The HIV prevention cascade: integrating theories of epidemiological, behavioural, and social science into programme design and monitoring
| Autor: | James R Hargreaves, Geoff Garnett, Timothy B. Hallett, Saul Johnson, Saidi Kapiga, Sinead Delany-Moretlwe, Parinita Bhattacharjee, Gina Dallabetta |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 0301 basic medicine Health Knowledge Attitudes Practice medicine.medical_specialty Epidemiology Health Behavior Immunology Human immunodeficiency virus (HIV) Psychological intervention Alternative medicine Social Sciences HIV Infections medicine.disease_cause 03 medical and health sciences Social support 0302 clinical medicine Virology Preventive Health Services medicine Humans 030212 general & internal medicine Social science Acquired Immunodeficiency Syndrome Health Services Needs and Demand business.industry Public health HIV Social Support 030112 virology Risk perception Infectious Diseases Scale (social sciences) Female business |
| Zdroj: | The Lancet HIV. 3(7):e318-e322 |
| ISSN: | 2352-3018 |
| DOI: | 10.1016/s2352-3018(16)30063-7 |
| Popis: | Theories of epidemiology, health behaviour, and social science have changed the understanding of HIV prevention in the past three decades. The HIV prevention cascade is emerging as a new approach to guide the design and monitoring of HIV prevention programmes in a way that integrates these multiple perspectives. This approach recognises that translating the efficacy of direct mechanisms that mediate HIV prevention (including prevention products, procedures, and risk-reduction behaviours) into population-level effects requires interventions that increase coverage. An HIV prevention cascade approach suggests that high coverage can be achieved by targeting three key components: demand-side interventions that improve risk perception and awareness and acceptability of prevention approaches; supply-side interventions that make prevention products and procedures more accessible and available; and adherence interventions that support ongoing adoption of prevention behaviours, including those that do and do not involve prevention products. Programmes need to develop delivery platforms that ensure these interventions reach target populations, to shape the policy environment so that it facilitates implementation at scale with high quality and intensity, and to monitor the programme with indicators along the cascade. |
| Databáze: | OpenAIRE |
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