A Preventive Response to AIDS in a Low Prevalence Region: A Multisectoral, Multistrategy Approach

The public health response to AIDS has been neglectful. Successive windows of opportunity for primary prevention have been lost, especially in low prevalence regions. However, an early response to preventing HIV infection is reported from Edmonton, a centre estimated as being 2-3 years behind larger...

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Bibliographic Details
Published in:Canadian journal of public health 1989-09, Vol.80 (5), p.319-324
Main Authors: SOSKOLNE, COLIN L., ROBSON, ELLIE
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Acquired Immunodeficiency Syndrome - epidemiology
Acquired Immunodeficiency Syndrome - prevention & control
Adolescent
Adult
AIDS
AIDS/HIV
Alberta - epidemiology
Councils
Epidemics
Female
Government Agencies - organization & administration
Health Education - methods
Health Promotion
HIV
HIV infections
Humans
Interinstitutional Relations
Male
Medical personnel
Models, Theoretical
Patient Education as Topic - methods
Prevention
Primary prevention
Public health
Sexual Behavior
Sexually transmitted diseases
Social interaction models
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Summary:The public health response to AIDS has been neglectful. Successive windows of opportunity for primary prevention have been lost, especially in low prevalence regions. However, an early response to preventing HIV infection is reported from Edmonton, a centre estimated as being 2-3 years behind larger North American cities in terms of its phase on the AIDS epidemic curve. In October, 1985, an Inter agency Council was established. The Council is multisectoral, composed of professionals and lay people who contribute equally. Lay groups extend public health's reach, while health professionals add legitimacy to health promotion efforts. It is multistrategy by ensuring that both the felt needs of the lay community and the perceived needs of the professionals are incorporated; behaviour change theory is applied in all programming. The Council operationalizes some of the basic tenets of health promotion. La réponse au SIDA de la part du secteur de l'hygiène publique a été indifférente. Successivement, de belles occasions défaire intervenir la prévention primaire ont été perdues, particulièrement dans les régions à basse prédominance. Cependant, une réponse rapide pour la prévention de l'infection-VIH est signalée en provenance d'Edmonton, un centre estimé être de 2 à 3 ans en retard, comparé aux plus grandes villes nord-américaines, en ce qui concerne la phase où cette ville se trouve dans l'évolution graphique de l'épidémie du SIDA. En octobre 1985, un Conseil Inter-agences fut établi. Le Conseil est multisectoriel, et composé de professionnels et de nonprofessionnels qui contribuent de façon égale au Conseil. Les groupes non-professionnels accroissent la portée de l'hygiène publique, tandis que les professionnels de la santé ajoutent de la légitimité aux efforts de promotion de la santé. Le Conseil fonctionne à stratégies multiples, en tenant compte des besoins ressentis par la communauté ainsi que des besoins des professionnels, et en appliquant la théorie du changement d'attitude dans toute programmation. Le Conseil rend opérationnels certains principes de base de la promotion de la santé.
ISSN:0008-4263
1920-7476