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

克雷格·卡尔霍恩奥尔顿·菲利普斯纽约大学联合项目将研究当地受影响社区以及国家、国际和跨国行为体网络对全球艾滋病毒和艾滋病流行病的反应文化。该项目比较了在乌干达分发抗逆转录病毒药物的两个艾滋病毒治疗项目——一个由全球基金资助，另一个由美国总统艾滋病紧急救援计划（PEPFAR）资助。比较的目的是为了更好地了解正在发展的机构能力，如何协商资助条例，以及条例对项目运作的影响。访谈和实地调查将在乌干达姆巴拉拉的两个地点进行，这两个地点最近才出现艾滋病毒治疗方案。研究的核心问题是：通过这些项目，哪些机构的能力得到了发展？来自资助机构关于项目运作的不同指令、规定和指导方针是如何制定、协商和抵制的？全球基金和总统防治艾滋病紧急救援计划资助的项目在能力发展和操作程序方面有显著差异吗？本研究利用两个案例来考察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治理和政治经济的模式。具体来说，它研究了从国家层面重新调整治理规模，以及私有化和市场化在提供社会服务方面日益重要的作用。研究结果将有助于在非洲制定更有效的艾滋病干预政策。

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.