Hesitance towards voluntary medical male circumcision in Lesotho

Reconfiguring global health governance

Bibliographic Data

ID15540331
AuthorsNicola Bulled (0000-0002-9699-3937, University of Connecticut, corresponding author)
Year2014
Volume10
Issue5-6
Pages757-772
Publication date2014-10-10
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2014.962559
PMID25300786
OpenAlexW2083432102
LanguageEN
Citations received5
References cited65

Drawing on work examining HIV prevention initiatives in Lesotho, this paper considers the hesitation of national state actors towards the new strategy for HIV prevention – voluntary medical male circumcision (VMMC). Lesotho offers a representative case study on global health governance, given the country's high HIV burden and heavy dependence on foreign donor nations to implement local HIV prevention initiatives. In this paper, I use the case of VMMC opposition in Lesotho to examine how the new era of ‘partnerships’ has shifted the architecture of contemporary global health, specifically considering how global agreements are translated or negotiated into local practice. I argue that Lesotho's domestic policy-makers, in employing national statistics to assess if VMMC is an effective approach to addressing the local epidemic, are asserting a claim of expertise. In doing so, they challenge the traditional structures of global health politics, which have largely been managed by experts and funders from and in the global North. I explore the development of global VMMC policy, what drives Lesotho's resistance to comply, and consider the impact renegotiation efforts may have on future global health architecture

Aid effectiveness · Corporate governance · Developing country · Economic growth · Economics · Global governance · Global health · Health care · Human immunodeficiency virus (HIV · Management · Opposition (politics · Political science · Politics · Work (physics · African Sexualities and LGBTQ+ Issues · Engineering · Female Genital Mutilation/Cutting Issues · Genital Health and Disease · Medicine · Public Administration

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