Premium
The global fight against AIDS: how adequate are the national commissions?
Author(s) -
Putzel James
Publication year - 2004
Publication title -
journal of international development
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 66
eISSN - 1099-1328
pISSN - 0954-1748
DOI - 10.1002/jid.1167
Subject(s) - human immunodeficiency virus (hiv) , economic growth , political science , developing country , order (exchange) , development economics , international community , public administration , business , economics , medicine , law , finance , politics , virology
Abstract This article examines the response of the international community to the HIV/AIDS crisis, focusing on efforts to promote a ‘multisectoral’ approach to fighting the epidemic. It critically assesses the evolution of an ‘organizational template’, which requires developing country governments to establish stand‐alone National AIDS Commissions in order to receive funding for HIV/AIDS programmes. While the World Bank, based on interpretations generated by the United Nations Joint Programme on HIV/AIDS (UNAIDS) and bilateral donors, claims that the model is derived from successful experience, an examination of evidence particularly from Uganda, Senegal and Malawi, suggests that National Commissions have not worked well and may, in fact, have contributed to weakening health sectors attempting to cope with the crisis. Copyright © 2004 John Wiley & Sons, Ltd.