"1938: Africans Need Bednets, Vitamin A, Clean Drinking Water. Sound Familiar?" Self-explanatory.
"AIDS Relief and Moral Myopia". Long but interesting throughout. Excerpt:
Go to any district hospital in Africa today, and you will find two clinics: one for AIDS—built, funded, and perhaps even staffed by the donor community—and the other for everything else, supported by whatever invariably cash-strapped and corrupt government presides. Bruce Dahlman notes, “Medical officers in either clinic will be seeing the same conditions, because those HIV patients come in with colds and flus and everything else, but they’ll be treated as a separate category because of their status.” So, in addition to the prospect of being medicated for life, Africans who develop AIDS and need intensive treatment become taboo figures—the lepers of this century, you might say, though exquisitely looked after by comparison, much to the resentment of those who must make do with regular health care.
More importantly, to seek Western treatment usually means leaving the home area where the patient has lived all his life, decamping somewhere near the foreign-funded clinic upon whose charity his life now depends. Helen Epstein, a microbiologist who has done AIDS work in Uganda, has written passionately in The Invisible Cure (2007) that taking Africans out of their home village when they are sick with AIDS is neither good for them nor for broader public-health purposes. Treatment would be easy to receive at home but for the imported bureaucracy and grant-making system that encourages big projects and centralization. Epstein argues that in African cultures where AIDS is too often out of sight and out of mind—in Kenya, for instance, four out of five people infected by HIV do not even know they have it, according to a 2007 survey conducted by the country’s Ministry of Health—having people sick with AIDS stay in their home areas would be a potent reminder of the reality of the disease. When Uganda decentralized its AIDS treatment process, involving village-level home-care organizations (they could be classified as NGOs, though they bear little resemblance to the behemoths operating in African capitals and district headquarters), those areas posted a marked increase in visits to voluntary counseling and testing centers.