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Thursday, March 28, 2019

Essay --

During the eleven year long sierra Leonean civilian war, reports of systematic sexual violence against women and girls during the war resulted in international preserve over a potential crisis of HIV/AIDS in the country. In order to manage the imagined impending outbreak, the Ministry of Health and Sanitation (MoHS) in sierra Leone received $15 million from the World Bank to create the Sierra Leone HIV/AIDS Response Program SHARP. In this paper, I level to the work that the worldwide crisis narrative of HIV/AIDS does to shape particular forms of intervention. In Sierra Leone, the global wellness interventions associated with HIV/AIDS be further targeted at vulnerable populations, particularly war-affected women and girls, who are often frame in as both abject victims in need of care (read at risk) and potential vehicles of HIV/AIDS transmission in need of harbor (read risky). In my conclusion, I ask whether the vision of HIV/AIDS vulnerability communicated by SHARP is indic ative of an uneven or differential embellish of wellness citizenship in post-war Sierra Leone.The contemporary model of global wellness intervention is rooted in colonial and post-colonial histories of debt, structural adjustment, the devolution of the evince and the rise of multilateral aid-driven health victimisation. As Sparke (2013) illustrates, the growing global health industry increasingly relies on a new Washington Consensus, which frames improvements in population health as integral to social and economic development in nations of the Global South. Combating diseases of poverty, such as HIV/AIDS, global health interventions often take the form of short-term technocentric solutions that are limited in scope and vertical in instruction execution (Foley & Henrixson 2... ...ent-funded initiatives act as similar states that produce state-like effects of control, regulation and legitimacy. The involvement of these entities in the creation and implementation of HIV/AIDS po licies in Sierra Leone simultaneously disrupts national narratives of health citizenship and creates a global moral politics of intervention (Benton 2012 Kenworthy forthcoming). Through the go along utilization of a crisis model of care to address global health emergencies, the international community perpetuates the mobilization of differential forms of health citizenship that are project at the global scale yet enacted and negotiated in a class of ways at the national and local scales. In the context of the global health industry, such differential health citizenships are practiced by dint of the prioritization of certain bodies for care to the detriment of others.

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