Structural factors and the HIV treatment and prevention cascade

Structual factors & the Prevention Cascade.pdf

There is an unmet need for HIV prevention, both through primary prevention and treatment-as-prevention, particularly in key populations. HIV prevention has been dominated by behaviour change, but structural factors have acted as a barrier. Recent advances in knowledge about biomedical prevention offer real promise for reducing HIV incidence at a population-level – if sufficient coverage achieved.

This presentation, given at the STRIVE pre-conference session at AIDS 2018, presents an overview of the key challenges for HIV prevention and the following three key lessons from STRIVE:

  • Biomedical tools can’t do it on their own
  • Structural factors can be addressed within programmatic timeframes
  • Innovated integrated approaches are needed to respond to the structural barriers to scaling up HIV prevention 


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