The Oslo Ministerial Declaration on the link between health and
foreign policy has opened a window of opportunity for a concerted
effort to mainstream health as an issue to be used not only to
affirm the status quo of global health governance, but also to
reform the health architecture and to consider the kind of global
order that might be possible. Similarly, AIDS diplomacy can be a
project of transformation and emancipation for South Africa, which
is in need of a refocused and rejuvenated foreign policy. The
country has overcome dread before, transforming the legacy of
apartheid into an example for the rest of the world to admire. By
exploring innovative diplomacy, South Africa can use AIDS as an
issue to consolidate its young democracy, and it can work with
transnational issue networks to strengthen middle power
multilateralism more broadly. If South Africa can get this right,
it has the real potential to turn dread into capital, rather than
to default to positions of impotence and blaming outsiders.
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