Author:Carolina De Rosis (EHESS-CEAf)
Paper short abstract:
This paper critically discusses the dynamics of participation of some Ethiopian traditional self-help associations and the resistance of others to the project Home and Community Palliative Care for HIV-Positive People in Gondar, under the sponsorship of Family Health International (FHI).
Paper long abstract:
Since the beginning of 2000s we have observed a significant increase in global funding for health and new forms of partnership between civil society, international organizations and private foundations - transcending in a first instance the nation-state. Such financial support is basically due to the inflow of aid for vertical programs fighting against infectious diseases like tuberculosis, malaria and more particularly HIV/AIDS. However, the level of financial aid and other resources that have been invested in HIV/AIDS mass treatment programs have stirred debate among scholars (England 2007; 2008; Forman 2011; Moatti 2011). This paper argues that the implementation of epidemic management policies have strongly contributed to the formation of the state (Berman & Lonsdale 1992) in terms of "governmentality" (Foucault 1978). The fighting strategies against HIV/AIDS have triggered the formation of a public and social sphere of action in which different actors articulated the functions and powers of the state in different ways.
We analyze the project set up by a coalition of different self-help associations under the sponsorship of FHI in Gondar by taking into consideration the complex context of various local and international actors involved in the fight against HIV/AIDS. We highlight particularly how the participation of some self-help associations (əddər, sänbäte), and the resistance of others (ǧäm'əya) to the project, are subjected to their links and forms of cooperation already existing within the city's administrative structure.
Governing AIDS through aid to civil society: power, responsibilization and resistance