Affordable Access

deepdyve-link deepdyve-link
Publisher Website

Structural approaches to HIV prevention.

Authors
  • Gupta, Geeta Rao
  • Parkhurst, Justin O
  • Ogden, Jessica A
  • Aggleton, Peter
  • Mahal, Ajay
Type
Published Article
Journal
The Lancet
Publisher
Elsevier
Publication Date
Aug 30, 2008
Volume
372
Issue
9640
Pages
764–775
Identifiers
DOI: 10.1016/S0140-6736(08)60887-9
PMID: 18687460
Source
Medline
License
Unknown

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.

Report this publication

Statistics

Seen <100 times