Non-governmental organisations and the management of HIV and AIDS in refugee camps: A comparison of Marratane Camp in Mozambique and Kakuma Camp in Kenya

Abstract

In recent years, a number of sub-Saharan African states appear to have placed restrictions on the operations of international non-governmental organisations (NGOs) within their state boundaries. Indeed, some commentators and academics have questioned the role NGOs should play in providing humanitarian aid to refugees and to what extent they are, or should be, involved in the political, cultural, economic and healthcare concerns and agendas of any state. However, the high HIV/AIDS prevalence in refugee camps in sub-Saharan Africa creates negative economic, social, political and security implications for their host states and many states lack the knowledge, experience and funds to manage the problem successfully. Within this context, this article examines and compares the role and effectiveness of two separate NGOs involved since 2001 in HIV/AIDS management programmes in two distinct refugee camps: Save the Children in Marratane Refugee Camp in Mozambique and the International Rescue Committee in Kakuma Refugee Camp in Kenya. NGO success in managing HIV/AIDS programmes is analysed according to UNHCR guidelines and specifically against four key aspects of HIVAIDS management; HIV/AIDS awareness, HIV/AIDS prevention, access to HIV healthcare services and the provision of treatment.