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State-Society Relations in an International Context The Case of Aga Khan Health-Care Initiatives in Tanzania PAUL J. KAISER* ABSTRACT In this article, current conceptions of state/society relations are examined in an international context. After a brief overview of research on state/society relations and the multinational corporation in Africa, a case study of Ismaili health-care initiatives in Tanzania is presented which illustrates the relevance of multi-level analysis to the study of civil society. THEORETICAL APPROACHES that address economic, political and social disparities in Africa have come and gone since independence without effectively dealing with the complexities of development. In many cases, this has occurred because existing theoretical approaches have not explicitly accommodated the multi-level dimensions of these disparities, instead focussing predominantly on local, national or international factors. Recently, there has been scholarly interest in the relationship between the state and civil society in Africa (Azarya, 1988; Bratton, 1989a; Rothchild and Chazan, 1988).2 While this approach represents a useful contribution to the study of African develop- ment since it systematically includes two levels of analysis, there is also a need to accommodate the international context of these relations. In this article, I argue that current conceptions of state/society relations should
International Journal of Comparative Sociology (in 2002 continued as Comparative Sociology) – Brill
Published: Jan 1, 1995
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