Structural approaches to HIV prevention

Summary Recognition that social, economic, political, and environmental factors directly affect HIV risk and vulnerability has stimulated interest in structural approaches to HIV prevention. Progress in the use of structural approaches has been limited for several reasons: absence of a clear definit...

Full description

Saved in:
Bibliographic Details
Published in:The Lancet (British edition) 2008-08, Vol.372 (9640), p.764-775
Main Authors: Gupta, Geeta Rao, Dr, Parkhurst, Justin O, DPhil, Ogden, Jessica A, PhD, Aggleton, Peter, Prof, Mahal, Ajay, PhD
Format: Article
Language:English
Subjects:
Behavior Therapy - methods
Biological and medical sciences
Community Health Services - organization & administration
Community Health Services - trends
Condoms - utilization
Female
General aspects
HIV Infections - etiology
HIV Infections - prevention & control
Human viral diseases
Humans
Infectious diseases
Internal Medicine
Male
Medical sciences
Prevention and actions
Preventive Health Services - organization & administration
Program Evaluation
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk
Sentinel Surveillance
Socioeconomic Factors
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Summary Recognition that social, economic, political, and environmental factors directly affect HIV risk and vulnerability has stimulated interest in structural approaches to HIV prevention. Progress in the use of structural approaches has been limited for several reasons: absence of a clear definition; lack of operational guidance; and limited data on the effectiveness of structural approaches to the reduction of HIV incidence. In this paper we build on evidence and experience to address these gaps. We begin by defining structural factors and approaches. We describe the available evidence on their effectiveness and discuss methodological challenges to the assessment of these often complex efforts to reduce HIV risk and vulnerability. We identify core principles for implementing this kind of work. We also provide recommendations for ensuring the integration of structural approaches as part of combined prevention strategies.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(08)60887-9