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Global health partnerships, governance, and sovereign responsibility in western Kenya
Author(s) -
BROWN HANNAH
Publication year - 2015
Publication title -
american ethnologist
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.875
H-Index - 78
eISSN - 1548-1425
pISSN - 0094-0496
DOI - 10.1111/amet.12134
Subject(s) - kenya , general partnership , sovereignty , corporate governance , politics , government (linguistics) , global health , global governance , public administration , state (computer science) , economic growth , sovereign state , political science , sociology , public relations , law , economics , health care , management , linguistics , philosophy , algorithm , computer science
The delivery of resources to citizens in the global South is increasingly managed through international partnerships. As systems of plural governance, such arrangements are characterized by alignments, accommodations, and conflicts between partners’ respective interests. This article focuses on partnerships between the Kenyan Ministries of Health and organizations funded by PEPFAR (the President's Fund for AIDS Relief), drawing on fieldwork with Kenyan government health managers. These partnerships were based on a separation between the ability to provide resources and the right to administer them. For Kenyans, partnerships animated a politics of sovereign responsibility in which they often felt a deep sense of managerial disenfranchisement. For their foreign collaborators, partnership relations legitimized the interventions they organized. This politics of sovereign responsibility reconfigured the importance of the state on the basis of its role in delivering resources within global relations of inequality. [ global health, PEPFAR, HIV/AIDS, governance, partnership, sovereign responsibility, the state, Kenya ]