Technologies of treatment : scaling up ART in the Western Cape , South Africa

Introduction This chapter examines technologies of 'treatment scaleup,' the extension of antiretroviral treatment (ART) to most or all of HIV positive people who need it, in the Western Cape, South Africa. The chapter describes three technologies related to ART scaleup: those of administration; partnership, rather different to the 'partnership' Campbell (this volume) describes and thirdly what we refer to as treatment citizenship. These non-medical treatment technologies operate alongside conventional medical treatment technologies to make up a successful, even exemplary ART scaleup. The chapter also argues that the success of these technologies derives from their involvement in a larger phenomenon: a new construction of 'HIV citizenship' within the Western Cape.