Despite the massive investment of international donors to support HIV/AIDS programs in Africa, there has been far too little investigation of the politics of the allocation of these resources. Building off more than a decade of research, Kim Yi Dionne fill this gap by demonstrating how the priorities of global health donors are oftentimes misaligned with those who benefit from these programs (citizens) and those who are often engaged implement these programs (communities). She demonstrates how misalignments of priorities have contributed to poor program outcomes and likely poor health outcomes. Notably, her book shines an important light on the little understood role of village headmen in Malawi in the fight against HIV/AIDS. The implications of her work are clear and apply to all global health programs, donors need to invest more to better understand the needs of citizens to make better use of stagnating global health aid.
Associate Professor of Health Sciences at Wilfrid Laurier University