Title | Beyond buzzwords: toward a community-based model of the integration of HIV treatment and prevention. |
Publication Type | Journal Article |
Year of Publication | 2009 |
Authors | Mykhalovskiy, Eric, San Patten, Chris Sanders, Michael Bailey, and Darien Taylor |
Journal | AIDS care |
Volume | 21 |
Issue | 1 |
Pagination | 25-30 |
Date Published | 2009 Jan |
ISSN | 1360-0451 |
Keywords | Antiretroviral Therapy, Highly Active, Canada, Community Health Services, Delivery of Health Care, Integrated, HIV Infections, Humans, Models, Theoretical, Preventive Health Services |
Abstract | Propelled 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. |
DOI | 10.1086/528859 |
Alternate Journal | AIDS Care |