United States-Africa AIDS Policy: Stakeholder Politics & Tools for Survival
Foley, Brendan M.
2021
- Conceived in 2003 during the Bush administration, the President’s Emergency Plan for AIDS Relief (PEPFAR) remains the largest global health program in the world devised to combat a single disease. In this paper, I examine how a diverse set of stakeholders, including those in the economic, religious, health systems, and defense sectors, mobilized to support US-Africa AIDS policy. In the context of ... read moreinternational and domestic conditions, I relate how these stakeholders lobbied for PEPFAR in order to advance their interests, many of which were peripheral to the humanitarian goal of combating the global AIDS crisis. Through the use of coalition grids, I historicize US-Africa AIDS politics over the course of the Clinton, Bush, Obama, and Trump administrations. The purpose of my research is not to assess whether PEPFAR was a successful program as its accomplishments are universally acknowledged. Rather, I seek to understand the power and processes protecting PEPFAR’s survival to the current day, despite spoilers threats to its reauthorization. Finally, I conclude with three coalition-building tools that explain how PEPFAR survived, namely the importance of issue-framing in adapting PEPFAR to conditions and stakeholder interests, the critical applications of public-private partnerships in accessing new technology and innovative practices, and the necessity for individuals to build channels of communication in order to bridge silos.read less
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