Can charity and rights-based movements be allies in the fight against HIV/AIDS? Bridging mobilisations in the United States and sub-Saharan Africa

Abstract

The activist-fuelled responses to HIV/AIDS around the world have resulted in unprecedented changes to the way infectious disease is defined and treated and in the mobilisation of resources for treatment in developing countries, particularly in sub-Saharan Africa. However, the communities that have been critical sources of response are widely divergent. In the United States, where the epidemic was first identified, the strongest response was within the gay community, with its attendant rights-based orientation. In sub-Saharan Africa, faith-based communities have been critical actors, and have generally taken a charity-based approach to their work. As globalisation and the successes of the global AIDS movement draw these groups into closer contact, the question of whether these divergent approaches can work in alliance becomes ever more important. In this paper I use the concepts of collective identity and framing to examine the development of both approaches and to suggest that the activity of frame extension may be a helpful tool in bridging divergent approaches.