A Global Disease and Its Governance: HIV/AIDS in Sub-Saharan Africa and the Agency of NGOs

Seckinelgin, Hakan

doi:10.1163/19426720-01103006

Cited by 27 publications

(23 citation statements)

References 8 publications

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“…Regardless of these local efforts, international investment in HIV/AIDS interventions continues to increase [ 37 ]. Seckinelgin [ 39 ] critiques the idea of promoting funding as if it is the only way to succeed in health interventions. He argues that putting significant funding into ineffective intervention structures will not yield effective results within a given space of time.…”

Section: Introductionmentioning

confidence: 99%

Aspirations and realities in a North-South partnership for health promotion: lessons from a program to promote safe male circumcision in Botswana

2016

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BackgroundInternational donors support the partnership between the Government of Botswana and two international organisations: U.S. Centers for Disease Control and Prevention and Africa Comprehensive HIV/AIDS Partnership to implement Voluntary Medical Male Circumcision with the target of circumcising 80 % of HIV negative men in 5 years. Botswana Government had started integration of the program into its health system when international partners brought in the Models for Optimizing Volume and Efficiency to strengthen delivery of the service and push the target. The objective of this paper is to use a systems model to establish how the functioning of the partnership on Safe Male Circumcision in Botswana contributed to the outcome.MethodsData were collected using observations, focus group discussions and interviews. Thirty participants representing all three partners were observed in a 3-day meeting; followed by three rounds of in-depth interviews with five selected leading officers over 2 years and three focus group discussions.ResultsFinancial resources, “ownership” and the target influence the success or failure of partnerships. A combination of inputs by partners brought progress towards achieving set program goals. Although there were tensions between partners, they were working together in strategising to address some challenges of the partnership and implementation. Pressure to meet the expectations of the international donors caused tension and challenges between the in-country partners to the extent of Development Partners retreating and not pursuing the mission further.ConclusionTarget achievement, the link between financial contribution and ownership expectations caused antagonistic outcome. The paper contributes enlightenment that the functioning of the visible in-country partnership is significantly influenced by the less visible global context such as the target setters and donors.

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Section: Introductionmentioning

confidence: 99%

Aspirations and realities in a North-South partnership for health promotion: lessons from a program to promote safe male circumcision in Botswana

2016

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“…Patterns in international aid reflect global inequalities, as one major critique points out that control and decision-making in these organizations is often based in core nations where the stakeholders and donors reside. Thus, the activities of INGOs may ignore or lack understanding of local cultural needs and conditions on the ground in poor nations (Moyo 2010;Namwamba and Lyles 2007: Seckinelgin 2005, 2006Shircliff and Shandra 2011). Furthermore, while aid by INGOs based in core nations may be provided in times of crises, it often comes too late; many of the deaths and injury from disasters occurs immediately or before aid is able to arrive (Namwamba and Lyles 2007;Ndikaru Wa Teresia 2007;Roberts and Parks 2007).…”

Section: Hazards and Vulnerability In Less-developed Nations From A Cmentioning

confidence: 99%

The political economy of landslides and international aid relief: a qualitative investigation in rural Uganda

Austin

Mejia

2019

Journal of Political Ecology

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This is a qualitative study of perspectives from community members on landslides in Bududa, Uganda. Interviews with community members reveal their perceptions of the causes, effects, and aid response to landslides. We employ a 'structural fieldwork' approach to explain community member's thoughts and experiences using critical macro-comparative perspectives relating to political ecology. This research brings attention to how large-scale unequal relationships in trade and international aid increase landslide vulnerability and there are ineffective relief efforts in a particular locale. Linking environmental degradation in Bududa to political, economic, and social factors provides a broader context in which to view risk from landslides in this community, as a critical case in demonstrating how economic globalization benefits some at the expense of others.Keywords: Landslides, unequal exchange, disaster, NGOs, political economy

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“…Skeptics dismiss this depiction as too idealized. They point to weak links between global NGOs represented in PPPs and community-based NGOs, arguing that the latter have been crowded out by a growing number of "operational" NGOs with few links to the communities they serve (Seckinelgin, 2005;Doyle andPatel, 2008: 1934). The dependence of most NGOs on donor funding and the pressure to achieve quick result have led to homogenized approaches, favoring interventions which can be easily measured but which often lack credibility and trust within affected communities.…”

Section: Accountabilitymentioning

confidence: 99%

Coordinating Actors in the Fight against HIV/AIDS: From “Lead Agency” to Public-Private Partnerships

Jönsson¹

2010

Democracy and Public-Private Partnerships in Global Governance

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The interface and diffuse borderline between public and private are prominent in the issue-area of global public health. On the one hand, health may be regarded as a global public good, whose delivery is normally the responsibility of governments or intergovernmental organizations (IGOs). On the other hand, transnational pharmaceutical corporations and civil society actors are today important contributors to the provision of this public good. The emerging "new political ecosystem of health" can be seen as "an excellent example of the development of transnational society," displaying "a complex interplay between state and non-state actors and … new organisational mechanisms that allow for their involvement" (Kickbusch, 2005: 970).

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A Global Disease and Its Governance: HIV/AIDS in Sub-Saharan Africa and the Agency of NGOs

Cited by 27 publications

References 8 publications

Aspirations and realities in a North-South partnership for health promotion: lessons from a program to promote safe male circumcision in Botswana

Aspirations and realities in a North-South partnership for health promotion: lessons from a program to promote safe male circumcision in Botswana

The political economy of landslides and international aid relief: a qualitative investigation in rural Uganda

Coordinating Actors in the Fight against HIV/AIDS: From “Lead Agency” to Public-Private Partnerships

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