Yale University

Beyond buzzwords: toward a community-based model of the integration of HIV treatment and prevention.

TitleBeyond buzzwords: toward a community-based model of the integration of HIV treatment and prevention.
Publication TypeJournal Article
Year of Publication2009
AuthorsMykhalovskiy, Eric, San Patten, Chris Sanders, Michael Bailey, and Darien Taylor
JournalAIDS care
Volume21
Issue1
Pagination25-30
Date Published2009 Jan
ISSN1360-0451
KeywordsAntiretroviral Therapy, Highly Active, Canada, Community Health Services, Delivery of Health Care, Integrated, HIV Infections, Humans, Models, Theoretical, Preventive Health Services
AbstractPropelled by increased global access to Highly Active Anti-Retroviral Therapies, the integration of HIV treatment and prevention has emerged as an important organizing concept of pandemic response. Despite its potential significance for community-based AIDS organizations (CBAOs) little research on integration has been done from a community-based perspective. This paper responds to that gap in the literature. With a view to moving what can be an abstract concept to the level of concrete practice, we offer a community-based model of the integration of HIV treatment and prevention. The model is based on research conducted in 2006-2007 with front-line staff from CBAOs across Canada carried out in partnership with the Canadian AIDS Treatment Information Exchange. The model is grounded in three central dimensions of a community-based perspective on integration deriving from our research: the phenomenological primacy of front-line service work, a comprehensive notion of treatment and prevention, and the importance of social context. The model is intended as a conceptual resource that can assist CBAOs in formulating practical responses to new demands for integrated service provision.
DOI10.1086/528859
Alternate JournalAIDS Care

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