Abstract
Global responses to HIV/AIDS have shifted considerably since the mid 1990s. The development of combination anti-retroviral therapy (ART), which can extend significantly the lives of people living with HIV, was central to this. While ART rapidly became available to many of those in need within richer countries, leading to dramatic reductions in AIDS deaths, it was generally considered too expensive and too complicated for poor and middle-income countries, where around 90 per cent of people living with HIV were located. An increased focus on preventing transmission was considered to be the only viable way to address the epidemics of poor countries, leaving millions of people infected with HIV to die of AIDS.
Thanks are due to Adrian Kay and Owain Williams for their constructive comments on earlier versions of this chapter. My understanding of neoliberalism and its implications for global health and for HIV/AIDS relief has benefited from conversations with Owain Williams, Vinh-Kim Nguyen, Kris Peterson, Susan Craddock and Gerry Kearns, to all of whom I am particularly grateful.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Bibliography
J. Agnew and S. Corbridge (1995) Mastering Space: Hegemony, Territory and International Political Economy (London: Routledge).
Avert (2008) ‘President’s Emergency Plan for AIDS Relief (PEPFAR)’, http://www.avert.org/pepfar.htm updated 14 March 2008.
A. Barnett and A. Whiteside (2006) AIDS in the Twenty-first Century: Disease and Globalization (Houndmills: Palgrave Macmillan).
G. Behrman (2004) Invisible People: How the US has Slept through the Global AIDS Pandemic, the Greatest Humanitarian Catastrophe of Our Time (London: Free Press).
M. Bernstein and S. Hise (2007) ‘PEPFAR Reauthorization: Improving Transparency in US Funding for HIV/AIDS’, Center for Global Development, http://www.cgdev.org
B. Bowtell (2004) ‘HIV/AIDS: Global Policy after Bangkok’, Open Democracy, http://www.opendemocracy.net/democracy-hiv/article_2028.jsp
K. Buse and G. Walt (2002) ‘Globalisation and Multilateral Public-Private Health Partnerships: Issues for Health Policy’ in K. Lee, K. Buse and S. Fustukian (eds) Health Policy in a Globalising World (Cambridge: Cambridge University Press).
C. Campbell (2003) Letting Them Die: Why HIV/AIDS Intervention Programmes Fail (Oxford: James Currey).
Center for Strategic and International Studies (CSIS) (2005) HIV/AIDS in Nigeria: Towards Sustainable US Engagement (Washington DC: CSIS).
Commission on Macroeconomics and Health (CMH) (2001) Macro-economics and Health: Investing in Health for Economic Development (Geneva: CMH).
J. Comaroff (2007) ‘Beyond Bare Life: AIDS (Bio)Politics and the Neoliberal Order’, Public Culture, 19/1, 197–219.
R. Cox (1981) ‘Social Forces, States and World Orders’, Millennium, 10(2), 26–155.
R. Cox (1983) ‘Gramsci, Hegemony and International Relations: An Essay in Method’, Millennium, 12 (2), 162–175.
Council on Foreign Relations (2005) ‘HIV and National Security’, 18 July, http://www.cfr.org/publication/8428/hiv_and_national_security.html
A.-C. D’Adesky (2004) Moving Mountains: The Race to Treat Global AIDS (London: Verso).
J. Dietrich (2007) ‘The Politics of PEPFAR: The President’s Emergency Plan for AIDS Relief’, Ethics and International Affairs, 21/3 (Fall), http://www.cceia.org/resources/journal/21_3/essay/001.html
S. Elbe (2005) ‘AIDS, Security, Biopolitics’, International Relations, 19, 403–419.
H. Epstein (2005) ‘God and the Fight against HIV/AIDS’, The New York Review of Books, 52 (7), www.nybooks.com
H. Epstein (2007) The Invisible Cure: Africa, the West, and the Fight against HIV/AIDS (London: Viking).
P. Farmer (2005) Pathologies ofPower: Health, Human Rights and the New War on the Poor (Berkeley: University of California Press).
P. Farmer, F. Léandre, J. Mukherjee, M.-S. Claud, P. Nevil, M. Smith-Fawzi, S. Koenig, A. Castro, M. Becerra, J. Sachs, A. Attaran and J.-Y. Kim (2001) ‘Community-based Approaches to HIV Treatment in Resource-Poor Settings’, The Lancet, 358/9279, 404–409.
P. Gill (2004) ‘Experts Attack Bush’s Stance in AIDS Battle’, The Observer, 11 July, http://www.guardian.co.uk/world/2004/jul/11/aids.theobserver
O. Gomez (2003) ‘Report of the WHO Commission on Macroeconomics and Health’, The Lancet, 361/9367, 1477.
D. Halperin and H. Epstein (2004) ‘Concurrent Sexual Partners Help to Explain Africa’s High HIV Prevalence: Implications for Prevention’, The Lancet, 364/9428, 4–6.
D. Harvey (2003) The New Imperialism (Oxford: Oxford University Press).
W. Hein and L. Bartsch Kohlmorgen (2007) Global Health Governance and the Fight against HIV/AIDS (Houndmills: Palgrave Macmillan).
A. Ingram (2007) ‘HIV/AIDS, Security and the Geopolitics of US-Nigerian Relations’, Review of International Political Economy, 14/3, 510–534.
M. Khor (2007) Patents, Compulsory Licences and Access to Medicines: Some Recent Experiences (Penang: Third World Network).
J.-Y. Kim, J. Millen, A. Irwin and J. Gershman (eds) (2000) Dying for Growth: Global Inequality and the Health of the Poor (Monroe: Common Courage Press).
K. Lee and A. Zwi (1996) ‘A Global Political Economy Approach to AIDS: Ideology, Interests and Implication’, New Political Economy’, 1/3, 355–373.
S. Lewis (2006) Race against Time: Searching for Hope in AIDS-ravaged Africa (Toronto: Anansi Press).
D. McCoy, M. Chopra, R. Loewenson, J.-M. Aitken, T. Ngulube, A. Muula, S. Ray, T. Kureyi, P. Ijumba and M. Rowson (2005) ‘Expanding Access to Antiretroviral Therapy in Sub-Saharan Africa: Avoiding the Pitfalls and Dangers, Capitalizing on the Opportunities’, American Journal of Public Health, 95/1, 18–22.
Médecins sans Frontières (MSF) (2007) Untangling the Web of Price Reductions: A Pricing Guide for the Purchase of ARVs for Developing Countries (10th edn), at www.accessmed-msf.org
J. S. Morrison (2000) ‘The African Pandemic Hits Washington’, The Washington Quarterly, 24/1, 197–209.
J. S. Morrison (2007) ‘What Role for US Assistance in the Fight against HIV/AIDS?’ in L. Braenard (ed.) Security by Other Means: Foreign Assistance, Global Poverty and American Leadership (Washington DC: Brookings Institution Press).
National Intelligence Council (2000) The Global Infectious Disease Threat and Its Implications for the United States (Washington DC: NIC).
National Intelligence Council (2002) The Next Wave of HIV/AIDS: Nigeria, Ethiopia, Russia, India and China (Washington DC: NIC).
V.-K. Nguyen (2005) ‘Antiretrovirals, Globalism, Biopolitics and Therapeutic Citizenship’ in A. Ong and S. Collier (eds) Global Assemblages: Technology, Politics and Ethics as Anthropological Problems (London: Blackwell).
V.-K. Nguyen (n.d.) ‘Experimentality: Massive AIDS Intervention in Africa as Military-Therapeutic Complex’, manuscript.
I. Okonta and O. Douglas (2003) Where Vultures Feast: Shell, Human Rights and Oil (London: Verso).
T. Olesen (2006) ‘In the Court of Public Opinion: Transnational Problem Construction in the HIV/AIDS Medicine Access Campaign 1998–2001’, International Sociology, 21 (1), 5–30.
C. O’Manique (2004) Neoliberalism and AIDS Crisis in Sub-Saharan Africa: Globalization’s Pandemic (Basingstoke: Palgrave Macmillan).
A. Ong and S. Collier (eds) (2005) Global Assemblages: Technology, Politics and Ethics as Anthropological Problems (Oxford: Blackwell).
G. Ooms, W. Van Damme and M. Temmermen (2007) ‘Medicines Without Doctors: Why the Global Fund Must Fund Salaries of Health Workers to Expand AIDS Treatment’, PloS Med, 4/4: e1 28.
R. Peet (2002) ‘Ideology, Discourse and the Geography of Hegemony: From Socialist to Neoliberal Development in Post-Apartheid South Africa’, Antipode, 34 (1), 54–84.
R. Peet (2003) Unholy Trinity: The IMF, World Bank and WTO (London: Zed).
K. Peterson (forthcoming) ‘AIDS Policies for Markets and Warriors: Dispossession, Capital, and Pharmaceuticals in Nigeria’ in K. Sunder Rajan (ed.) Lively Capital: Biotechnologies, Ethics and Governance in Global Markets.
N. Poku (2002) ‘Global Pandemics: HIV/AIDS’ in D. Held and A. McGrew (eds) Governing Globalization: Power, Authority and Global Governance (Cambridge: Polity).
N. Smith (2005) The Endgame of Globalization (Abingdon: Routledge).
S. Tarrow (1994) Power in Movement (Cambridge: Cambridge University Press).
S. Tarrow (2001) ‘Transnational Politics: Contention and Institutions in International Politics’, Annual Review of Political Science, 4, 1–20.
C. Thomas and M. Weber (2004) ‘The Politics of Global Health Governance: Whatever Happened to “Health for All by the Year 2000”?’, Global Governance, 10, 187–205.
UNAIDS (2006) Towards Universal Access: Assessment by the Joint United Nations Programme on HIV/AIDS on Scaling Up HIV Prevention, Treatment, Care and Support, UNAIDS, www.unaids.org
UNAIDS (2007) Epidemic Update (Geneva: UNAIDS).
United States Government Accountability Office (2004) ‘US AIDS Coordinator Addressing Some Key Challenges to Expanding Treatment, but Others Remain’, Report to the Chairman, Subcommittee on Foreign Operations, Export Financing, and Related Programs, Committee on Appropriations, House of Representatives, GAO-04–784, http://www.gao.gov/new.items/d04784.pdf
United States Government Accountability Office (2006) ‘Spending Requirement Presents Challenges for Allocating Prevention Funding under the President’s Emergency Plan for AIDS Relief’, GAO-06-395, http://www.gao.gov/highlights/d06395high.pdf
US Institute of Medicine (2007) PEPFAR Implementation: Progress and Promise (Washington DC: IOM).
H. Waitzkin (2003a) ‘Report of the WHO Commission on Macroeconomics and Health: A Summary and Critique’, The Lancet, 361/9356, 523–526.
H. Waitzkin (2003b) ‘Report of the WHO Commission on Macroeconomics and Health’, The Lancet, 361/9367, 1477–1478.
M. Watts (2006) ‘Empire of Oil: Capitalist Dispossession and the Scramble for Africa’, Monthly Review, 85/4.
A. Whiteside (2008) HIV/AIDS: A Very Short Introduction (Oxford: Oxford University Press).
World Health Organization (WHO) (2007) Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector (Geneva: WHO).
P. Zeitz (2007) ‘Doubletalk Won’t Pay AIDS bills’, Los Angeles Times, 28 June, www.latimes.com
D. Zewdie, K. de Cock and P. Piot (2007) ‘Sustaining Treatment Costs: Who will Pay?’, AIDS, 21, Suppl 4: S1–S4.
Editor information
Editors and Affiliations
Copyright information
© 2009 Palgrave Macmillan, a division of Macmillan Publishers Limited
About this chapter
Cite this chapter
Ingram, A. (2009). The International Political Economy of Global Responses to HIV/AIDS. In: Kay, A., Williams, O.D. (eds) Global Health Governance. International Political Economy Series. Palgrave Macmillan, London. https://doi.org/10.1057/9780230249486_5
Download citation
DOI: https://doi.org/10.1057/9780230249486_5
Publisher Name: Palgrave Macmillan, London
Print ISBN: 978-1-349-30228-4
Online ISBN: 978-0-230-24948-6
eBook Packages: Palgrave Political & Intern. Studies CollectionPolitical Science and International Studies (R0)