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


Hog, E; (2014) HIV scale-up in Mozambique: Exceptionalism, normalisation and global health. Global public health, 9 (1-2). pp. 210-223. ISSN 1744-1692 DOI: https://doi.org/10.1080/17441692.2014.881522

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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
Keywords: Capacity Building, economics, Delivery of Health Care, Integrated, Global Health, HIV Infections, drug therapy, prevention & control, Humans, International Cooperation, Leadership, Mozambique, Politics, Qualitative Research
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
PubMed ID: 24499102
Web of Science ID: 331601600015
URI: http://researchonline.lshtm.ac.uk/id/eprint/3154245

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