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.

Special journal issue on structural drivers

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Tackling the structural drivers of HIV: is this a luxury add-on or essential for successful interventions? Papers present evidence of the need to understand and address the factors that create and deepen HIV risk.

Published with STRIVE support, this special issue raised key debates ahead of the 2012 International AIDS Conference and beyond. Among others:

Adolescents and transactional sex - Joyce Wamoyi

Findings and implications of two studies of rural Tanzanian adolescents and transactional sex, revealing shifting norms and values.

Presented by Dr Joyce Wamoyi, Senior Social Scientist, National Institute for Medical Research (NIMR), Mwanza, Tanzania, 15 July 2011.

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