Project, implementation, subversion : grasping the cycle of global liberal HIV/AIDS policy

Abstract

Taking the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) as case study, HIV/AIDS interventions – prevention, treatment, and an array of related health and development activities – constitute, in themselves, manifestations of the current U.S. global security project. However, irrespective of its hegemonic features, this project of power faces numerous limits and subversions. Whereas some concern the complexity generated by the adopted models of public-private partnership, others relate to the character of the relations established at different levels between partnership implementers and local target populations. However, those limits and subversions cannot be theorized as projects of counter-hegemony to the dominating political economy.