986. “The Social Identity Theory of Intergroup Behavior.” InPsychology of Intergroup Relations, ed. S. Worchel and W.G. Austin.Google Scholar
  75. Teixeira, Paulo Roberto. 1997. Políticas Públicas in AIDS.” InPolíticas, Instituições, AIDS: Enfrentando a Epidemia no Brasil, ed. Richard Parker. Jorge Zahar Editores: ABIA, 1997.Google Scholar
  76. Telles, Edward Eric. 2004.Race in Another America: The Significance of Skin Color in Brazil. Princeton, NJ: Princeton University Press.Google Scholar
  77. Thelen, Kathleen, and Sven Steinmo. 1992. “Historical Institutionalism in Comparative Politics.” InStructuring Politics: Historical Institutionalism in Comparative Analysis, eds. S. Steinmo, K. Thelen, and F. Longstreth. New York: Cambridge University Press.Google Scholar
  78. Turra, Cleusa, and Gustavo Venturi, eds. 1995.Racismo Cordial. São Paulo: Editora Ática.Google Scholar
  79. UNAIDS. 2004.A Global View of HIV Infection. (Map) Geneva, Switzerland: UNAIDS.Google Scholar
  80. Van der Vliet, Virginia. 2001. “AIDS: Losing ‘The New Struggle?’”Daedalus 130(1):151–184.Google Scholar
  81. Varshney, Ashutosh. 2002.Ethnic Conflict and Civic Life: Hindus and Muslims in India. New Haven, CT: Yale University Press.Google Scholar
  82. Weingast, Barry. 2002. “Rational-Choice Institutionalism.” InPolitical Science: The State of the Discipline, eds. I. Katznelson and H. V. Milner. New York; Washington, DC:Norton; American Political Science Association.Google Scholar
  83. Weyland, Kurt. 1995. “Social Movements and the State: The Politics of Health Reform in Brazil.”World Development 23(10): 1699–1712.CrossRefGoogle Scholar
  84. Whiteside, Alan, and Clem Sunter. 2000.AIDS: The Challenge for South Africa. 1st ed. Cape Town: Human and Rousseau: Tafelberg.Google Scholar
  85. Whiteside, Alan, Robert B. Mattes, Samantha Willan, and Ryann Manning. 2004. “What People Really Believe about HIV/AIDS in Southern Africa.” InThe Political Economy of AIDS in Africa, eds. N. Poku and A. Whiteside. Aldershot, Hants, England; Burlington, VT: Ashgate.Google Scholar
  86. World Bank. 1993.Staff Appraisal Report: Brazil AIDS and STD Control Project. Report No. 11734 BR.Google Scholar
  87. World Bank. 2003.Brazil: AIDS and STD Control III Project, Project Appraisal Document, June 4, 2003, Report 5759-BRGoogle Scholar
  88. World Bank. 2004. Operations Evaluation Department.Brazil: First and Second AIDS and STD Control Projects: Project Performance Assessment, April 2004.Google Scholar
  89. World Bank. 2005. World Development Indicators (on-line database).Google Scholar
  90. World Health Organization. 2005Progress on Global Access to HIV Antiretroviral Therapy: An Update on 3 by 5. Geneva: World Health Organization.Google Scholar

Copyright information

© Springer 2007

Authors and Affiliations

  • Varun Gauri
  • Evan S. Lieberman
    • 1
  1. 1.Princeton UniversityPrincetonUSA

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