Barnes Nielan
Department of Sociology, California State University, 1250 Bellflower Blvd, Long Beach, CA 90840-0906, USA.
Soc Sci Med. 2008 Feb;66(4):933-44. doi: 10.1016/j.socscimed.2007.11.014. Epub 2007 Dec 26.
This article examines whether transnational networks reconfigure state-civil society relationships in ways that lead to civil society empowerment and increased organizational capacity to address the HIV/AIDS epidemic in Mexico. Using a comparative case study, I identify the types of transnational networks and exchanges that both help and hinder community-based HIV/AIDS organizations (CBOs) that provide AIDS prevention and treatment services in Tijuana and Mexico City. Data derive from over 50 formal interviews, organizational documents and archival records, and observation. I argue that the form and function of transnational networks is shaped by the geo-political context of local organizational fields and that, in turn, transnational networks provide innovative opportunities for civil society-state partnerships that favor some local organizations over others. Ultimately, I take apart the prevailing assumption that transnational networks are inherently good, and show how they can (re)produce inter-organizational stratification at the local level. The conclusions of this research are helpful to international health practitioners and social scientists seeking to understand how civil society's participation in transnational networks can both challenge and reproduce existing community-state power regimes and health inequities.
本文探讨跨国网络是否以某种方式重新配置了国家与公民社会的关系，从而增强了公民社会的力量，并提高了应对墨西哥艾滋病毒/艾滋病疫情的组织能力。通过比较案例研究，我确定了有助于和阻碍在蒂华纳和墨西哥城提供艾滋病预防和治疗服务的社区艾滋病毒/艾滋病组织（CBO）的跨国网络和交流类型。数据来自50多次正式访谈、组织文件和档案记录以及观察。我认为，跨国网络的形式和功能受当地组织领域的地缘政治背景影响，反过来，跨国网络为公民社会与国家的伙伴关系提供了创新机会，使一些地方组织比其他组织更具优势。最终，我打破了跨国网络本质上有益的普遍假设，并展示了它们如何在地方层面（重新）产生组织间的分层。这项研究的结论有助于国际卫生从业者和社会科学家理解公民社会参与跨国网络如何既能挑战又能再现现有的社区-国家权力体制和健康不平等现象。
