Patterson Amy S
a Calvin College , Department of Political Science , 1810 East Beltline SE , Grand Rapids , Michigan , 49546 , United States.
Afr J AIDS Res. 2010 Dec;9(4):407-18. doi: 10.2989/16085906.2010.545653.
This article compares Ghanaian and Zambian church mobilisation on HIV and AIDS. It analyses why long-term interest in HIV and AIDS has declined in Ghana but increased in Zambia, and why church involvement in promoting access to HIV/AIDS treatment has been less apparent in Ghana than in Zambia. The article uses three levels of analysis - society, state, and international - to explicate these different patterns. The analysis finds that continued HIV/AIDS stigma hampered Ghanaian church activities, while a decline in stigma opened up space for church-related HIV/AIDS responses in Zambia. The elite and professional nature of Ghana's churches promoted early HIV/ AIDS activities, but may have prevented these activities from responding to the needs of people with HIV or AIDS. Overlapping personal networks between civil society and state elites in Ghana urged early HIV/AIDS church-related actions, while state co-optation and civil-society divisions in Zambia limited early HIV/AIDS activities. As Zambian churches built ties to external actors, however, they gained autonomy in their HIV/AIDS responses. In contrast, the fact that Ghana was less incorporated into global HIV/AIDS responses (particularly, the global treatment movement) weakened the long-term interest in HIV and AIDS among the country's churches. The article is based on more than 50 semi-structured interviews with a range of participants affiliated with HIV/AIDS organisations (e.g. church, secular, government, donor) in Zambia and Ghana.
本文比较了加纳和赞比亚教会在艾滋病毒与艾滋病问题上的动员情况。分析了为何加纳对艾滋病毒与艾滋病的长期关注有所下降，而赞比亚却有所增加，以及为何加纳教会在促进艾滋病毒/艾滋病治疗可及性方面的参与不如赞比亚明显。本文运用社会、国家和国际三个层面的分析来阐释这些不同模式。分析发现，持续存在的艾滋病毒/艾滋病污名阻碍了加纳教会的活动，而污名的减少为赞比亚教会在艾滋病毒/艾滋病应对方面开辟了空间。加纳教会的精英化和专业化性质推动了早期的艾滋病毒/艾滋病活动，但可能阻碍了这些活动满足艾滋病毒携带者或艾滋病患者的需求。加纳民间社会与国家精英之间重叠的个人网络促使教会早期采取与艾滋病毒/艾滋病相关的行动，而赞比亚的国家拉拢和民间社会分裂则限制了早期的艾滋病毒/艾滋病活动。然而，随着赞比亚教会与外部行为体建立联系，它们在艾滋病毒/艾滋病应对方面获得了自主权。相比之下，加纳较少融入全球艾滋病毒/艾滋病应对行动（尤其是全球治疗运动）这一事实削弱了该国教会对艾滋病毒与艾滋病的长期关注。本文基于对赞比亚和加纳一系列与艾滋病毒/艾滋病组织（如教会、世俗组织、政府、捐助方）有关联的参与者进行的50多次半结构化访谈撰写而成。
