Centre for Health and International Relations (CHAIR), Department of International Politics, Aberystwyth University, Aberystwyth, UK.
Glob Public Health. 2012;7 Suppl 2:S144-58. doi: 10.1080/17441692.2012.728238. Epub 2012 Oct 9.
There have been recent indications that the primacy of AIDS among global health issues may be under threat. In this article we examine one response to have emerged from the AIDS policy community as a result of this perceived threat: the 'AIDS plus Millennium Development Goals (MDGs)' approach, which argues that the AIDS response (the focus of MDG6) is essential to achieving the other MDG targets by 2015, stressing the two-way relationship between AIDS and other development issues. By framing AIDS in this way, the AIDS plus MDGs approach draws on an established narrative of a 'virtuous circle' between health and development, but at the same time makes some important concessions to critics of the AIDS response. This article - the first critical academic analysis of the AIDS plus MDGs approach - uses this case to illuminate aspects of the utilisation of framing in global health, shedding light both on the extent to which new framings draw upon established 'common sense' narratives as well as the ways in which framers must adapt to the changing material and ideational context in which they operate.
最近有迹象表明，艾滋病在全球健康问题中的首要地位可能受到威胁。本文探讨了艾滋病政策界针对这一威胁而提出的一种应对措施：“艾滋病与千年发展目标（MDGs）相结合”的方法，该方法认为，艾滋病应对措施（MDG6 的重点）对于到 2015 年实现其他 MDG 目标至关重要，强调了艾滋病与其他发展问题之间的双向关系。通过这种方式构建艾滋病，艾滋病与 MDGs 相结合的方法利用了健康与发展之间“良性循环”的既定叙述，但同时也对艾滋病应对措施的批评者做出了一些重要让步。本文——对艾滋病与 MDGs 相结合的方法的首次批判性学术分析——利用这一案例阐明了全球卫生中框架利用的各个方面，既揭示了新框架在多大程度上借鉴了既定的“常识”叙述，也揭示了框架构建者必须如何适应他们运作的不断变化的物质和观念背景。
