Following the call by UNAIDS in 2006 to involve people living with HIV (PLHIV) in treatment programmes, expert clients were recruited to provide services within healthcare settings as volunteers alongside paid health workers. Swazi law requires employment contracts for anyone working in a full-time capacity for three months, complicating the status of expert clients. This article traces the genesis of the volunteer framework used to engage PLHIV in the provision of HIV care in Swaziland and describes how the quest for PLHIV to be involved coupled with donors’ promotion of the Greater Involvement of People Living with HIV/AIDS (GIPA) principle have together resulted in PLHIV serving as low-cost workers, disempowering the very people GIPA was meant to empower. I call for review of GIPA-based policies and a paradigm shift regarding a non-medically trained cadre of workers in an era of acute healthworker shortages in resource-limited countries hard hit by HIV.

中文翻译：

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GIPA概念“转型中的迷失”

在联合国艾滋病规划署（UNAIDS）在2006年呼吁将艾滋病毒携带者（PLHIV）纳入治疗计划之后，招募了专业客户作为志愿者与有偿卫生工作者一起在医疗机构内提供服务。斯威士兰法律要求以全职工作三个月的任何人订立雇用合同，这会使专家客户的身份复杂化。本文追溯了斯威士兰用于使PLHIV参与提供HIV护理的志愿者框架的起源，并描述了如何寻求PLHIV的参与以及捐助者对HIV / AIDS感染者的更大参与的促进（GIPA）原则共同导致PLHIV成为低价工人，从而剥夺了GIPA赋予权力的人员的权力。