Doctoral Dissertation Research: Institutional Capacities of HIV Treatment Programs in Uganda

SES-0727429克雷格CalhounAlton Phillips新约克大学共同主要研究者将研究当地受影响社区和国家、国际和跨国行动者网络对全球艾滋病毒和艾滋病流行病的反应文化。 该项目比较了两个在乌干达分发抗逆转录病毒药物的艾滋病毒治疗项目--一个由全球基金提供资金，另一个由美国总统艾滋病紧急救援计划提供资金。 比较的目的是为了更好地了解正在开发的机构能力，如何谈判融资法规，以及法规对计划运营的影响。 访谈和实地考察将在乌干达姆巴拉拉的两个地点进行，那里的艾滋病毒治疗方案最近才出现。 中心研究问题是：通过这些方案正在发展哪些机构能力？ 如何制定、谈判和抵制来自资助机构的关于计划运作的不同授权、法规和指导方针？ 全球基金和总统艾滋病紧急救援计划资助的项目在能力发展和运作程序方面是否存在重大差异？本研究使用两个案例来研究应对全球艾滋病毒和艾滋病流行病的文化如何反映和再现当前的治理和政治经济模式。具体而言，它研究了从国家一级重新调整治理的规模，以及私有化和市场化在提供社会服务方面发挥越来越大的作用。 研究结果将有助于制定更有效的非洲艾滋病干预政策。

SES-0727429Craig CalhounAlton PhillipsNew York UniversityThe co-PI will study the culture of response from local affected communities and networks of national, international and transnational actors to the global HIV and AIDS pandemic. The project compares two HIV treatment programs that are distributing anti-retrovirals in Uganda--one with funding from the Global Fund and one with funding from the US President's Emergency Plan for AIDS Relief (PEPFAR). The purpose of the comparison is to better understand what institutional capacities are being developed, how funding regulations are negotiated, and the impact regulations have on program operations. Interviews and fieldwork will be conducted at two sites in Mbarara, Uganda where HIV treatment programs have only recently emerged. The central research questions are: What institutional capacities are being developed through these programs? How are the different mandates, regulations and guidelines from the funding agencies regarding program operations enacted, negotiated and resisted? Is there significant variation between Global Fund and PEPFAR funded programs in terms of capacity development and operating procedures? This research uses two cases to examine how the culture of response to the global HIV and AIDS pandemic reflects and reproduces current patterns in governance and political economy. Specifically, it studies the re-scaling of governance away from the state level and the increasing role of privatization and marketization in the provisioning of social services. Research findings will contribute to formulating more effective AIDS intervention policies in Africa.