Structural approaches in HIV prevention

Gupta, Geeta Rao, Parkhurst, Justin O, Ogden, Jessica A, Aggleton, Peter and Mahal, Ajay (2008) Structural approaches in HIV prevention. Lancet, 372 (9640). pp. 764-775. ISSN 0140-6736

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Abstract

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.

Item Type: Article
Schools and Departments: School of Education and Social Work > Education
Depositing User: Peter Aggleton
Date Deposited: 06 Feb 2012 18:40
Last Modified: 03 Jul 2012 15:41
URI: http://sro.sussex.ac.uk/id/eprint/17713
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