Abstract
The evolution of AIDS programmes mimics that of many development programmes. Some of the responses made by organizations to AIDS are analysed in relation to broader issues in social and economic development. The emphasis is on the political nature of health. The pluralist and relative natures of programming for health are examined, suggesting that there can never be a common approach to health or any individual health problem such as AIDS. The central tenet of the article is that HIV is not a cause in its own right, but a strong marker for action and concern in development.

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