Paying the price of HIV in Africa: cash transfers and the depoliticisation of HIV risk

Deborah Johnston

Review of African Political Economy, 2015, vol. 42, issue 145, 394-413

Abstract: Despite biomedical innovation, HIV incidence remains high in some African countries. HIV-related cash-transfer projects propose a solution. However, the author raises concerns about their success from a political economy perspective. Where structural change is invoked by these projects, it is too narrowly conceived. Some cash-transfer projects focus solely on 'nudging' choices about risky sex, without considering the wider set of factors that increase HIV incidence. Consequently, the promise of HIV-related cash transfers is dangerously exaggerated. Instead they obscure the underlying causes of high HIV prevalence, by focusing on individual behaviour and a limited, neoliberal-friendly menu of options.

Date: 2015
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DOI: 10.1080/03056244.2015.1064815

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Review of African Political Economy is currently edited by Graham Harrison, Branwen Gruffydd Jones, Claire Mercer, Nicolas Pons-Vignon, Aurelia Segatti and Ray Bush

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