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Abstract
This essay takes as its point of departure comparative analyses of the population control movement and the global AIDS response. We argue that the responses to both rapid population growth and AIDS reflect a particular model for approaching development issues: the global crisis model. This model provides a framework in which development issues become classified as (1) global in scope, (2) highly urgent and unique, (3) a threat to international stability and (4) addressable through a concerted global response. By reviewing the population control movement and the past, present and possible future of the AIDS response, we examine the evolution of the global crisis model and its consequences in shaping development priorities, problems and solutions. We argue that the model mobilises significant financial resources, but it skews the allocation of development assistance, creates narrow, technical interventions, and fails to examine or remedy the social inequalities that produce health and development disparities.
Acknowledgements
The authors would like to thanks the aids2031 Social Drivers working group and the anonymous reviewers for their constructive feedback on this essay. Thanks also to Lawrence Were for his research assistance.
Notes
1. These include the Population Council, USAID, Population Services International, Family Health International, and the Futures Group (Stillwaggon Citation2006, p. 184). Smaller NGOs similarly adapted themselves to the changed global health landscape. For example, the former Association for Voluntary Sterilisation changed its name to Engender Health, and it now works on AIDS interventions as part of its reproductive health programmes.