Aids and the Scientific Governance of Medicine in Post-Apartheid South Africa
Bibliographic Data
| ID | 6020561 |
|---|---|
| Authors | Nicoli Nattra (0000-0002-8422-5631, International AIDS Society, corresponding author), N Nattrass |
| Year | 2008 |
| Volume | 107 |
| Issue | 427 |
| Pages | 157-176 |
| Publication date | 2008-02-16 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | African Affairs (JOURNAL) |
| Journal identifiers | ISSN: 0001-9909 • E-ISSN: 1468-2621 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/afraf/adm087 |
| OpenAlex | W1989010888 |
| Language | EN |
| Citations received | 54 |
| References cited | 9 |
AIDS policy in post-apartheid South Africa has been shaped by persistent antipathy towards antiretroviral drugs (ARVs). This hostility was framed initially by President Mbeki's questioning of AIDS science and subsequently by direct resistance to implementing prevention and treatment programmes using ARVs. Once that battle was lost in the courts and in the political arena, the Health Minister, Tshabalala-Msimang, continued to portray ARVs as ‘poison’ and to support alternative untested therapies. Demographic modelling suggests that if the national government had used ARVs for prevention and treatment at the same rate as the Western Cape (which defied national policy on ARVs), then about 171,000 HIV infections and 343,000 deaths could have been prevented between 1999 and 2007. Two key scientific bodies, the Medicines Control Council (MCC) and the Medical Research Council (MRC) fall under the ambit of the national Department of Health. Although notionally independent, both have experienced political interference as a consequence of their scientific approach towards AIDS. AIDS policy improved after the Deputy President was given responsibility for coordinating AIDS policy in 2006. However, the undermining of the scientific governance of medicine is a legacy that still needs to be addressed.
Antipathy · Battle · Corporate governance · Economic growth · Family medicine · Geography · Government (linguistics) · Human immunodeficiency virus (HIV) · Management · Political science · Politics · Adolescent Sexual and Reproductive Health · Child and Adolescent Health · HIV/AIDS Impact and Responses · Law · Medicine · Public Administration
Patient's knowledge, doctor's ignorance
O Negacionismo do HIV e o Acesso aos Antirretrovirais na África do Sul de Thabo Mbeki
Dentists, politicians and policy professionals
Aids, Politics, and Music in South Africa
Fragile Übergänge – Junge Männer, Gewalt und HIV/Aids Zur Bewältigung chronischer Arbeitslosigkeit in einem südafrikanischen Township
Ironies of Solidarity
The Human Right to Science
Epistemic democracy and the quality of government
Traditional Healing, Biomedicine and the Treatment of HIV/Aids
Thabo Mbeki’s presidential leadership
Emotions and Distrust in Science
The politics and policy of the Third Wave
Thabo Mbeki
The appropriation of an icon
Understanding Aids Conspiracies
Reconciling the Irreconcilable? HIV/Aids and the Potential for Middle Ground Between the Traditional and Biomedical Healthcare Sectors in South Africa
Disinformation squared
Anglo American media representations, traditional medicine, and HIV/Aids in South Africa
HIV/Aids and political controversies in modern South Africa
Obstacles to the response to HIV/Aids in South Africa
‘ We were not allowed to gather even for Christmas. ’ Impact of Covid-19 on South African young people
Governing Covid-19 without government in Brazil
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The impacts of Aids movements on the policy responses to HIV/Aids in Brazil and South Africa
Piloting antiretroviral treatment in South Africa
Multisectoral (in)action
A socio-political history of South Africa’s National Health Insurance
Still Crazy After All These Years
Disinformation, Misinformation and Inequality-Driven Mistrust in the Time of Covid-19
Understanding the origins and prevalence of Aids conspiracy beliefs in the United States and South Africa
HIV/Aids, chronic diseases and globalisation
The impact of Global Health Initiatives at national and sub-national level – a policy analysis of their role in implementation processes of antiretroviral treatment (ART) roll-out in Zambia and South Africa
Health system reform and path-dependency
Mitigating South Africa’s HIV Epidemic
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Mono-Causal and Multi-Causal Theories of Disease
Defending the boundaries of science
Beyond evidence
Norm diffusion and health system strengthening
The human right to health and the struggle for recognition
Thabo Mbeki, postmodernism, and the consequences
The politics of HIV/Aids in South Africa
Institutions and social change
Governing Oneself Through HIV Diagnosis to Antiretrovirals
Institutions, power and para-state alliances
Race, place, and HIV
Bearing the right to healthcare, autonomy and hope
Politicized disease surveillance
Collaborative mental health care in the bureaucratic field of post-apartheid South Africa
What can homonationalism tell us about sexuality in South Africa
Backward Capitalism in RuralSouthAfrica
Ways of Doing
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South Africa's Soviet Connection 1
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Practice of Historical Linguistics and Language Codification in Africa
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| Unique citing works | 54 |
|---|---|
| Citations per year | 3,18 |
| Citation span | 2009 - 2026 (18) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 51 |