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Les entreprises privées dans l’action publique de lutte contre le VIH/sida en Côte d’Ivoire : un acteur comme les autres ?

Abstract : By the end of the 1990s in sub-Saharan Africa, huge companies in the private sector commenced the implementation of antiretroviral therapy (ART) programmes for the benefit of their employees. From the early 2000s, these companies have been invited to pursue efforts to also engage as partners in prevention and treatment policies, alongside other diverse actors: states, international organisations, NGOs, health professionals, civil society, etc. These private initiatives are usually reported as rational strategies aimed at preserving the “human capital” and productivity of the organisations. Approaching this study from a political sociology perspective, this PhD dissertation analyses the interaction of the bioeconomic, political, social and symbolic rationales that have underpinned the mobilisation of private companies in the struggle against HIV/AIDS in Ivory Coast. This research also explores the modalities and effects of this unprecedented “publicisation” of a private actor within the context of wider public health action at a local level. This study is supported by qualitative investigation conducted among 30 private companies in Ivory Coast. In addition, series of in-depth interviews were conducted with various actors involved in the HIV/AIDS sector (international organisations, the government, physicians, employees living with HIV/AIDS, civil society, etc.). Furthermore, an asymmetrical comparison with Cameroon has benefited this research by helping to confirm and refine the hypothesis. Global rhetoric advocating the synergy of public-private partnership has indeed supported the mobilisation of private companies in the fight against HIV/AIDS. By examining public action in regard to private companies, this research highlights the paradoxes of multisectoral policies. It demonstrates how these private actors, through the dynamics of politicisation, tend to be “de-differentiated” from other actors, thereby erasing their characteristics (social model, employee vulnerabilities, differentiated access to public health).
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Submitted on : Tuesday, September 19, 2017 - 3:57:24 PM
Last modification on : Tuesday, April 14, 2020 - 12:21:38 PM


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  • HAL Id : tel-01590472, version 1


Anne Bekelynck. Les entreprises privées dans l’action publique de lutte contre le VIH/sida en Côte d’Ivoire : un acteur comme les autres ?. Sociologie. Université Sorbonne Paris Cité, 2015. Français. ⟨NNT : 2015USPCB178⟩. ⟨tel-01590472⟩



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