“It is very clear that
if we don’t put a lot of effort in prevention, we might not be able to win our
battle. It speaks to the need for every individual to know their status,” said Zwo
Nevhutalo, the chief operating officer for the South African National AIDS
Council.
In an article I read
earlier this week that talked about HIV/AIDS in Africa, I questioned what
obstacles restrain nations from fully collectivizing their efforts in
preventing such a disease. However, answer is not as simple as it sounds. Countries
have to face numerous obstacles in addressing public health concerns, and as a
result, external independent organizations such as the World Health
Organization help pitch in. As the problem of HIV/AIDS prevention unfolds in
the next couple of years, countries will have to adapt methods in which they
can engage the general public. AIDS and HIV account for one third of the world’s
deaths per year, and of the people who contract the disease in Africa most don’t
have access to proper health care (WHO). In Africa though, the problem is a growing
cancer- numerous countries now have to look for help to save their people from
dying.
The establishment of the World Health Organization’s
presence in Africa is a necessary action for the prevention of HIV and AIDS. Like
the earlier quote poked at, without persistent cooperation and effort between countries
and outside organizations, the battle with HIV and AIDS prevention could be lost.
There the issues that are localized to specific countries, such as geographical
obstacles, can be addressed through councils that are representative of the
areas they cover. For example, the South African National AIDS Council oversees
the progress that the country makes in preventing HIV and AIDS, receives and
works very closely with the WHO. Local representatives help establish vehicles
of engagement in many areas that have high percentages of people with HIV and AIDS
but are not conveniently close to accessible healthcare providers. So, through organized
councils that conjunctly receive data and statistics from the WHO, they can
properly address the HIV and AIDS problem. The article that I read later went
on to outline the goals that South Africa specifically has addressed. With a
goal of testing 15 million people within two years, the council actually
exceeded the goal and tested over 20 million people (Bodibe). South Africa
however, is an outlier of the HIV and AIDS problem in Africa. Many countries
are failing to invest time and money into programs and councils that can
cooperate with the WHO to achieve astonishing goals. The barriers faced then
become multifaceted in that countries without financial stability and
infrastructure, little work can be done to stop the spread of AIDS and HIV. Because
HIV and AIDS aren’t actually curable, the only way to stop the disease from growing
in number is to advocate prevention and notify people if they are carriers. Some
of the barriers that the WHO faces surprisingly aren’t profit based or medical
in nature. The biggest barrier that the WHO faces is finding a way to address
preventative medicine in the fragile health systems of Africa (Africa's Health
Problems Are Getting Worse Says the WHO). Many countries still are trying to achieve
accessible water for their people, nonetheless trying to prevent HIV and AIDS.
So, at the root of this problem, governments aren’t fully engaged with investing
funds and effort for public health concerns.
The unique characteristic in this situation can best be
viewed through a liberalist perspective. The creation of the WHO and allocation
of its resources provide realistic and real results as seen with South Africa.
But in reality, the organization is limited in its role and effectiveness
because of the governments that are trying to house it. The concern and need
for the establishment of an outside organization that can provide funds and
strategies for preventing global diseases becomes a tool for the governments to
use, however it is a tool that for many countries can only be used so well.
The necessity of countries to utilize and focus their
efforts with the WHO is the only reasonable way that the HIV problem can be
addressed. South Africa seems to be burning new ground in the field of HIV and
AIDS prevention, calling for other African nations to start investing in public
health research and find ways to put such research to use (Dickson). With
persuasion from the leading country of HIV and AIDS prevention in Africa, maybe
other African nations will start focusing their efforts. It is critical that
through creation of an organization that can distribute medical care and
service to people- HIV and AIDS could no longer be a plaguing problem in Africa.
Transnational actors like the WHO play an important role in maintaining the
status quo; if the WHO didn’t analyze the extent of the problem and publish it
to the countries in Africa, there would be no starting ground for addressing
such a large problem. Countries would then question how large HIV and AIDS are
in respect to their country. Because the WHO explicitly gives nations base
level statistics, it provides an effective tool of measurement. This
measurement also provides a way for countries to gauge how good (or not so
good) they are preventing HIV and AIDS.
General concern about HIV and AIDS in the West is much more
ephemeral than it is in Africa. Millions of people are dying each year due to
this horrible disease, yet the governments are slow to move. Governments have
little resources to work with when addressing the way that HIV and AIDS
prevention takes place-however it is third party transnational actors such as
the WHO that play an enormous role in shaping future preventative measures. In
the realization that many of these countries have a large population that does
in fact have AIDS and HIV, there is hope. Despite the consequences of the disease,
there are promising signs that countries are now focusing global efforts in
preventative medicine. Hopefully through a combined effort with organizations
and governments, the HIV and AIDS problem can slowly lose its foothold in the
lives of many African nations.
Works Cited:
"Africa's Health Problems Are Getting Worse Says the
WHO." Africa's Health Problems Are Getting Worse Says the WHO.
NewsMedical, 20 Nov. 2006. Web. 08 Dec. 2012.
Dickson, David. "African Scientists Urged to Solve
African Health Problems." SciDevNet Global. N.p., 25 Apr. 2012. Web. 08
Dec. 2012.
Bodibe, Khopotso. "AllAfrica." AllAfrica.com:
South Africa: Counting Progress On Aids Response (Page 1 of 2). N.p., 08 Dec.
2012. Web. 08 Dec. 2012.
"About WHO." WHO. World Health Organization, n.d.
Web. 08 Dec. 2012.
"Global Statistics." Global Statistics. Aids.gov,
n.d. Web. 08 Dec. 2012.
This was a very well-written and informative post! It's interesting to know a little more of what is being done to address the problem of AIDS and HIV in Africa, as well as elsewhere in the world. I do have some follow-up questions, however. What sort of arguments can be made to convince a wealthy state with strongly realist policies to help out other states and the WHO? What about a states with strongly liberal policies? How can the use of a constructivist argument convince states to help out?
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