• Embed Doc
  • Readcast
  • Collections
  • CommentGo Back
Download
 
 International Relations
Copyright ©2001SAGE Publications(London, Thousand Oaks, CA and New Delhi), Vol 15(6): 37–54[0047–1178 (200112) 15:6; 37–54; 021340]
The Politics of Poverty and Debt in Africa’sAIDS Crisis
Nana K. Poku and Fantu Cheru,
University of Southampton, UK and  American University, Washington, USA
Introduction
As Africa enters its third decade of adjustment pressures, the promisedadvantages of economic restructuring – as hailed by the various lending bodies –have not been borne out. Foreign investments have failed to flow in, the debtburdens have continued and commodity prices go on fluctuating amid decliningindustries. Not surprisingly, the stark picture emerging from the continent is oneof a people relegated to a position of extreme poverty, as state managers and theinternational community either fail to, or seem unable to, pursue policies that willsatisfy the basic needs of its citizens. To compound matters, HIV and AIDS arethreatening to further marginalize the continent. The general statistics are wellknown, but bear repeating. In the year 2000, some five million people contractedHIV at a rate of 15,000 a day or 11 infections per minute. This brought the globaltotal of people living with the virus to 35 million, with Africa accounting for astaggering 25 million – that is two–thirds of all the global cases – see Table 1.Depending on access to effective anti-retroviral drugs, these people will die in thenext 5–10 years, joining the 13 million Africans so far claimed by the epidemicsince the early 1980s.The virus has already overtaken malaria as the major killer on the continent,but its structural impact threatens to be even more devastating.
1
Life expectancy,for example, rose by a full 15 years from 44 years in the early 1950s to 59 in theearly 1990s; due to HIV/AIDS the figure is set to recede to just 44 years between2005 and 2010.
2
By that time, more people on the continent will have died fromAIDS than in both world wars combined. Predicated on the continent’s limitedeconomic capabilities, this article charts the relationship between poverty, debtrelief and the politics of an effective response to HIV/AIDS in Africa. It beginswith an assessment of the societal causes and consequences of the epidemic, thenmoves to contextualise the case for debts cancellation. It concludes by examiningthe crucial relationship between debt relief and the successful implementation of effective strategies against the epidemic in Africa.
Globalisation of inequality: Africa
The late Susan Strange once described the concept of globalization as ‘the worseof all the vague and woolly words’ in the discipline of International Relations, as
 
 3  8 
I  
NNI   ONI   ON S X V  (   6  )  
Table 1
Regional HIV/AIDS Statistics and Features December 2000
 Region Epidemic started Adults & Adults & Adult Percentage of Main mode(s) of children living children newlyprevalence HIV-positive transmission
2
 for with HIV/AIDS infected withrate
1
adults who adults living with HIVare womenHIV/AIDSSub-Saharan Africa
late 70s early 80s24.3 million3.8 million8.0%55%Hetro
 North Africa & Middle East 
late 80s220 00019 0000.13%20%IDU, Hetro
South & South-East Asia
late 80s7 million1.3 million0.69%30% Hetro
 East Asia & Pacific
late 80s530 000120 0000.068% 15%IDU, Hetro, MSM
 Latin America
late 70s early 80s2.3 million 150 000 0.57% 20%MSM, IDU, Hetro
Caribbean
late 70s early 80s760 00057 0001.96%35%Hetro, MSM
 Eastern Europe & Central
early 90s 660 00095 0000.14%20%IDU, MSM
 AsiaWestern Europe
late ’70s early ’80s 520 000 30 000 0.25% 20% MSM, IDU
 North America
late 70s early 80s 920 000 44 000 0.56%20%MSM, IDU, Hetro
 Australia & New Zealand 
late ’70s early ’80s 12 000 500 0.1% 10% MSM, IDU
TOTAL35.3 million 5.6 million 1.1% 46%
Source:
WHO/UNAIDS
1
The proportion of adults (15 to 49 years of age) living with HIV/AIDS in 2000, using 1999 population numbers.
2
MSM (sexual transmission among men who have sex with men), IDU (transmission through injecting drug use), Hetro (heterosexual
 
it refers to ‘anything from the Internet to a hamburger’.
3
Equally, it has beenaccused of being nothing more than a new spin of an old idea. ‘Globalisation’concluded Martin Khor, ‘is what we in the Third World have for several centuriescalled colonization’.
4
In a manner reminiscent of Fukuyama’s claims about the‘end of history’, some see it as the latest in a series of Enlightenment narrativespurporting to outline a universal civilization and a common destiny for humankind.
5
Others have denounced its economism; its economic reductionism; itstechnological determinism; its political cynicism, defeatism and immobilism.
6
Yetothers have conferred upon it the accolades of ‘the word of the decade’
7
and the‘buzzword of the 1990s’.
8
In spite of – or more accurately perhaps despite – itscritics, the concept has gained particular currency in both the language andiconography of global politics. Scholte offers a minimalist definition as ‘a stillon–going process whereby the world is in many respects becoming one relativelyborderless arena of social life’.
9
Robertson pursues the theme further, noting that,‘globalisation also refers to cultural and subjective matters’ (namely, the scopeand depth of consciousness of the world as a single place).
10
For these and other writers, even if the eventual picture remains in doubt, theprincipal agents of such change are evident enough, such as globalizingcorporations emerging from a rapid process of super–mergers, technoscientificnetworks and the aesthetic architects of mass culture. At the same time, there isalso a shrinking of the world brought about by the third technological revolutionthat has enabled us to travel both vicariously and instantaneously to almost allregions of the world.
11
In this sense the process of globalization is tearing awaythe traditional notion of continuous, historical time on the one hand, andestablished spatial parameters on the other.
12
Temporal discontinuity and spatial‘deterritorialization’ displaces the familiar and the secure, placing allconventional poles of attachment in doubt and flux. Thus, close encounters of adirect kind in which we meet others face to face are being replaced by indirectcontact with remote ‘others’. In short, globalization has radically altered themanner in which we conduct our lives in the sense that locales are thoroughlypenetrated by, and shaped in terms of, social influences quite distant from them.While there is some question as to whether this process represents the end, orthe fulfilment, of a Eurocentric modernization, there is little question about itsdifferential impact on people and societies across the globe. Most obviously,poverty, mass unemployment and inequality have mushroomed alongside recentadvancements in technological developments and the rapid expansion of trade andinvestment. Indeed, over the past two decades, the overall pattern of resourcedistribution has radically shifted from a shape resembling an egg to that of a pear.In other words, fewer people have occupied the top, and more people have slippedtowards the bottom. Between 1990 and 1998, for example, the share of thepopulation in developing countries living below $1 per day fell from 29 per centto 24 per cent. But because of population growth, the number of people in povertydeclined by only 77 million – hardly a stellar result. Interestingly, all theimprovements occurred in East Asia, mainly in China. Excluding China, the
P
OKU AND
C
HERU: THE POLITICS AND POVERTY OF DEBT39
of 00

Leave a Comment

You must be to leave a comment.
Submit
Characters: ...
You must be to leave a comment.
Submit
Characters: ...