Breaking out of silos – the need for critical paradigm reflection in HIV prevention

Parkhurst, Justin; Hunsmann, Moritz

doi:10.1080/03056244.2015.1064373

Cited by 6 publications

(8 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Participants who finish participating in the P2F curriculum are invited to identify specific areas where they would like to see improvements within their community, and to form "Resource Committees" with participants with similar concerns. This approach is described in a previous publication, though this process was documented before we introduced the P2F curriculum (16).…”

Section: Pilot Testing the Pathways To Flourishing Curriculummentioning

confidence: 99%

“…New approaches that integrate community-led actions with current HIV clinical resources will require breaking down disciplinary barriers (such as clinical treatment or community-engaged research) to better address the biopsychosocial aspects of the HIV pandemic. This movement will require a deeper exchange of knowledge between biomedical and social sciences within a public health framework (15,16).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A social innovation to empower community-led monitoring and mobilization for HIV prevention in rural Kenya: experimenting to reduce the HIV prevention policy-implementation gap

Goodman,

Turan,

Keiser

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

IntroductionStrong policy guidance has recently emerged identifying focal points at multiple levels and across sectors to end the persistent HIV pandemic and related inequities. Reducing the policy-implementation gap, as with the evidence-policy gap, requires strategic alignment between interventional research and policy realms. Global- and national-level HIV policy indicate a need for community-led efforts to reduce HIV stigma, and increase uptake of HIV prevention tools.MethodsThis study assesses a process-driven approach to facilitating community-led efforts to reduce HIV stigma, and build a generative context for community-led HIV prevention. The study intervention combines an adapted group-based microfinance process, a novel psychological curriculum, and leadership development at a scale now involving over 10,000 rural Kenyans across 39 villages.ResultsConsistent with interventional goals, and current relevant psychosocial theories, we find collective emotion, and HIV stigma (blame and discrimination) significantly improve with more time participating in the in the program and novel curriculum. Further, HIV stigma predicts subsequent reporting of ever being tested for HIV, and the intervention led to the development of “HIV prevention resource committees” – groups of participants committed to undergo training to reduce HIV stigma and prevent HIV within their communities.DiscussionImplications for further research to reduce the HIV policy-implementation gap are discussed, directly within this interventional context and more generally.

show abstract

Section: Pilot Testing the Pathways To Flourishing Curriculummentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A social innovation to empower community-led monitoring and mobilization for HIV prevention in rural Kenya: experimenting to reduce the HIV prevention policy-implementation gap

Goodman,

Turan,

Keiser

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…Th e focus on individual behaviors leaves invisible the structural inequalities that both underlie disease transmission and that are (re)produced by intervention eff orts (Hunsmann 2016). Knowledge and information may be necessary components, but are insuffi cient for change (Parkhurst and Hunsmann 2015).…”

Section: Farmers and Pesticide Literacymentioning

confidence: 99%

Toxic Sensorium

Stein

Luna

2021

Environment and Society

View full text Add to dashboard Cite

Pesticides and toxicity are constitutive features of modernization in Africa, despite ongoing portrayals of the continent as “too poor to pollute.” This article examines social science scholarship on agricultural pesticide expansion in Sub-Saharan Africa. We recount the rise of agrochemical usage in colonial projects that placed African smallholder farmers at the forefront of toxic vulnerability. We then outline prevalent literature on “knowledge deficits” and unsafe farmer practices as approaches that can downplay deeper structures. Missing in this literature, we argue, are the embodied and sensory experiences of African farmers as they become pesticide users, even amid an awareness of toxicity. Drawing on ethnographic research in Mozambique and Burkina Faso, we explore how the “toxic sensorium” of using agrochemicals intersects with farmers’ projects of modern aspiration. Th is approach can help elucidate why and how differently situated farmers live with pesticides, thereby expanding existing literature on structural violence and knowledge gaps.

show abstract

“…For a more detailed review of the evidence in this field, see (Hunsmann, 2013: Ch. 1). for this selectiveness (Parkhurst and Hunsmann, 2015), it can in part be explained by political considerations.…”

Section: The Politics Of the Behavioural Aetiology Of African Aids Epmentioning

confidence: 99%

Pushing ‘Global Health’ out of its Comfort Zone: Lessons from the Depoliticization of AIDS Control in Africa

Hunsmann¹

2016

Development and Change

Self Cite

View full text Add to dashboard Cite

By affecting the lives and survival of numerous people, global health initiatives deeply alter local landscapes of inequality. They tackle some conditions at the origin of ill health while leaving others untouched, and they inevitably generate new inequalities. Yet, despite their inherently conflictual nature, global health players often minimize the political dimension of their interventions. Taking international AIDS control efforts in Tanzania as an example, this contribution discusses some modalities -and political causes -of the structural neglect of conflict in global health discourse and practice. It analyses how African HIV epidemics continue to be framed and managed in ways that obscure both the health inequalities at their origin, and those that result from efforts to control them. AIDS policy makers conceal inequalities by framing the epidemic as a problem of individual sexual behaviour, and by implicitly rationing access to HIV-prevention and -treatment services. Furthermore, the imposition of disease hierarchies set by international fora excludes broader health-related allocation decisions from domestic democratic debate. Drawing on a theoretical consideration of depoliticization as artificial deconflictualization, the article concludes by calling for a more open acknowledgement of conflict in global health policy making, and explores some analytical and practical implications of such a re-politicization of public health.The author would like to thank the anonymous reviewers, as well as Bridget O'Laughlin and Sébastien Le Pipec for their very helpful comments. All remaining flaws are, of course, my responsibility alone. Development and Change 47(4): 798-817.

show abstract

Breaking out of silos – the need for critical paradigm reflection in HIV prevention

Cited by 6 publications

References 33 publications

A social innovation to empower community-led monitoring and mobilization for HIV prevention in rural Kenya: experimenting to reduce the HIV prevention policy-implementation gap

A social innovation to empower community-led monitoring and mobilization for HIV prevention in rural Kenya: experimenting to reduce the HIV prevention policy-implementation gap

Toxic Sensorium

Pushing ‘Global Health’ out of its Comfort Zone: Lessons from the Depoliticization of AIDS Control in Africa

Contact Info

Product

Resources

About