Abstract
This chapter argues that while Ghana's democratic transition has provided a more open arena for discussion of acquired immunodeficiency syndrome (AIDS), the disease has yet to become a crucial political topic. It is based on media reports, government documents, and data from interviews conducted in 2003 with representatives from 20 nongovernmental organizations (NGOs), government agencies, and international donors. The chapter examines how the 2000 election provided political space in which to address AIDS. It illustrates the minimal role of indigenous NGOs in AIDS policy making. The chapter demonstrates how neopatrimonialism has shaped the formation and implementation of AIDS policies. It also examines the influence of international donors on Ghana's AIDS policies. Ghana's actions on AIDS reflect the country's high level of dependence on donors, especially in key sectors such as health and education. The Ghana case raises questions about the relationships between democratic transitions, international donors, and AIDS policy making.
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