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By Peris S. Jones (auth.)

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Government policy and, by implication, the judgment of key figures within it had been openly questioned in public and ordered by the court to be changed. Such was the highly charged backdrop to access to ARVs in South Africa. Following this court ruling, and with concerted international and national momentum for treatment as well as internal divisions within the ruling party and cabinet, came the apparent government U-turn on treatment. But negative attitudes continued. In 2003, for example, minister of finance, Trevor Manuel, announced his 2003 budget speech, with over R3 billion allocated for HIV/AIDS.

Since 1994, the era of liberation appears to increasingly give way to a politics of patronage at the local level, and one that exacerbates uneven Introduction O 23 efforts to extend services and opportunities to disadvantaged communities. The largest political support locally is undoubtedly for the ruling ANC. However, the coalition of groups centred upon the ANC which comprise formal political decision-making, it is argued, has contradictory implications for the quality of local democracy. This area has also witnessed rioting over service delivery.

After a week, he said: “No more anti-retrovirals. Say anti-retrovirals and I’m going to scream”. He never took them again. ” What followed was an odyssey of alternative treatments, such as consultations with sangomas, spiritualism, an herbal remedy put into pill form by someone medically unqualified to do so, and a nurse, apparently sent by the Minister of Health to administer a concoction of lemon juice and olive oil to be used with pills (Africa’s Solution), with extracts from the African potato.

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