Public Ideas and Public Policy Crossroads Influencing Success Or Failure Of Protected Sex Practices By Women In Africa
Background: The nature of the provider-consumer relation of HIV services further translates into claimants and elite groups who influence sexual-reproductive health policies. Three regime contexts were found to influence HIV response. A hindering context goes so much further to provide opportunities for rule of law, enforcement and empower women to report without fear of repercussions. A restrictive context goes on far enough but allows for those with power to buy themselves out of courts and police. Women are not protected from repercussions even if they can report abuses. In a supportive context, abuses go unreported and women are at the mercy of men! Claimants mobilize, campaign and influence government authority on HIV response. Paternalistic, coercive and occasionally manipulative roles of the elites keep hegemonic male dominance intact. An examination of 4 Sub-Saharan African countries finds that the interests of claimants have marginal impact on...