HIV/AIDS, local politics, and the limits of transnational governance in South Africa

Item

Title
HIV/AIDS, local politics, and the limits of transnational governance in South Africa
Identifier
d_2009_2013:d723b7630475:11208
identifier
11556
Creator
Powers, Theodore,
Contributor
Donald K. Robotham
Date
2012
Language
English
Publisher
City University of New York.
Subject
Social research | South African studies | Behavioral psychology | Political science | Globalization | HIV/AIDS | Neoliberalism | Politics | South Africa | Transnationalism
Abstract
This dissertation analyzes the social and political contestation that surrounded the implementation of a new national HIV/AIDS policy in South Africa. I contend that that the African National Congress developed new institutional forms and cultivated alliances with non-governmental organizations to limit the influence of organizations and international donor funding through the implementation of the new AIDS policy. At the national level, my research on the National AIDS Council found that intransigence on the part of government officials undermined the implementation of the national policy. In the Western Cape province, I discovered that a consultative process for the new policy was deeply influenced by the transfer of the Global Fund grant from the provincial health department to a single non-governmental organization. In the townships located outside of Cape Town, I found that local branches of ruling party developed alliances with local non-governmental organizations to disseminate alternative AIDS treatment. However this association between the African National Congress and non-governmental organizations focused particularly on initiatives and organizations that were supported by international funding. As such, I argue that the politics of the South African AIDS epidemic were partly oriented around the influence of transnational political and economic forces.;The conclusions I reach in my dissertation offer a critical perspective on the ways that contemporary theories of globalization and transnational governance characterize the capacity of states to maintain political autonomy. Here I argue against those who see a growth in non-governmental organizations or global interconnectedness as marking a retraction of the state. This trend has been particularly emphasized in developing countries, where the privatization of social services has been viewed as an essential ingredient in macroeconomic stabilization. While the capacities of the South African state have been diminished due to privatization, the ruling party has expanded its influence through alliances with non-governmental organizations and by strategic control over institutions that can be used to limit transnational political influence. Thus, rather than a weakening of state power, in South Africa the influence of neoliberal globalization has precipitated a transformation of the modes through which political power is achieved and/or maintained by the African National Congress.
Type
dissertation
Source
2009_2013.csv
degree
Ph.D.
Program
Anthropology