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Precarious future: Community volunteers and HIV/AIDS in a Tanzanian roadside town.

yes / This study focuses on a widely promoted belief that community-driven and community-based interventions for development are not only cost-effective, but
also just and democratic. In particular, this study examines community-based
initiatives with regard to HIV/AIDS in one Tanzanian roadside town. The
interventions I discuss suggest that increased community participation does not
automatically lead to more equitable access to services, to the empowerment of
the poor, or even to the planned service delivery at all. Dependence on local
volunteers with multiple motives and interests can hamper the relationship
between provider and beneficiary. A concern for minimal state involvement and
maximum decentralisation can easily lead to institutional abandonment, and trust
in an undefined `community¿ can prevent rather than encourage coordination at
community-level. As I discuss below, such factors can result not only in a service
not being delivered, but can also readily lead to increased local conflict over
scarce resources, increasing unfulfilled expectations, affirmation of inequalities,
and government neglect. In the absence of a strong institutional framework such
as the state, community structures and social relationships ¿ unquantifiable and
often particular to specific locations ¿ seem central to the functioning of
community-based development interventions, including those of AIDS related prevention and care. / DfID

Identiferoai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/3800
Date January 2007
CreatorsBoesten, Jelke
PublisherInternational Centre for Participation
Source SetsBradford Scholars
LanguageEnglish
Detected LanguageEnglish
TypeWorking Paper, published version paper
Rights© 2007 University of Bradford. This work is licensed under a Creative Commons Attribution-Non-Commercial-Share-Alike License (http://creativecommons.org/licenses/by-nc-nd/2.0/uk).
Relationhttp://www.brad.ac.uk/acad/icps/publications/papers/index.php

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