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

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 st...

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Autor principal: Høg, Erling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4066904/
https://www.ncbi.nlm.nih.gov/pubmed/24499102
http://dx.doi.org/10.1080/17441692.2014.881522
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author Høg, Erling
author_facet Høg, Erling
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description 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.
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spelling pubmed-40669042014-07-03 HIV scale-up in Mozambique: Exceptionalism, normalisation and global health Høg, Erling Glob Public Health Research Article 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. Taylor & Francis 2014-02-05 2014-01 /pmc/articles/PMC4066904/ /pubmed/24499102 http://dx.doi.org/10.1080/17441692.2014.881522 Text en © 2014 The Author(s). Published by Taylor & Francis. http://www.informaworld.com/mpp/uploads/iopenaccess_tcs.pdf This is an open access article distributed under the Supplemental Terms and Conditions for iOpenAccess articles published in Taylor & Francis journals (http://www.informaworld.com/mpp/uploads/iopenaccess_tcs.pdf) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The moral rights of the named author(s) have been asserted.
spellingShingle Research Article
Høg, Erling
HIV scale-up in Mozambique: Exceptionalism, normalisation and global health
title HIV scale-up in Mozambique: Exceptionalism, normalisation and global health
title_full HIV scale-up in Mozambique: Exceptionalism, normalisation and global health
title_fullStr HIV scale-up in Mozambique: Exceptionalism, normalisation and global health
title_full_unstemmed HIV scale-up in Mozambique: Exceptionalism, normalisation and global health
title_short HIV scale-up in Mozambique: Exceptionalism, normalisation and global health
title_sort hiv scale-up in mozambique: exceptionalism, normalisation and global health
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4066904/
https://www.ncbi.nlm.nih.gov/pubmed/24499102
http://dx.doi.org/10.1080/17441692.2014.881522
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