The HIV/AIDS pandemic in Africa has far-reaching implications
for governance and development. In addition to killing millions
of individuals and causing serious economic contractions, the
pandemic threatens structural transformations in African economies,
institutions and governance. Decreased adult life expectancy
has important adverse impacts upon savings, capital accumulation,
skills acquisition, and institutional functioning. This article
examines how the impacts of the pandemic can be envisaged as
running processes of demographic transition, economic development
and the growth of a bureaucratic state, in reverse. Meanwhile,
expanded HIV/AIDS programming is likely to become a major feature
of some African countries. The article examines different models
for social and political mobilization against the pandemic and
sketches a unified framework for understanding its impact.
African Affairs 102:1-23 (2003) © 2003 The Royal African
Society |
