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Preventing and Mitigating AIDS in Sub-Saharan Africa

Author: National Research Council

Publisher: National Academies Press

Published: 1996-03-28

Total Pages: 369

ISBN-13: 0309090180

The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.

Preventing AIDS

Author: Ralph J. DiClemente

Publisher: Springer Science & Business Media

Published: 2013-06-29

Total Pages: 366

ISBN-13: 1489911936

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Public health has a legacy of neglect regarding social and behavioral research. Too often, prompted by technical and scientific progress, we have ignored even marginalized-the vital "human element" in health thinking and prac tice. Thus, for example, while family planning programs focused on providing a choice among safe and effective contraceptive methods (a supremely worthy goal), the central issue of sexuality and sexual behavior was generally neglected. Similarly, the enormous and important efforts to develop rapid and reliable diagnostic and treatment methods for sexually transmitted diseases helped divert attention away from the crucial issues of sexual practice. In short, we seem to have difficulty addressing the fundamental behaviors-including sex, drug taking and other intoxications, and violence-that are central to the major causes of preventable morbidity, disability, and premature mortality in the world today. Our collective reluctance to examine and understand ourselves is also expressed in the oft-repeated pipedream that scientific progress will "take care of" the HIV / AIDS pandemic by delivering a preventive vaccine, an effective cure, or both. Yet even a cursory glance at the relationship between scientific/ technical progress and health shows that meeting the scientific challenges is only one step toward effective application of the vaccine or drug. It is typical, not atypical, that hepatitis B vaccine is only now becoming relatively freely available to large populations in the developing world, more than a decade after the vaccine's licensure.

Preventing HIV Transmission

Author: National Research Council and Institute of Medicine

Publisher: National Academies Press

Published: 1995-09-14

Total Pages: 352

ISBN-13: 0309176212

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This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.

Preventing Aids

Author: Seth C. Kalichman

Publisher: Psychology Press

Published: 2014-02-25

Total Pages: 233

ISBN-13: 1317778642

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This book provides a comprehensive overview of behavioral interventions to prevent HIV-AIDS risk-related behaviors. It synthesizes the empirical literature on individual, group, and community-level interventions and provides an objective and detailed assessment of intervention outcomes. Factors associated with behavioral risk for HIV transmission, theories of HIV risk behavior change, and the state of HIV prevention technology transfer are also reviewed. Additionally, behavioral interventions for adolescents and adults of diverse ethnic and sexual backgrounds are discussed with respect to each intervention type. Although the focus is on sexual risk reduction, interventions for sexual behavior of substance abusing populations are also covered.

Positive Prevention

Author: Seth C. Kalichman

Publisher: Springer Science & Business Media

Published: 2005-08-01

Total Pages: 297

ISBN-13: 0306487004

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-The latest "buzz word" in HIV prevention -Few resources available on "positive prevention" -Kalichman is a known and recognized name in the field of HIV prevention

Rethinking AIDS Prevention

Author: Edward C. Green

Publisher: Praeger

Published: 2003-11-30

Total Pages: 0

ISBN-13: 0865693161

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This is not another book about how AIDS is out of control in Africa and Third World nations, or one complaining about the inadequacy of secured funds to fight the pandemic. The author looks objectively at countries that have succeeded in reducing HIV infection rates...along with a worrisome flip side to the progress. The largely medical solutions funded by major donors have had little impact in Africa, the continent hardest hit by AIDS. Instead, relatively simple, low-cost behavioral change programs—stressing increased monogamy and delayed sexual activity for young people—have made the greatest headway in fighting or preventing the disease's spread. Ugandans pioneered these simple, sustainable interventions and achieved significant results. As National Review journalist Rod Dreher put it, Rather than pay for clinics, gadgets and medical procedures—especially in the important earlier years of its response to the epidemic—Uganda mobilized human resources. In a New York Times interview, Green cited evidence that partner reduction, promoted as mutual faithfulness, is the single most effective way of reducing the spread of AIDS. That deceptively simple solution is not merely about medical advances or condom use. It is about the ABC model: Abstain, Be faithful, and use Condoms if A and B are impossible. Yet deeply rooted Western biases have obstructed the effectiveness of AIDS prevention. Many Western scientists have attacked the ABC approach as impossible and moralistic. Some Western activists and HIV carriers have been outraged, thinking the approach passes moral judgment on their behaviors. But there is also a troubling suspicion among a growing number of scientists who support the ABC model that certain opponents may simply be AIDS profiteers, more interested in protecting their incomes than battling the disease. This book is a bellwether in the escalating controversy, offering persuasive evidence in support of the ABC approach and exposing the fallacies and motivations of its opponents.

HIV Prevention

Author: Kenneth H. Mayer

Publisher: Academic Press

Published: 2009-03-13

Total Pages: 696

ISBN-13: 9780080921297

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HIV/AIDS continues to be the pandemic of our times and there has not been a comprehensive medically based AIDS prevention book published in the last 5 years. It is estimated that 36 to 45 million people including 2-3 million children already are infected worldwide and an additional 4-7 million more are infected each year. There are about 6,000 new infections daily and about 12 million AIDS orphans. People receiving AIDS treatments feel well and have no detectable viral load, but still can infect others. And even when a vaccine is found, it will take many years before it can be administered across the developing world. * Discusses all aspects of AIDS prevention, from epidemiology, molecular immunology and virology to the principles of broad-based public health prevention interventions. * Special focus on the array of interventions that have been proven effective through rigorous study * Identifies new trends in HIV/AID epidemiology and their impact on creating and implementing prevention interventions * Incorporates virology, biology, infectious diseases, vaccinology, microbicides and research methodologies into AIDS prevention

Preventing AIDS

Author: R Dennis Shelby

Publisher: Routledge

Published: 2012-12-06

Total Pages: 251

ISBN-13: 1136392726

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Learn how to create professional collaboration between HIV/AIDS researchers and community organizations for the benefit of all! This book is designed to help frontline prevention organizations answer two questions that are of utmost importance. First, how effective are their services; and second, can their work be improved? The absence of rigorous evaluation is a barrier to stable funding for community organizations, and the strategies in Preventing AIDS: Community-Science Collaborations can help overcome that barrier. The book is a guide to successful cooperative efforts between researchers and community-based organizations. The information it presents will help community-based programs acquire detailed, timely information on program effectiveness and outcomes. It also provides researchers with methods for accessing hard-to-reach or hidden HIV high-risk groups. Handy tables and figures make important data easy to access and understand. In Preventing AIDS: Community-Science Collaborations, you’ll learn about the difficult but critically important collaboration between community organizations who do frontline prevention work and university scientists who evaluate the effectiveness of that work. The book describes the community-researcher equal partner collaboration (CREPC) model for community-based collaborative research. In addition, it examines six unique efforts to prevent the spread of AIDS among high-risk populations, such as prostitutes, injection drug users, impoverished pregnant women, migrant workers, transgendered persons, and prison inmates. The case studies in Preventing AIDS: Community-Science Collaborations describe the frustrations of outreach workers and counselors who suddenly must help design a survey they fear will be intrusive, and the parallel problems faced by scientists who are told that their traditional measures mean little to outreach workers. Preventing AIDS: Community-Science Collaborations presents funders’ perspectives on collaborative AIDS research and examines the collaborative and funding aspects of: the CAL-PEP prevention programs for drug injectors and sex workers efforts to promote HIV prevention for migrant farm workers and evaluate those efforts’ effectiveness the ongoing collaboration between The Center for AIDS Prevention Studies (University of California, San Francisco), Centerforce (a statewide nonprofit agency providing services and advocacy to prisoners and their families), and San Quentin State Prison the effort of the Los Angeles County HIV Epidemiology Program and three community-based organizations, which collaborate to provide culturally appropriate outreach and HIV education/prevention services to transgendered individuals of various ethnic origins San Francisco’s PHREDA project and the way its creators collaborated to better understand and serve high-risk women The U-Find-Out (UFO) Study, funded by the Universitywide AIDS Research Program of the State of California

No Time to Lose

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2001-02-02

Total Pages: 253

ISBN-13: 0309171555

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The United States has spent two productive decades implementing a variety of prevention programs. While these efforts have slowed the rate of infection, challenges remain. The United States must refocus its efforts to contain the spread of HIV and AIDS in a way that would prevent as many new HIV infections as possible. No Time to Lose presents the Institute of Medicine's framework for a national prevention strategy.

Catholic Ethicists on HIV/AIDS Prevention

Author: James F. Keenan

Publisher: A&C Black

Published: 2000-05-01

Total Pages: 361

ISBN-13: 0826412300

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"An eye-opening demonstration of how Catholic moral theology works in the concrete...ÝKeenan shows that ̈ the Catholic tradition of moral theology is robust, timely, supple, humane and, most of all, wise enough to make vital contributions to ongoing global discussions about the current state of the Body of Christ." -National Catholic Reporter