Monday, February 18, 2019
Essay --
During the eleven year long Sierra Leonean civil war, reports of opinionated sexual violence against women and girls during the war resulted in worldwide concern over a authority crisis of human immunodeficiency virus/AIDS in the country. In pose to manage the imagined impending outbreak, the Ministry of Health and Sanitation (MoHS) in Sierra Leone true $15 million from the World Bank to create the Sierra Leone human immunodeficiency virus/AIDS Response Program SHARP. In this paper, I point to the establish that the global crisis narrative of HIV/AIDS does to shape specific forms of interpolation. In Sierra Leone, the global wellness interventions associated with HIV/AIDS are advance targeted at vulnerable cosmoss, particularly war-affected women and girls, who are a good deal framed as both abject victims in need of care (read at risk) and potential vehicles of HIV/AIDS transmission in need of control (read risky). In my conclusion, I ask whether the vision of HIV/AIDS v ulnerability communicated by SHARP is indicative of an uneven or differential landscape of wellness citizenship in post-war Sierra Leone.The contemporary model of global health intervention is rooted in colonial and post-colonial histories of debt, structural adjustment, the devolution of the state and the climbing of multilateral aid-driven health development. As Sparke (2013) illustrates, the growing global health exertion increasingly relies on a new Washington Consensus, which frames improvements in population health as integral to social and economic development in nations of the Global South. Combating diseases of poverty, such as HIV/AIDS, global health interventions often take the form of short-term technocentric solutions that are limited in orbital cavity and vertical in implementation (Foley & Henrixson 2... ...ent-funded initiatives act as quasi states that discover state-like effects of control, regulation and legitimacy. The involvement of these entities in the cr eation and implementation of HIV/AIDS policies in Sierra Leone simultaneously disrupts national narratives of health citizenship and creates a global moral politics of intervention (Benton 2012 Kenworthy forthcoming). Through the continued consumption of a crisis model of care to address global health emergencies, the international community perpetuates the mobilization of differential forms of health citizenship that are envisioned at the global scale yet enacted and negotiated in a variety of ways at the national and local scales. In the context of the global health industry, such differential health citizenships are practiced through the prioritization of certain(p) bodies for care to the detriment of others.
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