Sustaining Life: Aids Activism In South Africa (Pennsylvania Studies In Human Rights),New

Sustaining Life: Aids Activism In South Africa (Pennsylvania Studies In Human Rights),New

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An ethnographic account of the South African AIDS movement and activistsFrom the historical roots of AIDS activism in the struggle for African liberation to the everyday work of community education in Khayelitsha, Sustaining Life tells the story of how the rightsbased South African AIDS movement successfully transformed public health institutions, enabled access to HIV/AIDS treatment, and sustained the lives of people living with the disease. Typical accounts of the South African epidemic have focused on the political conflict surrounding it, Theodore Powers observes, but have yet to examine the process by which the national HIV/AIDS treatment program achieved nearuniversal access.In Sustaining Life, Powers demonstrates the ways in which nonstate actors, from caregivers to activists, worked within the state to transform policy and statebased institutions in order to improve healthbased outcomes. He shows how advocates in the South African AIDS movement channeled the everyday experiences of poor and workingclass people living with HIV/AIDS into tangible policy changes at varying institutional levels, revealing the primacy of local action for expanding treatment access. In his analysis of the transformation of the state health system, Powers addresses three key questions: How were the activists of the movement able to overcome an AIDSdissident faction that was backed by government power? How were state health institutions and HIV/AIDS policy transformed to increase public sector access to treatment? Finally, how should the South African campaign for treatment access inform academic debates on social movements, transnationalism, and the state?Based on extended participant observation and indepth interviews with members of the South African AIDS movement, Sustaining Life traces how the political principles of the antiapartheid movement were leveraged to build a broad coalition that changed national HIV/AIDS policy norms and highlights how changes in statesociety relations can be produced by local activism.

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