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Best Evidence Structural Interventions for HIV Prevention - Golden et al

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  ​ Providing detailed information on structural HIV prevention interventions, this book is
intended for health care practitioners and researchers to plan, implement, and evaluate such interventions in their own
communities. As defined by the CDC, structural interventions focus on the physical, social, cultural, political,
economic, legal, and/or policy aspects of the environment. Designed to reach a large number of individuals, structural
interventions usually occur across entire communities, cities, or countries. As a result, the resources required to
initiate structural interventions can far exceed those required for smaller-scale behavioral programs. However, changes
from structural interventions have the potential to last over time, even after the programs have ended, resulting in
effective use of public and private prevention resources.​ Because the reach of structural interventions is
typically larger than that of individual- or group-focused interventions (for example, the 100% Condom Use Program,
which was implemented countrywide in Thailand), their influence may be equally―if not
more―significant.This book is a resource for health practitioners, educators, and researchers who seek HIV/AIDS
structural prevention programs that have been shown to be effective in their regions or for their target populations
(e.g. injection drug users, commercial sex workers, or the general public). With extensive case studies, the book
classifies interventions according to the desired outcomes (specific behavior or policy changes) so that the reader may
focus on examples of programs with similar goals and target populations to their own. Addresses the quintessential
public health ethical dilemma regarding which types of environmental changes should be mandatory via legislation and
which should be voluntary, promoted via programmatic, practice, and policy change. ​ 						

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