ABSTRACT
This chapter reviews the question of AIDS governance in Africa, beginning with the international instruments that were put into place. The word “governance”, which comes from language of management, found its way into the institutional field of international relations with the publication of a 1989 World Bank Report. AIDS governance is both fragmented and tightly integrated. The growing involvement of international health actors is reflected in the multiplication of financing mechanisms for fighting against AIDS, which generates a complex global architecture. Ownership of AIDS strategies by inclusive partnerships of stakeholders was expressed both at the international level, by the Fund’s Board of Directors, and at the level of the national coordinating bodies, or the Country Coordinating Mechanism. The forms of care and political responses to AIDS in Africa are based on several different models.
