Confronting catastrophe: norms, efficiency and the evolution of the AIDS battle in the UN

Social environments played a powerful role in the institutional adaptations of the AIDS fighting agencies within the United Nations system. Since its AIDS apparatus has become operational, the UN has undertaken two major strategic shifts. The first shift saw the dissolution of the GPA, a small subunit of the WHO in favour of UNAIDS, a dedicated agency engaged in global advocacy. This shift involved a controversial bureaucratic process that led, finally, to a more human rights-based approach to the disease. The second shift saw an increased emphasis on ground-level efficiency. What caused these changes? Contributions in the rationalist tradition expect the UN to act as a multilateral goal-seeker looking to optimally address a major gap in global governance. A sociological framework sees normative changes within the UN as catalysts for change in its goals and structure. A synthesis of these traditions conceptualizes the UN's strategic shifts more clearly, capturing the interactive process between the organization and its strategic environment. UN agencies were forced to rationally adapt to changing conditions in prevailing AIDS norms.