title: Dying for Money: The Effects of Global Health Initiatives on NGOs Working with Gay Men and HIV/AIDS in Northwest China.
abstract: Drawing on 17 months of ethnographic fieldwork (2007-2011), this article critically examines the consequences of two global health initiatives (GHIs), the Global Fund and the Gates Foundation, on NGOs engaged in HIV/AIDS prevention and treatment among gay men in northwest China. I argue that a short-term surge in funding provided by GHIs between 2008 and 2010 exacerbated preexisting conflicts between NGOs by promoting a neoliberal process in which the state outsourced public health services to civil society organizations, deliberately encouraging a climate of competition among NGOs. I also show how GHIs encouraged the bureaucratization and medicalization of one grassroots gay NGO, channeling its activities away from broader political and social objectives and compelling the group to develop a narrower and more entrepreneurial emphasis on HIV testing and treatment. This article contributes to a deeper ethnographic understanding of the complex and perhaps unintended consequences of GHIs.
authors.affiliation: Department of Anthropology, Bryn Mawr College. cjmiller@brynmawr.edu.
authors.forename: Casey James
authors.initials: CJ
authors.lastname: Miller
mesh_terms: D000328:Adult; D002681:China / Q000208:ethnology; D014943:Global Health / Q000208:ethnology*; D015658:HIV Infections / Q000208:ethnology*; D006282:Health Personnel; D018451:Homosexuality, Male / Q000208:ethnology*; D006801:Humans; D008297:Male; D009938:Organizations
keywords: China; HIV/AIDS; NGOs; gay men; global health initiatives