Download AIDS Policy in Uganda: Evidence, Ideology, and the Making of by J. Kinsman PDF

By J. Kinsman

This e-book provides a historical past of AIDS keep an eye on in Uganda, from the beginning of the epidemic within the early Eighties up until eventually 2005. Uganda is widely known the world over as an AIDS 'success story', either for its bringing down HIV prevalence and occurrence over the Nineties, and for its leading edge method of scaling up the supply of antiretroviral remedy.

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Extra info for AIDS Policy in Uganda: Evidence, Ideology, and the Making of an African Success Story

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In other words, while PHC is sometimes presented as an unambiguous concept, its meaning and purpose have in fact been contested by many of those involved in program funding, design, and implementation. This nuanced, multilevel interpretation of PHC as an idea was summed up as follows: “There is no such thing as a world-wide PHC concept. We will have to be satisfied with a non-definition. :1033). Huyts (1979; referred to in Van der Geest, 1990) also used the multilevel perspective to investigate PHC, but this time to drive his analysis of people’s personal (as opposed to professional) motivations to participate in PHC programs.

This point has great relevance for health care innovations, such as the provision of antiretroviral therapy (ART) for AIDS patients in Africa. Over the past few years, international and national policy makers have faced pressure to initiate treatment for as many people as possible, with numbers treated as the target of paramount importance. , 2010). While these researchers have made explicit reference to their use of the multilevel perspective, there are also those who use it implicitly. Without actually using the terms “multilevel” or “linkages,” two studies from Uganda demonstrate the importance and nature of vertical linkages in the country both for AIDS control and, more generally, for health policy.

It is useful to remember this history when considering the RCT in its elevated position as the gold standard epidemiological tool. Initially designed to evaluate clinical interventions, it has proven to be a highly effective tool for studies of this nature. But with the principles of EBM moving increasingly into health promotion activities, the boundaries of what is deemed appropriate for evaluation by an RCT have expanded to KEY THEMES AND CONCEPTS 27 include behavioral interventions, including those intended to control HIV.

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