Relatively few people have access to antiretroviral treatment in South Africa. The government justifies this on grounds of affordability.Nicoli Nattrass argues that the government's view insulates AIDS policy from social discussion and efforts to fund large-scale intervention. Nattrass addresses South Africa's contentious AIDS policy from both an economic and ethical perspective, presenting: * a history of AIDS policy in South Africa * an expert analysis of the macroeconomic impact of AIDS * a delineation of the relationship between AIDS and poverty and the challenges it poses for development, inequality and social solidarity * an investigation into how a programme preventing mother-to-child transmission would be less expensive than having to treat children with AIDS-related illnesses * an exploration of the relationship between AIDS treatment and risky sexual behaviour * an economic and social case for expanded AIDS prevention and treatment intervention. This relevant and accessible work is a valuable resource for readers with an interest in AIDS policy and the social and economic implications of the pandemic.
1. Introduction; 1.1 An overview of the book; 1.2 The socio-economic determinants of AIDS in Africa; 1.3 Economic analysis and the development dilemma; 2. AIDS policy in South Africa; 2.1 A History of AIDS policy making in South Africa; 2.2 The moral economy of triage; 3. Mother-to-child transmission prevention in South Africa; 3.1 Introduction; 3.2 Why South Africa cannot not afford mother-to-child transmission prevention; 3.3 The government's response: a moral economy of triage; 3.4 How many children could be saved from HIV infection?; 4. Expanding an AIDS intervention to include HAART for all who need it; 4.1 The impact of a limited AIDS intervention; 4.2 The impact of HAART; 4.3 The cost of AIDS interventions; 4.4 'Scaling-up' the use of HAART un the public sector; 4.5 HAART or a disability grant?; 5. AIDS, HAART and behaviour change; 5.1 Does HAART lead to riskier sex?; 5.2 Could failure to provide HAART lead to riskier sex?; 5.3 Voluntary counselling and testing and behaviour change; ; 6. AIDS, economic growth and inequality in South Africa; 6.1 Some relevant demographics; 6.2 Modelling the macroeconomic impact of AIDS; 6.3 The impact of AIDS on firms; 6.4 AIDS and inequality in South Africa; 7. Conclusion; 7.1 The moral challenge posed by AIDS for society; 7.2 Alleviating poverty and addressing AIDS; 7.3 Why social deliberation is necessary; Notes; References; Index.