Free access to research on the structural barriers to HIV care

To celebrate AIDS 2012, the international AIDS community’s major conference in Washington, DC later this month, a special issue of AIDS & Behaviour is available to access for free until the end of July.

Predictors of linkage to care following community-based HIV counselling and testing in rural Kenya

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This paper argues that social and structural issues should form a central part of engaging newly-diagnosed individuals in HIV care and treatment. The study focuses on the social and structural predictors of linkage to HIV care in Kenya. 'Linkage to care' is the moment when a person living with HIV enrols at a clinic, ideally within 3-6 months of learning that they are HIV-positive.

Vulnerability re-assessed: The changing face of sex work in Guntur district, Andhra Pradesh.

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Findings show that structural and environmental factors change the way sex work is practiced. This qualitative study on the impact of an HIV prevention programme on female sex workers' lives highlighted the additional role of structural factors such as:

  • Increased police intervention and curfews
  • 'Hidden' practices of soliciting sex including via mobile phones in the workplace
  • Clients' access to pornography through ICTs

Making systematic reviews work for international development research

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Investigation into where systematic reviews add value to development research and where they become problematic. In the context of donors’ interest in systematic reviews and their effectiveness as a tool for evidence-informed policy making, this briefing demonstrates that:

Limits to evidence-based health policymaking: Policy hurdles to structural HIV prevention in Tanzania

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Study exploring the political obstacles that affect the uptake of policy evidence on the structural drivers of HIV. Based on in-depth interviews with AIDS policymakers and observations of national-level policy meetings, the paper argues that HIV prevention policies are informed by a range of competing political negotiations and motivations.

An integrated structural intervention to reduce vulnerability to HIV and sexually transmitted infections among female sex workers in Karnataka state, south India

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A review of structural interventions integrated into an HIV prevention programme for over 60,000 female sex workers (FSWs) in south India. The structural interventions involved policy makers, secondary stakeholders (police, government officials, lawyers, media) and primary stakeholders (FSWs).

The research found that:

Roadmap to AIDS 2012: Presentations on Structural Factors

To help you get the most out of the International AIDS Conference, Washington DC, 22 to 27 July 2012, STRIVE has identified sessions related to the social barriers to HIV prevention and the structural interventions designed to overcome them.


Key event: STRIVE Launch 24 July

Sunday 22

Monday 23

Tuesday 24

Wednesday 25

Social Policy: Going Upstream

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An analysis of the costs and benefits of interventions that seek to address some of underlying social drivers of HIV vulnerability. The paper was written by STRIVE researchers at LSHTM including the consortium’s Research Director Charlotte Watts. It focuses on four social drivers of HIV vulnerability:

STRIVE launch at International AIDS Conference

‘Luxury or necessity? Structural factors in a biomedical era’

An international panel from the AIDS community will discuss this provocative question at a reception to launch the STRIVE consortium in Washington, DC on Tuesday 24 July 2012.

Maintaining the commitment to gender equality in an age of austerity

A donor brief by the Global Coalition on Women and AIDS (GCWA) underlines the need to maintain funding for programmes that tackle structural drivers such as gender as part of an effective HIV response.

The donor brief focuses on the Global Fund to Fight AIDS, Tuberculosis and Malaria, giving a review of its response to the vulnerabilities of women and girls to HIV.