By G. Slutkin (auth.), Prof. F. Paccaud, Dr. J. P. Vader, Prof. F. Gutzwiller (eds.)
In so much nations, basic prevention programmes opposed to the HIV / AIDS epidemic were carried out. commonly, 3 degrees of intervention might be pointed out: - nationwide campaigns directed to the overall inhabitants; such a lot of them are multi section campaigns geared toward supplying information regarding HIV transmission and protecting behaviour; they use a few of the mass media channels and are frequently directed to sexual behaviour modifi cation; - community-based interventions, addressed to precise objective popula tions; those populations were mostly chosen in line with either the excessive hazard of an infection (gay males and prostitutes) and the trouble to arrive the participants of those groups (intravenous drug users); - person checking out and counselling, frequently supported by means of public cash or huge non-governmental businesses. significant efforts were dedicated to the advance and the implemen tation of those preventive programmes, either when it comes to human re resources and fiscal aid. however, in so much nations, a ways much less strength has been positioned into the assessment of those campaigns. This hole isn't really defined by means of the truth that overview of AIDS/HIV cam paigns is a wholly new problem by way of method: there are classical tools, constructed over two decades and utilized in different fields of prevention.
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Additional info for Assessing AIDS Prevention: Selected papers presented at the international conference held in Montreux (Switzerland), October 29–November 1, 1990
Is the assumption of poor knowledge and skill justified? A second assumption of the model is that knowledge (and skills) are major determinants of current counseling practice, that if only one could improve knowledge among clinic staff changed practice would follow ( -+ ). But is it true that staff with better knowledge, now, are practicing better? Is the assumption that knowledge has a substantial influence on practice reasonable? Or is current clinic practice explained not by staff knowledge but by other factors, for example, clinic rules about promotion of condoms, by the lack of time to do effective counselling given heavy patient demand, or by STD patients' disinterest in being counseled.
Clearly this is not the case in reality, particularly for individuals in serial monogamous relationships. However, such individuals may be considered to have an effective contact rate roughly proportional to their rate of acquisition of new partners. Table 4. ) days days months weeks months weeks weeks months + ++ ++ ++ + ++ + Immunity +/+/- + ? 0175 00117 o 0058 0 . 0000 49 . 00 . 10 Duration of infectiousness days 5 . 00 Figure I. Endemic equilibrium incidence (per 1000 person years) of gonococcal infection by duration of infection and sexual contact rate.
1 1 Core group J 7) Figure 2. Endemic equilibrium incidence of gonococcal infection. Core non-core model. Again the figure highlights two important points. Firstly, the equilibrium incidence of gonorrhoea is mainly determined by the average contact rate in the core group, while changes in contact rate in the noncore group exert a smaller effect. Secondly, for certain rates of core contact, an increase in sexual contact rate in the non-core group can lead, paradoxically, to a decrease in the incidence of the disease.
Assessing AIDS Prevention: Selected papers presented at the international conference held in Montreux (Switzerland), October 29–November 1, 1990 by G. Slutkin (auth.), Prof. F. Paccaud, Dr. J. P. Vader, Prof. F. Gutzwiller (eds.)