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Sexual behavioural change for HIV: Where have theories taken us?

Individual, community and structural factors impact on behaviour change for HIV

Authors: ; UNAIDS
Publisher: Joint United Nations Programme on HIV/AIDS , 1999

This UNAIDS report presents a review of models and theories of behaviour change through the analysis of case studies in HIV prevention. It presents an overview of theoretical models of behaviour change, a review of key approaches used to stem sexual transmission of HIV, and a summary of successful interventions targeting specific populations at risk. Key factors in successful behaviour change programmes are highlighted, including: the participation of target communities in mobilising and setting goals, and the recognition that different levels of HIV prevention (individual, community, structural) are complimentary.

The report concludes that the design and implementation of programmes must take into account both individual behaviours, and the broader social, cultural and economic conditions which may shape such behaviours. Thus, the authors argue that programmes should be carefully tailored to different contexts. They also recommend the development of community interventions aimed at strengthening the perception that others also practice safe sex. Such interventions, they argue, can powerfully create a sense of common purpose and belief in the possibility of change. Finally, they call for theories, models and interventions that address gender constructs, particularly in developing countries. [adapted from authors]

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