tailieunhanh - báo cáo hóa học:" HIV prevention: What have we learned from community experiences in concentrated epidemics?"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : HIV prevention: What have we learned from community experiences in concentrated epidemics? | Journal of the International AIDS Society BioMed Central Open Access Review HIV prevention What have we learned from community experiences in concentrated epidemics Bruno Spire 1 2 3 Isabelle de Zoysa4 and Hakima Himmich5 Address 1INSERM U912 SE4S Marseille France 2Université d Aix Marseille Marseille France 3AIDES association Pantin France 4World Health Organisation Geneva Switzerland and 5Association de lutte contre le sida ALCS Casablanca Morocco Email Bruno Spire - Isabelle de Zoysa - dezoysai@ Hakima Himmich - Corresponding author Published I October 2008 Received 12 August 2008 Journal of the International AIDS Society 2008 11 5 doi 1758-2652-1 1-5 Accepted 1 October 2008 This article is available from http content 11 1 5 2008 Spire et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract__ Drawing on lessons learned from community experiences in concentrated epidemics this paper explores three imperatives in the effort to reduce the sexual transmission of HIV combat prevention fatigue diversify HIV testing and combat stigma and discrimination. The paper argues for a non-judgmental harm reduction approach to the prevention of sexual transmission of HIV that takes into account the interpretation of risk by diverse individuals and communities in the era of antiretroviral therapy. This approach requires greater attention to increasing access to opportunities to know one s serostatus especially among key populations at greater risk. Novel approaches to diversifying HIV testing approaches at community level are needed. Finally the paper makes a plea for bold .