| De: |
Dozie Ezechukwu [ Profil ] |
| Sujet: |
"Behavior Change and HIV Prevention: (Re)Considerations for the 21st Century"
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| Envoyé: |
Aug 6th, 2008 - 01:54:20 |
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Dear All,The Global HIV Prevention Working Group issued its new report today,
titled "Behavior Change and HIV Prevention: (Re)Considerations for
the 21st Century."
Based on a review of hundreds of studies, the new PWG report focuses on
behavioral change prevention, and calls for significantly expanded
delivery of HIV prevention programming aimed at reducing high-risk
behaviors. The report also identifies gaps in knowledge about
behavioral change programming.
The report is available at the PWG website at www.globalhivprevention.org
Below are the recomendations contained in the report. I have also posted the Executive Summary of the report on the PTAP document page for further reading.
What We Need to DoRecommendations
Significantly increasing the long-term effectiveness of HIV behavior change will require countries, donors, researchers, civil society, and other stakeholders to work together to expand the evidence base for HIV preventionto address the limitations and gaps that still exist, while also putting available evidence to use in the most strategic manner possible. On the basis of the best available evidence, the PWG recommends the following:
For National Authorities and Governments:
National political and public health leaders should develop and implement national AIDS strategies and operational plans that are tailored to the particular dynamics of national epidemics, integrate prevention and treatment services, and bring prevention interventions to a scale sufficient to have measurable impact. Countries scaling up medical male circumcisionand other new interventions that prove effectiveshould combine these efforts with complementary behavior interventions to avoid the increases in risk behavior that can occur when new strategies or tools are introduced.
For International Donors:
Donors should commit to rapidly fund national HIV prevention programs that are tailored to national epidemics. Additionally, they should make available by 2010 at least U.S. $11.9 billion annually to support scale-up of evidence-based HIV prevention programs as part of a comprehensive response to HIV. Donors should ensure robust financing for community-driven responses that build local civil-society capacity and leadership (UNAIDS 2007).
For Technical Agencies:
Multilateral and other technical agencies should develop a mechanism to assess the soundness of national HIV prevention strategies, identifying instances where national plans conflict with available evidence about the dynamics of HIV incidence, or where selected prevention strategies are not based on evidence of what is effective with particular populations. Technical agencies should increase their assistance to countries in integrating social-research findings into national strategic planning. Improving national HIV-information systems and their use in national planning should remain a priority for technical support.
For HIV Service Providers:
Sponsors of HIV prevention programs should forge strong working partnerships with affected communities to ensure that programs are optimally tailored to local circumstances and needs and are ethically conducted. Providers of HIV prevention services should integrate their efforts with other service systems, such as those for tuberculosis and sexual and reproductive health. Drug treatment programs should be adequately resourced to provide for the routine provision of HIV prevention services to their clients.
For Civil Society:
AIDS activists and other civil-society groups should strongly advocate for the simultaneous scaling up of HIV prevention and treatment. Civil-society groups should participate in the development of national HIV prevention targets, monitor national progress toward their achievement, and push for strategies that deliver evidence-based interventions to those populations most at risk of HIV infection.
For HIV Prevention Researchers:
Greater priority should be placed on social research to inform the design and delivery of prevention interventions, the adaptation of model programs to particular populations or settings, and the targeting and delivery of prevention services. Researchers and their funding agencies should increase their focus on basic research about the social drivers of HIV transmission, and the development and evaluation of community-level interventions, structural interventions, and prevention approaches for populations most at risk of HIV exposure. Additional research is required to assess the effectiveness of HIV prevention programs in the field and to develop and evaluate prevention models that prevent risk compensation in response to treatment or the introduction and uptake of new prevention technologies. Prevention trials should increase their use of biological endpoints, where possible and appropriate, and the length of time over which study participants are
followed.
Chidozie Ezechukwu
Programme Officer
Network of People Living with HIV/AIDS in Nigeria
(NEPWHAN)
CSO House
4 Jaba Close, off Arthur Unegbe Street
Area 11, Garki, Abuja
Tel: 09-3145507, 08036123842 Fax: 09-3145506
e-mail: eizod3 (at) yahoo.com,dozie (at) nepwhan.com
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