Why have governments responded to the HIV/AIDS pandemic in such different ways? During the past quarter century, international agencies and donors have disseminated vast resources and a set of best practice recommendations to policymakers around the globe. Yet the governments of developing countries in sub-Saharan Africa, Asia, Latin America, and the Caribbean continue to implement widely varying policies. Boundaries of Contagion is the first systematic, comparative analysis of the politics of HIV/AIDS. The book explores the political challenges of responding to a stigmatized condition, and identifies ethnic boundaries--the formal and informal institutions that divide societies--as a central influence on politics and policymaking. Evan Lieberman examines the ways in which risk and social competition get mapped onto well-institutionalized patterns of ethnic politics. Where strong ethnic boundaries fragment societies into groups, the politics of AIDS are more likely to involve blame and shame-avoidance tactics against segments of the population. In turn, government leaders of such countries respond far less aggressively to the epidemic. Lieberman's case studies of Brazil, South Africa, and India--three developing countries that face significant AIDS epidemics--are complemented by statistical analyses of the policy responses of Indian states and over seventy developing countries. The studies conclude that varied patterns of ethnic competition shape how governments respond to this devastating problem. The author considers the implications for governments and donors, and the increasing tendency to identify social problems in ethnic terms.
Intro Boundaries of Contagion How Ethnic Politics Have Shaped Government Responses to AIDS CONTENTS Illustrations Abbreviations Preface Chapter One Introduction The Puzzle of Explaining Government Policy AIDS as a Laboratory for Comparison: Politics in Really Hard Times Outline of the Book Chapter Two A Theory of Boundary Politics and Alternative Explanations Ethnic Boundaries The Effect of Boundaries on Policymaking Implications for AIDS Policy Additional and Alternative Explanations Conclusion Chapter Three Globalization and Global Governance of AIDS: The Geneva Consensus The Rise of Asymmetric Global Health Governance The Emergence of the Global Response to AIDS The Content of the Geneva Consensus The Limits of Consensus Conclusion Chapter Four Race Boundaries and AIDS Policy in Brazil and South Africa Comparing the Epidemics in Brazil and South Africa Different Policy Responses Partial and Alternative Explanations of Policy Divergence The Effect of Boundary Institutions Conclusion Chapter Five A Model-Testing Case Study of Strong Ethnic Boundaries and AIDS Policy in India India's AIDS Epidemic The Government's Response: Weak and Delayed Explanation: The Role of Boundary Politics Explaining Policy Variation across Indian States Conclusions and Alternative Explanations Chapter Six Ethnic Boundaries and AIDS Policies around the World The Data Analysis and Discussion: Estimates of the Effect of Boundaries on AIDS Policy Conclusion Chapter Seven Conclusion: Ethnic Boundaries or Cosmopolitanism? Implications Future Research References Index.
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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2021. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.