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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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 |
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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 |
Date Deposited: | 28 Feb 2014 15:57 |
Last Modified: | 02 Oct 2024 22:27 |
URI: | http://eprints.lse.ac.uk/id/eprint/55934 |
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