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Title

Behavioural strategies to reduce HIV transmission

Authors

Coates TJ, Richter L, Caceres C

Network Affiliation

HPTN

Organization

 

Journal Name

Lancet

Publication Date

8/23/2008

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/18687459

Link to full-text

 

PMID

18687459

Abstract

This paper makes five key points. First is that the aggregate effect of radical and sustained behavioural changes in a sufficient number of individuals potentially at risk is needed for successful reductions in HIV transmission. Second, combination prevention is essential since HIV prevention is neither simple nor simplistic. Reductions in HIV transmission need widespread and sustained efforts, and a mix of communication channels to disseminate messages to motivate people to engage in a range of options to reduce risk. Third, prevention programmes can do better. The effect of behavioural strategies could be increased by aiming for many goals (eg, delay in onset of first intercourse, reduction in number of sexual partners, increases in condom use, etc) that are achieved by use of multilevel approaches (eg, couples, families, social and sexual networks, institutions, and entire communities) with populations both uninfected and infected with HIV. Fourth, prevention science can do better. Interventions derived from behavioural science have a role in overall HIV-prevention efforts, but they are insufficient when used by themselves to produce substantial and lasting reductions in HIV transmission between individuals or in entire communities. Fifth, we need to get the simple things right. The fundamentals of HIV prevention need to be agreed upon, funded, implemented, measured, and achieved. That, presently, is not the case.

 

Keywords

 

Topic

Risk Reduction Counseling

Attachments

Created at 11/8/2010 1:08 PM by Mooney, Jessica L
Last modified at 11/19/2010 10:43 AM by Mooney, Jessica L