The social construction of ARVs in South Africa* *This article is based on a longer study that was developed in collaboration with Sexuality Policy Watch, with funding provided by the Ford Foundation. For an extended discussion of the issues examined in this article, see “Constitutional authority and its limitations

An estimated 5.5 million people are currently living with HIV/AIDS in South Africa, 4.9 million of them between the ages of 15-49, 18.8% of the total population in that age bracket (Department of Health, Republic of South Africa 2006). The potential medical and social benefits of anti-retroviral drugs (ARVs) would be substantial, but South Africa's leaders have faulted in their response to AIDS from the very beginning, particularly President Thabo Mbeki, who, in concert with the Minister of Health, has questioned the basic science of AIDS, and has condemned ARVs as poisonous. President Mbeki has created a false distinction between social causes and disease agents in his analysis that it is poverty, rather than HIV, that causes AIDS. He has made his arguments using post-colonial rhetoric to condemn pharmaceutical imperialism and medical experimentation on African populations. Opponents, most notably the pro-treatment social movement group, Treatment Action Campaign, claim that because poverty increases the risk of infection, illness and death due to HIV access to anti-retroviral medication is a social justice issue - justice demands the medications be available at all government clinics at no cost. In 2003 a government-sponsored treatment programme was launched, and by mid-2006 it was treating 140 000 persons with HIV/AIDS, less than 25% of the number estimated to require treatment. Treatment access, for all who need it in South Africa, is an ambitious but achievable goal. A new president will be elected in 2008, and many hope that this will result in a national treatment programme unshackled from the "AIDS denialism" of the current leaders. Former deputy president, Jacob Zuma, is likely to be the next president. His record on AIDS, and his patriarchal attitudes towards women, are troubling, however. One can only hope that the provincial health systems, which operate with a fair level of autonomy from the national Department of Health, will not be further hampered in their work by the politics of the central government

Economic growth · Economic Justice · Environmental health · Political science · Population · Poverty · Social issues · Sociology · Adolescent Sexual and Reproductive Health · African Sexualities and LGBTQ+ Issues · Law · Legal Issues in South Africa · Medicine

• Re-worlding reproduction as a call to action

  Open Access•A Whittaker, Nolwazi Mkhwanazi et al.•Culture Health & Sexuality•2026

  Incluir item

• Meeting the challenges of the Ottawa Charter

  Open Access•Myra Taylor, Anna Meyer-Weitz et al.•Health Promotion International•2009

  Incluir item

• We Still Living

  Open Access•John Keketso Peete•Medicine Anthropology Theory•2023

  Incluir item

• Exploring the Anomalous Positive Relationship between Aids and Poverty in Africa

  Open Access•Bill Gould•Geography Compass•2009

  Incluir item

• Aids in the Twenty-First Century

  Open Access•Tony Barnett, Alan Whiteside•AIDS in the Twenty-First Century•2002

  Incluir item

• Thabo Mbeki's World

  Gail M Gerhart, Sean Jacobs et al.•Foreign Affairs•2003

  Incluir item

• Human Rights, Racism and Aids

  Edwin Cameron•South African Journal on Human…•1993

  Incluir item

• HIV and Aids-related stigma and discrimination

  Open Access•Richard Parker, Peter Aggleton•Social Science & Medicine•2003

  Incluir item

• Virginity Testing and the Politics of Sexual Responsibility

  F Scorgie•African Studies•2002

  Incluir item