Sabi Stella C, Rieker Mark
a Food Security Programme, School of Agricultural, Earth and Environmental Sciences , University of KwaZulu-Natal , Pietermaritzburg , South Africa.
b Policy and Development Studies , School of Social Sciences at the University of KwaZulu-Natal , Pietermaritzburg , South Africa.
Afr J AIDS Res. 2017 Mar;16(1):57-64. doi: 10.2989/16085906.2017.1296874.
The diagnosis of AIDS in 1982 in South Africa was followed by a rapid rise in the number of people living with the virus and dying from AIDS-related illnesses. The 2016 report by the Statistics South Africa indicated that about 7.03 million South Africans were infected with HIV/AIDS - the highest rate in the world. Despite the emergence of effective drugs in the mid-1990s, medical treatment remained unavailable in South Africa, particularly in public hospitals. This prompted civil society groups to establish platforms to discuss health policy change in South Africa. Prominent among these was the Treatment Action Campaign (TAC), formed in 1998, which aimed to advocate for improved HIV/AIDS health service delivery. The efforts succeeded in shaping the current HIV/AIDS policy through various initiatives such as the use of constitutional law in legal action against profiteering drug companies. This paper examines the role of civil society, and particularly the TAC engagement with the state in health policy making, and the subsequent implementation of health policy on HIV/AIDS in post-apartheid South Africa.
1982年南非确诊首例艾滋病病例后，感染该病毒并死于艾滋病相关疾病的人数迅速上升。南非统计局2016年的报告显示，约703万南非人感染了艾滋病毒/艾滋病，这一感染率位居世界之首。尽管20世纪90年代中期出现了有效药物，但南非仍无法获得医疗救治，尤其是在公立医院。这促使民间社会团体建立平台，讨论南非的卫生政策变革。其中最突出的是1998年成立的治疗行动运动（TAC），其旨在倡导改善艾滋病毒/艾滋病医疗服务的提供。这些努力通过各种举措成功塑造了当前的艾滋病毒/艾滋病政策，比如在针对暴利制药公司的法律行动中运用宪法。本文探讨了民间社会的作用，尤其是治疗行动运动在种族隔离后的南非参与国家卫生政策制定以及随后实施艾滋病毒/艾滋病卫生政策的情况。
