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The role of local government in combating HIV/AIDS in South Africa: An institutional analysis

Includes bibliographical references (leaves 69-78)

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Main Author: Albertus, Adenaan
Format: Thesis
Language:English
Published: School of Economics 2014
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author Albertus, Adenaan
author_browse Albertus, Adenaan
author_facet Albertus, Adenaan
author_sort Albertus, Adenaan
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description Includes bibliographical references (leaves 69-78)
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2014
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spelling oai:open.uct.ac.za:11427/7473 The role of local government in combating HIV/AIDS in South Africa: An institutional analysis Albertus, Adenaan Economics Includes bibliographical references (leaves 69-78) To date the South African government's HIV/AIDS response has been largely focused at the national and provincial level. This response has been largely ineffective despite significant increases in funds allocated to combating the epidemic. In addition, local government's role has been effectively ignored even though the ongoing process of transformation is broadly aimed towards a more decentralised government. However, the theoretical evidence shows that the local sphere is crucial to an effective and efficient response. Fiscal federalism theory suggests that while the macroeconomic stabilisation and income distribution functions are most appropriately discharged at central government level; the allocative function is best accomplished by local government. Thus at the local level, where decentralisation encourages competition between local governments, HIV/AIDS responses would tend to be more dynamic and innovative, as well as designed specifically to meet the specific characteristics of a particular district. Although there may be an argument that the merits for a decentralised approach are mostly normative, the empirical evidence also tends to be supportive. The effects of HIV/AIDS are mostly felt at the local level, with family members of people living with or dying from HIV/AIDS being the hardest hit by its effects. Also in dealing with HIV/AIDS, successful responses internationally have largely been at the local level, giving further support to a more decentralised HIV/AIDS response. The national government has significantly increased budget allocations for the fight against HIV/AIDS. Further increased funding may not be necessary if a decentralised approach is supported by local institutions which encourage good governance, and support the development of partnerships with key stakeholders where capacity and skills are lacking within local government. These same institutional arrangements would help ensure that increased funding actually does translate into service delivery to affected communities. 2014-09-15T07:29:47Z 2014-09-15T07:29:47Z 2007 Master Thesis Masters MCom http://hdl.handle.net/11427/7473 eng application/pdf School of Economics Faculty of Commerce University of Cape Town
spellingShingle Economics
Albertus, Adenaan
The role of local government in combating HIV/AIDS in South Africa: An institutional analysis
thesis_degree_str Master's
title The role of local government in combating HIV/AIDS in South Africa: An institutional analysis
title_full The role of local government in combating HIV/AIDS in South Africa: An institutional analysis
title_fullStr The role of local government in combating HIV/AIDS in South Africa: An institutional analysis
title_full_unstemmed The role of local government in combating HIV/AIDS in South Africa: An institutional analysis
title_short The role of local government in combating HIV/AIDS in South Africa: An institutional analysis
title_sort role of local government in combating hiv aids in south africa an institutional analysis
topic Economics
url http://hdl.handle.net/11427/7473
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