Contents: Introduction: the African State and the AIDS crisis, Amy S. Patterson; AIDS and patriarchy: ideological obstacles to effective policy making, Patricia Siplon; Patterns of mobilization: political culture in the fight against AIDS, Fred Eboko, translated by Babacar Mbengue; AIDS, politics, and NGOs in Zimbabwe, Jake Batsell; AIDS, democracy, and international donors in Ghana, Amy S. Patterson and Bernard Haven; The economic, social, and political drivers of the AIDS epidemic in Swaziland: a case study, Alan Whiteside; The more things change: AIDS and the state in South Africa, 1987-2003, Patrick Furlong and Karen Ball; Personalist regimes and the insecurity dilemma: Prioritizing AIDS as a national security threat in Uganda, Robert L. Ostergard, Jr and Crystal Barcelo; Weak and ineffective? African states and recent international AIDS policies, Amy S. Patterson and David Cieminis; AIDS, pharmaceutical patents, and the African state: reorienting the global governance of intellectual property, Debora Halbert and Christopher May; Pursuing African AIDS governance: consolidating the response and preparing for the future, Maite Irurzun-Lopez and Nana Poku; Index.