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HIV scale-up in Mozambique: exceptionalism, normalisation and global health

Høg, Erling (2014) HIV scale-up in Mozambique: exceptionalism, normalisation and global health. Global Public Health, 9 (1-2). pp. 210-223. ISSN 1744-1692

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Identification Number: 10.1080/17441692.2014.881522

Abstract

The large-scale introduction of HIV and AIDS services in Mozambique from 2000 onwards occurred in the context of deep political commitment to sovereign nation-building and an important transition in the nation's health system. Simultaneously, the international community encountered a willing state partner that recognised the need to take action against the HIV epidemic. This article examines two critical policy shifts: sustained international funding and public health system integration (the move from parallel to integrated HIV services). The Mozambican government struggles to support its national health system against privatisation, NGO competition and internal brain drain. This is a sovereignty issue. However, the dominant discourse on self-determination shows a contradictory twist: it is part of the political rhetoric to keep the sovereignty discourse alive, while the real challenge is coordination, not partnerships. Nevertheless, we need more anthropological studies to understand the political implications of global health funding and governance. Other studies need to examine the consequences of public health system integration for the quality of access to health care.

Item Type: Article
Official URL: http://www.tandfonline.com/loi/rgph20
Additional Information: © 2014 The Author. Publsihed by Taylor & Francis
Divisions: LSE Health
Subjects: D History General and Old World > DT Africa
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > RA Public aspects of medicine
R Medicine > RB Pathology
Sets: Research centres and groups > LSE Health
Date Deposited: 28 Feb 2014 15:57
Last Modified: 20 May 2019 01:38
URI: http://eprints.lse.ac.uk/id/eprint/55934

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