Public health, global surveillance, and the "emerging disease" worldview: a postcolonial appraisal of PEPFAR.

Abstract:

:Drawing upon a postcolonial lens, this project looks at how meanings of HIV/AIDS are discursively constructed within the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), which was launched in 2003 under the presidency of George W. Bush and has been heralded as the largest global public health intervention program in history. Building on existing literature that theorizes the interrelationships of public health and national security, global surveillance, and transnational hegemony, the postcolonial theoretical standpoint interrogates how such meanings are constructed within PEPFAR. A postcolonial deconstruction of the 2009 PEPFAR report to the Congress revealed three meanings of HIV/AIDS that were discursively constructed in such policy documents: (a) the "Third World" as a site of intervention, (b) U.S. altruism as "lifting" the burden of the soul, and (c) AIDS, economics, and security. The themes put forth the linkages among the symbolic representations in neocolonial configurations and the politics of material disparities across the globe, thus issuing a call for the creation of participatory and dialogic spaces for engaging subaltern voices that are typically treated as targets of policy and intervention discourses.

journal_name

Health Commun

journal_title

Health communication

authors

Sastry S,Dutta MJ

doi

10.1080/10410236.2011.616626

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

519-32

issue

6

eissn

1041-0236

issn

1532-7027

journal_volume

27

pub_type

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