S'appuyant sur des récits écrits et oraux, l'auteur attire l'attention sur les rêves et les espoirs derrière la conception de l'initiative. Soka Uncobe, la première ASI de circoncision masculine médicale volontaire, visait à circoncire 80 pour cent de la population masculine séronégative âgée de quinze à quarante-neuf ans sur une période de douze mois. Thus, an exposé of why it failed is pivotal to this article about the dreams that underpinned the first ever ASI related to medical male circumcision.Ĭet article utilise l'initiative de saturation accélérée (ASI, de l'anglais Accelerated Saturation Initiative) intitulée Soka Uncobe, mise en œuvre dans le royaume d'eSwatini en 2011 et 2012, pour commenter les interventions humanitaires de santé relatives au VIH en Afrique.
Ultimately, I suggest that, despite having the potential to produce some critical results, Soka Uncobe was no different from previous transnational humanitarian health interventions. I also highlight the dynamics of the implementation of Soka Uncobe, and, in doing so, I chart the path to its ultimate failure by showing the reluctance of the implementation partners (based mainly in the global North) to take seriously what have now become well-known critiques of why humanitarian interventions fail. Using written and verbal accounts, I draw attention to the dreams and hopes behind the design of the initiative. Soka Uncobe, the first ASI on voluntary medical male circumcision, aimed to circumcise 80 per cent of all HIV-negative men aged fifteen to forty-nine years over a twelve-month period. This article uses the accelerated saturation initiative (ASI) Soka Uncobe, which took place in the kingdom of eSwatini in 20, to comment on HIV humanitarian health interventions in Africa.
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