ABSTRACT

This chapter compares Ghanaian and Zambian church mobilization on HIV/AIDS, with a focus on access to antiretroviral treatment (ART). Using societal, state, and international-level explanations. It analyses why interest in HIV/AIDS had declined in Ghana by the mid 2000s, but had strengthened in Zambia, and why church involvement in ART access has been less apparent in Ghana than Zambia. Ghanaian church leaders no doubt resemble other African pastors, who often have little information on ART and in surveys demonstrate some suspicion of ART programmes. While Ghanaian churches had high initial interest in the disease, the larger societal context made it difficult to sustain that interest. The International Level examines three components global ecumenical organizations, donor resources, and international faith-based organizations and AIDS non-governmental organizations (NGOs) to explain Ghanaian and Zambian church activities on HIV and AIDS. Finally, the increased role of Zambian churches in ART provision influenced the dynamics in church-state relations.