Case Study

In the Face of Crisis: The Treatment Action Campaign Fights Government Inertia with Budget Advocacy and Litigation

By Neil Overy (Centre for Social Accountability, Rhodes University, South Africa).

At the turn of the millennium the South African government allocated a total of R214 million (US$28.5 million) to the fight against HIV/AIDS, an epidemic that had reached crisis proportions. Less than 10 years later this figure has risen, in inflation-adjusted terms, to R3.96 billion (US$528 million), a real increase of over 1,850 percent. This study looks at how a civil society organization’s ongoing campaigns for treatment access that combined negotiations with the government, mass mobilization of its members (including civil disobedience campaigns), and litigation contributed to this increase.

The full version, short summary, and one page summary of this case study are available in English.  Summaries are also available in:


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