2006
DOI: 10.1177/1527154406289638
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Sociopolitical Determinants of an AIDS Prevention Program: Multiple Actors and Vertical Relationships of Control and Influence

Abstract: In every country, health and prevention "come down" from the authorities responsible for this mission by way of planners, local authorities, and peer educators until it reaches the target population. International and national systems function on the premise of a top-down transmission, with little room for integrating local information that might provide a better understanding of the implementation process. This analysis is based on an empirical evaluative research of HIV/AIDS prevention projects with sex work… Show more

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Cited by 7 publications
(3 citation statements)
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“…In order to explore these questions, the research goal was reframed as an analysis of the formal and informal inter-organizational structures in the establishment of partnership and decision making regarding evaluation. Based on an earlier study (Laperrière and Zúñiga, 2006), the starting point was therefore the need to identify the actors involved (users, staff, administrators, public-health agents, coalition, others) and to make visible the power relations and vertical control influences in their relations.…”
Section: Social Relations Of Visible and Invisibles Structures: Direcmentioning
confidence: 99%
See 1 more Smart Citation
“…In order to explore these questions, the research goal was reframed as an analysis of the formal and informal inter-organizational structures in the establishment of partnership and decision making regarding evaluation. Based on an earlier study (Laperrière and Zúñiga, 2006), the starting point was therefore the need to identify the actors involved (users, staff, administrators, public-health agents, coalition, others) and to make visible the power relations and vertical control influences in their relations.…”
Section: Social Relations Of Visible and Invisibles Structures: Direcmentioning
confidence: 99%
“…This consideration of the local is all the more important given that the socio-political network can be made up of formal and informal actors inserted in vertical relations of control and influence that can neglect a program's unforeseeable aspects (Laperrière and Zúñiga, 2006) as well as the danger it entails for local actors (Laperrière, 2008). Programs that encompass a local perspective gain a better understanding of how they are integrated within the social world through social relations and local political debates, in particular between institutional organizations representing the State and civil society (community organizations).…”
Section: The Necessity Of Local Contextualization With Personal and Ementioning
confidence: 99%
“…This situation amplifies the inequality of linguistic competence for a technical debate or deliberation of the definitions. And it can be political, both locally as a result of inequalities not only between ‘developed’ countries and ‘developing’ countries with regard to the financial and technical resources allocated to research and publication 26 but also between political centres and peripheral regions of a country in order to define the ‘more advanced’ terminology for national nursing practices. Certainties are based not only on the scientific validity of knowledge claims but also on filtering knowledge through social criteria, which are historical and political.…”
Section: Professional Corollaries For Advanced Nursing Practicementioning
confidence: 99%