AIDS and "shared sovereignty" in Tanzania from 1987 to 2000: A case study

Kari A. Hartwig, Eugenia Eng, Mark Daniel, Thomas Ricketts, Sandra Crouse Quinn

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

After more than 15 years of foreign assistance to support HIV/AIDS prevention in Sub-Saharan Africa, HIV rates in the sub-continent remain high with only a few examples of reduced HIV incidence. This case study used the frame of "shared sovereignty" between nation-states and official development assistance agencies to analyze 13 years of technical assistance for HIV/AIDS programs in Tanzania from 1987 to 2000. The study draws on 21 key informant interviews and a systematic review of key program documents from the National AIDS Control Programme (NACP) and 14 other international agencies. Applying Jamison et al.'s (Lancet 351 (1998) 514) shared sovereignty framework, the analysis focused on fulfilled shared functions in moving Tanzania's NACP from dependence to independence. The analysis revealed an uneven and inconsistent level of technical assistance to the NACP with a rotation of multilateral and bilateral donors over the period of study. The Tanzanian government was often ambivalent toward agencies providing assistance towards its HIV/AIDS programs and toward its own NACP. Results are discussed in terms of implications for future strategic planning to mitigate the effects of HIV/AIDS. Determining roles, shared accountability and responsibility in a shared sovereignty framework remain a challenge in the governance of HIV/AIDS programs in Tanzania.

Original languageEnglish
Pages (from-to)1613-1624
Number of pages12
JournalSocial Science and Medicine
Volume60
Issue number7
DOIs
Publication statusPublished - Apr 2005
Externally publishedYes

Fingerprint

Tanzania
sovereignty
Acquired Immunodeficiency Syndrome
AIDS
HIV
assistance
technical assistance
International Agencies
AIDS/HIV
Sovereignty
responsibility
Africa South of the Sahara
Social Responsibility
strategic planning
nation state
incidence
Interviews
governance
Incidence

Cite this

Hartwig, Kari A. ; Eng, Eugenia ; Daniel, Mark ; Ricketts, Thomas ; Quinn, Sandra Crouse. / AIDS and "shared sovereignty" in Tanzania from 1987 to 2000: A case study. In: Social Science and Medicine. 2005 ; Vol. 60, No. 7. pp. 1613-1624.
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AIDS and "shared sovereignty" in Tanzania from 1987 to 2000: A case study. / Hartwig, Kari A.; Eng, Eugenia; Daniel, Mark; Ricketts, Thomas; Quinn, Sandra Crouse.

In: Social Science and Medicine, Vol. 60, No. 7, 04.2005, p. 1613-1624.

Research output: Contribution to journalReview article

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