제7장 : 자유주제 ; 글로벌 보건 안보위협과 개도국의 대응 -남아공의 에이즈 치료정책과 의약품 접근권 논쟁 = Globla Health Security Threats and Responses of Developing Countries-South African ALDS Treatment Policy and Access to Medicines Debate

다국어 초록 (Multilingual Abstract)

The global patent protection for pharmaceuticals strengthened by the introduction of Trade-related Intellectual Properties(TRIPS) Agree-ment in 1994 posed a significant threat to the AIDS stricken developing countries` effort to establish a proper AIDS treatment program. This study explores why South Africa, a country with the highest HIV/AIDS preva-lence rate in the world since its democratization, attempted to achieve both smooth integration into the world economic order and eradication of AIDS but failed to control the epidemic until the mid-2000s. While most of the previous analyses about the South African AIDS policy have focused on its socio-political features or certain actor`s attributes or behaviors, this study recognizes that domestic institutions of South Africa can be influenced by the global AIDS governance and intellectual property rights regime, and that South Africa is a node which constitutes and changes the overall global structure in reverse. From the perspective of the network theory - which deals with complex dynamics among actors, structure, and process - this study reveals how South Africa redefined its own position and identity within the global governance structure and connected this with external AIDS strategy was the main factor of policy failure in South Africa. South African civil society`s tactic of forming a transnational alliance to improve access to AIDS medication against the government`s AIDS de-nialism is also discussed in the latter part. This may provide some insights about how developing countries can respond to non-traditional security threats successfully and efficiently in the post-modern era.