Master Class: HIV Prevention, an Overview
HIV prevention goes far beyond the simplistic ABC. This figure hopes to illustrate the breadth and diversity of the field of HIV prevention (click to enlarge). This is version 2 with major additions in the “Political Interventions”, inclusion of “Prevention Interventions” which desserves a graph in itself as would the “Social Interventions” branch, a reorganised “Harm Reduction” section and an extended “KYS” section. There is probably a lot more to add.
The use of “People-Centered” is second-best for interventions that built on the needs of those they aim to reach as they express these as well as giving them a stake in the intervention. It is not used in relation to theory of development.
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This is cool for visual learners like me. Under KNOWING YOUR STATUS I would put a sub-category of "Evolving the health system to make testing more accessible and better tailored to the needs of high-risk groups" (or some less wordy equivalent).
The harm reduction sub-categories could be expanded in a huge way. You have some behavioural harm reduction strategies applicable to sex (sero-sorting, positioning). You could add lots of others. What about also adding some behavioural harm reduction strategies applicable to drug use?
Under sexual behavioural change, maybe you could add something about sequential multiple sex partners instead of simultaneous multiple sex partners?
Also, so many things could be added under political/structural interventions. Affordable, accessible housing prevents HIV. Universal health coverage prevents HIV…….
I learn a lot from your blog – thanks!
From a peer educators point of view I liked the holistic approach.
What about environment or drug/drink use. I'm from countriy big drinking culture. Any research around binge drinking= higher risker situations and lower condom use?
Poverty and education are the two main contrubutions to H.I.V.
After being in India and going to slums were people are illiterate and no money for condoms- I shook my head in shame.
Thanks for your suggestions. I have incorporated most of them. Poverty is an interesting problem as it is a multidimensional concept in itself. This is why I did not add it specifically but many of its manifestations are present elsewhere in the representation.
This is great! Thank you.
[...] wishful thinking at best, and burying one’s head in the sand deeper at worst. It is ignoring the complexities and contradictions that lead people not to use condoms, as much as ignoring basic epidemiology facts about HIV [...]
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