Preventing HIV in developing countries: biomedical and behavioral approaches
Gespeichert in:
Weitere Verfasser: | |
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Format: | Buch |
Sprache: | English |
Veröffentlicht: |
New York [u.a.]
Kluwer Acad./Plenum Publ.
1999
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Schriftenreihe: | AIDS Prevention and Mental Health
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Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | XXIII, 400 S. graph. Darst., Kt. |
ISBN: | 0306459612 |
Internformat
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264 | 1 | |a New York [u.a.] |b Kluwer Acad./Plenum Publ. |c 1999 | |
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650 | 4 | |a Sida - Pays en voie de développement - Prévention | |
650 | 4 | |a Entwicklungsländer | |
650 | 4 | |a AIDS (Disease) |z Developing countries |x Prevention | |
650 | 4 | |a Acquired Immunodeficiency Syndrome |x prevention & control | |
650 | 4 | |a Developing Countries | |
650 | 4 | |a HIV Infections |x prevention & control | |
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adam_text | Contents
Chapter 1. HIV Prevention in Developing Countries: Tenets of
Behavioral and Biomedical Approaches 1
Laura Gibney
Introduction 1
Biomedical Approaches 2
Behavioral Approaches 3
Behavioral Interventions in Developing Countries: Targeted and
Population Based Strategies 5
Future Directions 6
References 7
Chapter 2. The Global HIV/AIDS Pandemic: Trends and Patterns 9
Daniel Tarantola, Peter R. Lamptey, and Rob Moodie
Global Overview 9
Africa and the Middle East 12
Asia 17
Populations Affected 19
Impact of Prevention Programs 20
Impact of Care Programs 21
AIDS: The Eruption in Asia 22
Latin America and the Caribbean 22
Mexico, the Isthmus of Central America,
and the Latin Caribbean 23
The English Speaking Caribbean 25
South America 25
Challenges for Prevention 26
North America 27
Populations Affected 27
Changes in Behavior 30
Europe 30
Long Term Trends from AIDS Surveillance 30
XV
xvi Contents
HIV Incidence and Prevalence 31
Changing Behavior 33
Current and Future Trends 34
North and South Pacific 35
Populations Affected 35
HIV Care 37
Conclusions 37
References 38
Chapter 3. Emerging Biomedical Interventions 43
Louise Lawson, David Katzenstein, and Sten Vermund
Introduction 43
Sexual Transmission of HIV 43
Issues in the Evaluation of Biomedical Interventions 45
Theoretical, Method, and Use Efficacy 45
Study Designs 46
Decision Making 48
Barrier Methods of HIV Prevention 49
Male Condoms 50
Female Condoms 51
Microbicides 53
Diagnosis and Treatment of STD for HIV Prevention 55
Issues in Vaccine Development 57
Preventing Perinatal Transmission 60
Preemptive Therapy 64
Conclusion 65
References 66
Chapter 4. Intervening in Blood Supply and Use Systems:
HIV Testing 71
Niel T. Constantine, Criselda G. Abesamis, and Manuel M. Dayrit
Introduction 71
Barriers to Effective Testing in Developing Countries 72
Current Laboratory Systems and Needs in Developing Countries 73
Facilities and Infrastructure 73
Organizational Structure 73
Regulatory Agencies and Policies 74
Expert Laboratory Personnel 74
Quality Testing 74
Contents xvii
The Role of the Reference Laboratories 75
Selection of HIV Tests 75
Successful Interventions toward a Safe Blood Supply:
The Philippines—a Case Study for Developing Countries 76
Addressing Financial Constraints 76
Reorganization: Compartmentalization and Networking 76
Regulatory Guidelines 77
Increasing Expertise in the Laboratories 77
Monitoring of Laboratories 78
Other Interventions to Support a Safe Blood Supply 78
Successful Strategies in Other Developing Countries 80
Recommendations 81
Education and Technology Transfer 81
Participation in Quality Assurance and Assessment Programs 81
Cost Saving Measures 82
Voluntary Blood Donation 83
Program Management 83
Strengthening Quality through the Use of Standards 84
Closing Comment 84
References 84
Chapter 5. The Evolution of Voluntary Testing and Counseling
as an HIV Prevention Strategy 87
Susan A. Allen, Etienne Karita, Nicholas N Gandu,
and Amanda Tichacek
Introduction 87
HIV Testing and Counseling in Developing Countries: A Review
of Experience 91
HIV Testing and Counseling as a Prevention Intervention 93
Existing Evidence of Efficacy and Comparison to Other
Interventions 94
When to Consider Evaluating and Promoting VTC 94
Evaluation of VTC in Reducing Risk of HIV 96
Pilot Testing Operational Aspects 96
Expand to Fill the Identified Need for VTC 97
Outreach to Services that Do HIV Testing but Do Not
Provide VTC 97
Methods of Evaluating the Efficacy of VTC as a Prevention
Intervention 98
Definition of Target Populations 100
j^jj. Contents
Definition of Outcome Variables and an Example
of Data Analysis 100
Cost and Cost Effectiveness of HIV Testing and Counseling
as an Intervention to Prevent HIV Transmission 100
Ethical Issues 101
Evolution of HIV Testing and Counseling in Rwanda and Zambia,
1986 1996 102
Project San Francisco in Rwanda, 1986 1994 102
Project San Francisco in Zambia, 1994 Present 104
Conclusions and Recommendations 105
References 105
Chapter 6. Controlling Other Sexually Transmitted Diseases 109
Gina Dallabetta, David Serwadda, and Doris Mugrditchian
i no
Introduction 1W
Overview of Notable Interventions 114
Africa 114
Asia I20
Latin America/Caribbean 123
Study Design 126
190
Summary 1Zr7
IT?
Future Directions 1 i
References !•
Chapter 7. Behavioral Interventions in Developing Nations 13
Kevin R. O Reilly, Roland Msiska, V Chandra Mouli,
and Monir Islam
Introduction 13
Sexual Behavior and Its Determinants in the Developing World 13°
Behavioral Interventions for Individuals, Couples, and Groups 141
Individual Counseling 143
Group Counseling 144
Behavioral Interventions at the Community Level 144
Structural and Environmental Approaches
for STD/HIV Prevention I48
Conclusion 1^0
References 1^1
Contents xix
Chapter 8. Insights for HIV Prevention from Industrialized
Countries Experiences 155
Anita Raj, Snigdha Mukherjee, and Laura Leviton
Introduction 155
Insights from Interventions in the Industrialized World 156
Universals and Important Variations 157
Are Lessons from Interventions in the Industrialized World Applicable
in Developing Countries? 159
HIV Interventions for Adolescents 161
HIV Interventions for Men Who Have Sex with Men 164
HIV Interventions for Heterosexual Women 167
HIV Interventions for Female Commercial Sex Workers 169
HIV Interventions for Injecting Drug Users 170
STD Clinic Based HIV Interventions 173
Case Study: The AIDS Community Demonstration Project 174
Conclusion 175
Basic Requirements to Establish Effective HIV Interventions
in Developing Countries 177
Challenges and Opportunities in Developing Countries 178
References 181
Chapter 9. The Use of Psychosocial Models for Guiding
the Design and Implementation of HIV Prevention
Interventions: Translating Theory into Practice 187
Gina M. Wingood and Ralph J. DiClemente
Introduction 187
The Role of Theory in Guiding the Design and Implementation of
Behavioral Interventions 188
Social Cognitive Theory and Health Behavior Change 189
Enhancing Risk and Prevention Knowledge 189
Promoting Acquisition and Proficiency in HIV Preventive Skills .. 190
Strengths and Limitations of Social Cognitive Theory 192
The Theory of Gender and Power 192
The Use of Theory Requires Attention to Cultural Relevance 196
Applying Theory to an Illustrative Case Study 196
Collaborating with the Target Community: Enlisting Environmental
Support for HIV Prevention Interventions 197
Objectives of the HIV Prevention Intervention 197
Methods and Procedures for Conducting the Project 198
xx Contents
Implementation Issues and Scheme 199
Results of the Evaluation 201
Discussion of the Program 202
Analysis of the Case Study 202
Conclusion 203
References 203
Chapter 10. Interventions for Commercial Sex Workers and Their
Clients 205
Elizabeth N. Ngugi, Erin Branigan, and Denis J. Jackson
Introduction 205
Lifestyles of Commercial Sex Workers 206
Interventions for Commercial Sex Workers 208
Asia 208
Africa 218
Latin America 224
Summary and Future Directions 225
References 228
Chapter 11. Interventions for Adolescents 231
Peter Aggleton and Kim Rivers
Introduction 231
Styles of Intervention 234
Interventions for Young People in Developing Countries 236
Africa 236
Central and South America and the Caribbean 241
South and Southeast Asia 244
Critical Review of Methods Used 247
Summary 249
Future Directions and Recommendations for Work with Young People
in Developing Countries 251
References 252
Chapter 12. Interventions for Workers Away from Their Families 257
Mary Haour Knipe, Melkizedec Leshabari, and George Lwihula
Introduction 257
Africa 258
Contents xxi
Migrant Labor in Africa 259
Trading, Trucking, and Fishing Routes in Africa 261
HIV Prevention Programs in Africa 263
Asia 266
Migrant Labor in Asia 266
Trading, Trucking, and Fishing Routes in Asia 267
HIV Prevention Programs in Asia 268
Latin America 269
Military 271
Discussion 273
Truck Drivers 273
Commercial Sex Workers 274
Conclusions 275
What Are the Needs in This Field? 277
References 279
Chapter 13. Interventions for Injecting Drug Users 283
Abu S. Abdul Quader, Don C. Des Jarlais, Anindya Chatterjee,
A. Elizabeth Hirky, and Samuel R. Friedman
Introduction 283
Rapid Transmission of HIV among IDUs 284
HIV Prevention Interventions that Are Currently Available 286
Education of IDUs 286
Increasing Availability of Clean Injection Equipment 286
Decontamination of Used Needles and Syringes 287
Pharmacological Treatment of Drug Addiction 287
Outreach as a Method of Intervention 288
HIV Testing 288
Organization of IDUs 288
Social Network Intervention 289
Experiences from Developing Countries 289
Asia 289
Latin America 297
Discussion 300
Issues in HIV Prevention in Developing Countries 301
Structural Issues: Societal Attitudes toward Illicit Drug Use 303
Standards for Assessing HIV Prevention Programs for IDUs 306
Summary, Conclusions, and Future Directions 307
References 309
xxii Contents
Chapter 14. Interventions for Men Who Have Sex with Men 313
Peter Aggleton, Shivananda Khan, and Richard Parker
Introduction 313
Men Who Have Sex with Men in the Developing World 314
Interventions with and for Men Who Have Sex with Men 317
Africa 318
Asia 319
Central and South America 323
Some General Principles 326
References 328
Chapter 15. HIV Prevention for the General Population 331
Gail A. W. Goodridge and Peter R. Lamptey
Introduction 331
Notable Interventions 332
Interventions Aimed at Improving STI/HIV Services for the General
Population 339
Improving Services for Adults with STIs 339
Measures of Success in CSM Programs 348
Discussion 352
Constraints to Conducting Program Effectiveness Evaluation 352
Critical Factors to Effective Programming 355
Future Directions 356
Expanding the HIV/AIDS Partnership 356
Expanding the Use of Successful Interventions 357
Expanding Programs to Effectively Reach General Population
Women 358
Expanding Evaluation Tools and Thinking 358
References 360
Chapter 16. Intervention Research for Future HIV Prevention:
Design and Implementation Considerations 363
Laura Gibney
Introduction 363
Collaborations in Intervention Research 365
Selecting an Intervention to Test 366
Developing a Research Design 369
Contents xxiii
Using Intervention Results to Inform Policy Making and Program
Planning 375
Conclusions 378
References 379
Index 381
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spelling | Preventing HIV in developing countries biomedical and behavioral approaches ed. by Laura Gibney ... New York [u.a.] Kluwer Acad./Plenum Publ. 1999 XXIII, 400 S. graph. Darst., Kt. txt rdacontent n rdamedia nc rdacarrier AIDS Prevention and Mental Health AIDS gtt Ontwikkelingslanden gtt Preventie gtt Sida - Pays en voie de développement - Prévention Entwicklungsländer AIDS (Disease) Developing countries Prevention Acquired Immunodeficiency Syndrome prevention & control Developing Countries HIV Infections prevention & control Aids (DE-588)4112470-4 gnd rswk-swf Prävention (DE-588)4076308-0 gnd rswk-swf Entwicklungsländer (DE-588)4014954-7 gnd rswk-swf Entwicklungsländer (DE-588)4014954-7 g Aids (DE-588)4112470-4 s Prävention (DE-588)4076308-0 s DE-604 Gibney, Laura edt HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008683107&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Preventing HIV in developing countries biomedical and behavioral approaches AIDS gtt Ontwikkelingslanden gtt Preventie gtt Sida - Pays en voie de développement - Prévention Entwicklungsländer AIDS (Disease) Developing countries Prevention Acquired Immunodeficiency Syndrome prevention & control Developing Countries HIV Infections prevention & control Aids (DE-588)4112470-4 gnd Prävention (DE-588)4076308-0 gnd |
subject_GND | (DE-588)4112470-4 (DE-588)4076308-0 (DE-588)4014954-7 |
title | Preventing HIV in developing countries biomedical and behavioral approaches |
title_auth | Preventing HIV in developing countries biomedical and behavioral approaches |
title_exact_search | Preventing HIV in developing countries biomedical and behavioral approaches |
title_full | Preventing HIV in developing countries biomedical and behavioral approaches ed. by Laura Gibney ... |
title_fullStr | Preventing HIV in developing countries biomedical and behavioral approaches ed. by Laura Gibney ... |
title_full_unstemmed | Preventing HIV in developing countries biomedical and behavioral approaches ed. by Laura Gibney ... |
title_short | Preventing HIV in developing countries |
title_sort | preventing hiv in developing countries biomedical and behavioral approaches |
title_sub | biomedical and behavioral approaches |
topic | AIDS gtt Ontwikkelingslanden gtt Preventie gtt Sida - Pays en voie de développement - Prévention Entwicklungsländer AIDS (Disease) Developing countries Prevention Acquired Immunodeficiency Syndrome prevention & control Developing Countries HIV Infections prevention & control Aids (DE-588)4112470-4 gnd Prävention (DE-588)4076308-0 gnd |
topic_facet | AIDS Ontwikkelingslanden Preventie Sida - Pays en voie de développement - Prévention Entwicklungsländer AIDS (Disease) Developing countries Prevention Acquired Immunodeficiency Syndrome prevention & control Developing Countries HIV Infections prevention & control Aids Prävention |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008683107&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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