Value for money of structural interventions: going beyond HIV-only cost-effectiveness analysis

How might co-financing make structural interventions more attractive for the HIV sector? This presentation by Michelle Remme explores methods and decision rules for allocating resources to structural interventions.

Community mobilisation and empowerment of female sex workers is significantly associated with reduced HIV/STI risk in Karnataka state, south India

What is the impact of community mobilisation as a central component of targeted HIV prevention programmes in India?

Research implemented by KHPT and presented in a poster by Tara Beattie, demonstrates how community mobilisation activities built the capacity of female sex workers to manage their vulnerability to HIV. Results showed:

Moving beyond single-issue priority setting: associations between gender inequality & HIV infection, early pregnancy and higher fertility in Malawi

‘Downstream’ interventions are often prioritised over ‘upstream’ structural change, but analysis of population data from Malawi challenges this emphasis.

The findings presented in this poster by Heidi Stöckl show the many overlaps between HIV and maternal and child health.

HIV-positive women are significantly more likely to report three indicators of gender inequality:

Do MSM in southern India change their identity or sexual role behaviour over time? Implications for the HIV epidemic

Study exploring the different identities of men who have sex with men (MSM) and their statistical significance with respect to HIV.

The poster presentation by Holly Prudden looks at four broad categories of sexual identity and key demographic, behavioural and epidemiological characteristics.

Understanding Risk for HIV/STI Transmission and Acquisition within Non-Paying Partnerships of Female Sex Workers in Southern India

Known informally as the Lovers Study, this pilot investigates HIV risk within the complex relationships between female sex workers (FSW) and their non-paying partners (NPP). Interventions have been found to increase condom use between FSW and their paying clients, but much less is known about the risk of HIV acquisition or transmission in sex workers' intimate partnerships.

Effective Approaches to Addressing the Intersection of Violence against Women and HIV/AIDS

, ; Effective Approaches to Addressing the Intersection of Violence against Women: Findings from Programmes

A great deal of evidence confirms that violence against women and HIV/AIDS are inextricably intertwined and mutually reinforcing. For years, decision-makers have advocated for addressing violence against women in a multi-sectoral way, yet little progress has actually been made in addressing violence and HIV together.

This report gathers experiences from a number of programmes, ranging from multimedia campaigns to peer education, from capacity-building for service providers to policy advocacy, and from cross-sectoral fora to action research. Among key points:

STRIVE officially launched at AIDS 2012

"Luxury or Necessity? Structural Factors in a Biomedical Era". This topic drew a larger-than-expected crowd to the consortium's launch during the International AIDS Conference in Washington, DC.

STRIVE at AIDS 2012

Lessons from the Broad Street Pump

What can we learn for HIV prevention from John Snow, founder in the 1850s of modern epidemiology?

In 1854, convinced that a London cholera outbreak was spread by means other than "miasma", the public health pioneer persuaded authorities to remove a pump handle. Rather than treating the water (a biomedical approach) or persuading people not to use the water (a behavioural approach), this early instance of a structural intervention cut off access to the water source and thus had impact at the level of the community environment.

Cash Transfers: Evidence Paper

This review by DFID's policy division assesses current evidence on the impact of cash transfers and the extent to which that evidence is generalisable.

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