The Marketization of HIV/Aids Governance

Public-Private Partnerships and Bureaucratic Culture in Pakistan

Bibliographic Data

ID4380119
AuthorsAyaz Qureshi (0000-0002-0451-7838, Museum of Indian Arts and Culture, corresponding author)
Year2015
Volume33
Issue1
Publication date2015-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Cambridge Journal of Anthropology (JOURNAL)
Journal identifiersISSN: 0305-7674 • E-ISSN: 2047-7716
PublisherBerghahn Books (PUBLISHER • GB)
DOI10.3167/ca.2015.330104
OpenAlexW2340131409
LanguageEN
Citations received7
References cited14

The World Bank-financed 'Enhanced HIV and AIDS Control Program' tried to reorganize HIV/AIDS governance in Pakistan by pushing a neoliberal agenda, marketizing the provision of publicly funded HIV prevention services. NGOs and the private sector competed for contracts with the government to provide services to sex workers, drug users, transgendered people and homosexuals who were deemed 'high risk' groups for HIV. With this contractualization emerged a new bureaucratic field that emphasized 'flexible organization' and 'efficiency' in getting things done in place of the traditional bureaucratic proceduralism characteristic of the Pakistani civil service. This new corporate-style bureaucratic culture and the ambiguities of a hastily contracted (and 'efficiently' rolled out) Enhanced Program meant public funds ending up in the pockets of a few powerful actors. Instead of generating more efficiency, the marketization of services dispossessed the intended beneficiaries of the World Bank loan

Bureaucracy · Business · China · Corporate governance · Economic growth · Economics · Marketization · Political science · Politics · Public culture · African Sexualities and LGBTQ+ Issues · Anthropological Studies and Insights · Sex work and related issues

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