Doctoral Dissertation Research: Opportunistic Infections: The Governance of HIV/AIDS

本论文的研究调查了获得流行病治疗的障碍，特别关注决定全球卫生资源分配的国家和国际议程，以及即使存在资源也存在不平等的原因。研究人员的目的是研究（1）如何通过疾病流行启用新的治理模式，以及这种治理如何重新配置受感染人群的公民身份要求;（2）这些公民身份要求如何由决定获得治疗的国家和非国家机构介导;本研究的目的是通过一个关于“四免一关怀”的民族志个案研究来说明中国艾滋病病毒/艾滋病感染者政策。该国估计有70万人感染艾滋病毒，约19万人需要抗逆转录病毒治疗。自2003年以来，政府实施了这一国家政策，向受感染人口及其家庭提供免费抗逆转录病毒药物、经济和教育援助以及其他福利。然而，由于这一政策的执行不平等，使得一些人能够享受这些权利，而另一些人则无法享受同样的权利。本研究将采用民族志方法，包括参与观察、访谈和档案研究，为全球艾滋病卫生治理提供新的视角。它还将阐明道德政治如何与全球卫生议程的优先事项交叉并形成这些优先事项。这项研究的结果将加深对流行病、公民身份和治理之间关系的理解。

This dissertation research investigates barriers to access to medical treatment for epidemic diseases, with a particular focus on national and international agendas that determine the allocation of global health resources and the reasons inequalities persist even when resources are present. The investigators aim to examine (1) how new modes of governance are enabled through disease epidemics, and the ways this governance reconfigures claims for citizenship by infected populations; (2) how these claims for citizenship are mediated by state and non-state institutions that determine access to treatment; and (3) the political and moral logics that influence the implementation of the policy.The aims of this study will be addressed through an ethnographic case study of the "Four Frees and One Care" policy for people living with HIV/AIDS in China. There are an estimated 700,000 people infected with HIV in the country, and approximately 190,000 people in need of antiretroviral treatment. Since 2003, the government has implemented this national policy, which provides free antiretroviral drugs, economic and educational assistance, and other benefits to infected populations and their families. The unequal implementation of this policy, however, enables some people to access these entitlements while excluding others from the same right. This research will employ ethnographic methods, including participant observation, interviews, and archival research.This research will provide new insights into the global health governance of HIV/AIDS. It will also illuminate how moral politics intersects with and shapes the priorities of global health agendas. The findings from this research will deepen understanding of the relationship between epidemics, citizenship, and governance.