A Critical Analysis of the Brazilian Response to HIV/AIDS: Lessons Learned for Controlling and Mitigating the Epidemic in Developing Countries

The Brazilian National AIDS Program is widely recognized as the leading example of an integrated HIV/AIDS prevention, care, and treatment program in a developing country. We critically analyze the Brazilian experience, distinguishing those elements that are unique to Brazil from the programmatic and...

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Bibliographic Details
Published in:American journal of public health (1971) 2005-07, Vol.95 (7), p.1162-1172
Main Authors: Berkman, Alan, Garcia, Jonathan, Munoz-Laboy, Miguel, Paiva, Vera, Parker, Richard
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Acquired Immunodeficiency Syndrome - epidemiology
Acquired Immunodeficiency Syndrome - mortality
Acquired Immunodeficiency Syndrome - transmission
Adult
AIDS
Anti-Retroviral Agents - therapeutic use
Brazil - epidemiology
Citizenship
Democracy
Developing Countries
Educational Status
Epidemics
Female
Health care policy
Heterosexuality
HIV
Human immunodeficiency virus
Human Rights
Humans
Incidence
Infections
Integrated approach
Labor unions
LDCs
Male
Mortality
Prevention
Public Health
Public Health Matters
Sex Distribution
Trends
Wellness programs
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Summary:The Brazilian National AIDS Program is widely recognized as the leading example of an integrated HIV/AIDS prevention, care, and treatment program in a developing country. We critically analyze the Brazilian experience, distinguishing those elements that are unique to Brazil from the programmatic and policy decisions that can aid the development of similar programs in other low- and middle-income and developing countries.Among the critical issues that are discussed are human rights and solidarity, the interface of politics and public health, sexuality and culture, the integration of prevention and treatment, the transition from an epidemic rooted among men who have sex with men to one that increasingly affects women, and special prevention and treatment programs for injection drug users.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2004.054593