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Structural approaches in HIV prevention

journal contribution
posted on 2023-06-07, 20:56 authored by Geeta Rao Gupta, Justin O Parkhurst, Jessica A Ogden, Peter Aggleton, Ajay Mahal
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.

History

Publication status

  • Published

Journal

Lancet

ISSN

0140-6736

Publisher

Elsevier

Issue

9640

Volume

372

Page range

764-775

Pages

12.0

Department affiliated with

  • Education Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2012-02-06

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