This volume examines how local actors respond to Africa's high dependence on donor health funds. It focuses on the large infusion of donor money to address HIV and AIDS into Malawi and Zambia and the subsequent slow-down in that funding after 2009. How do local people respond to this dynamic aid architecture and the myriad of opportunities and constraints that accompany it? This book conceptualizes dependent agency, and the condition in which local actors can simultaneously act and be dependent, and investigates conditions under which dependent agency occurs. Drawing upon empirical data from Malawi and Zambia collected between 2005 and 2014, the work interrogates the nuanced strategies of dependent agency: performances of compliance, extraversion, and resistance below the line. The findings elucidate the dynamic interactions between actors which often occur "off stage" but which undergird macro-level development processes.

Making up 65 percent of Africa's population, young people between the ages of 18 and 35 play a key role in politics, yet they live in an environment of rapid urbanization, high unemployment rates and poor state services. Drawing from extensive fieldwork in Ghana, Uganda and Tanzania, this book investigates how Africa's urban youth cultivate a sense of citizenship in this challenging environment, and what it means to them to be a 'good citizen'. In interviews and focus group discussions, African youth, activists, and community leaders vividly explain how income, religion, and gender intertwine with their sense of citizenship and belonging. Though Africa's urban youth face economic and political marginalization as well as generational tensions, they craft a creative citizenship identity that is rooted in their relationships and obligations both to each other and the state. Privileging above all the voice and agency of Africa's young people, this is a vital, systematic examination of youth and youth citizenship in urban environments across Africa.

A timely inquiry into how domestic politics and global health governance interact in Africa. Global health campaigns, development aid programs, and disaster relief groups have been criticized for falling into colonialist patterns, running roughshod over the local structure and authority of the countries in which they work. Far from powerless, however, African states play complex roles in health policy design and implementation. In Africa and Global Health Governance, Amy S. Patterson focuses on AIDS, the 2014-2015 Ebola outbreak, and noncommunicable diseases to demonstrate why and how African states accept, challenge, or remain ambivalent toward global health policies, structures, and norms. Employing in-depth analysis of media reports and global health data, Patterson also relies on interviews and focus-group discussions to give voice to the various agents operating within African health care systems, including donor representatives, state officials, NGOs, community-based groups, health activists, and patients. Showing the variety within broader patterns, this clearly written book demonstrates that Africa's role in global health governance is dynamic and not without agency. Patterson shows how, for example, African leaders engage with international groups, attempting to maintain their own leadership while securing the aid their people need. Her findings will benefit health and development practitioners, scholars, and students of global health governance and African politics.

Making up 65 percent of Africa's population, young people between the ages of 18 and 35 play a key role in politics, yet they live in an environment of rapid urbanization, high unemployment rates and poor state services. Drawing from extensive fieldwork in Ghana, Uganda and Tanzania, this book investigates how Africa's urban youth cultivate a sense of citizenship in this challenging environment, and what it means to them to be a 'good citizen'. In interviews and focus group discussions, African youth, activists, and community leaders vividly explain how income, religion, and gender intertwine with their sense of citizenship and belonging. Though Africa's urban youth face economic and political marginalization as well as generational tensions, they craft a creative citizenship identity that is rooted in their relationships and obligations both to each other and the state. Privileging above all the voice and agency of Africa's young people, this is a vital, systematic examination of youth and youth citizenship in urban environments across Africa.

This edited volume analyzes African state responses to the AIDS epidemic. Institutionally weak, limited in resources and lacking power in the international system, the African state has been characterized as inefficient, corrupt and illegitimate. The volume questions how aspects of the African state have affected policy responses to AIDS. It highlights how African states must initiate, develop and/or implement the long-term policy solutions necessary to combat AIDS. It employs empirical studies from the international and national arena to illustrate why some African states have been able (and willing) to address AIDS while others have not. Contributions analyze how international actors, civil society organizations, state ideology, patriarchy and state capacity have influenced policies to fight AIDS. Examining AIDS policies through the prism of African state development and linkages to domestic and international actors, this book provides a nuanced understanding of the variety of responses to AIDS in Africa.

This edited volume analyzes African state responses to the AIDS epidemic. Institutionally weak, limited in resources and lacking power in the international system, the African state has been characterized as inefficient, corrupt and illegitimate. The volume questions how aspects of the African state have affected policy responses to AIDS. It highlights how African states must initiate, develop and/or implement the long-term policy solutions necessary to combat AIDS. It employs empirical studies from the international and national arena to illustrate why some African states have been able (and willing) to address AIDS while others have not. Contributions analyze how international actors, civil society organizations, state ideology, patriarchy and state capacity have influenced policies to fight AIDS. Examining AIDS policies through the prism of African state development and linkages to domestic and international actors, this book provides a nuanced understanding of the variety of responses to AIDS in Africa.

This volume examines how local actors respond to Africa's high dependence on donor health funds. It focuses on the large infusion of donor money to address HIV and AIDS into Malawi and Zambia and the subsequent slow-down in that funding after 2009. How do local people respond to this dynamic aid architecture and the myriad of opportunities and constraints that accompany it? This book conceptualizes dependent agency, and the condition in which local actors can simultaneously act and be dependent, and investigates conditions under which dependent agency occurs. Drawing upon empirical data from Malawi and Zambia collected between 2005 and 2014, the work interrogates the nuanced strategies of dependent agency: performances of compliance, extraversion, and resistance below the line. The findings elucidate the dynamic interactions between actors which often occur "off stage" but which undergird macro-level development processes.