• Login
    View Item 
    •   OpenDocs Home
    • Institute of Development Studies Research Repository
    • Impact Initiative
    • Gender
    • View Item
    •   OpenDocs Home
    • Institute of Development Studies Research Repository
    • Impact Initiative
    • Gender
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Towards a “fourth generation” of approaches to HIV/AIDS management: creating contexts for effective community mobilisation

    Thumbnail
    Download
    Creating_contexts.pdf (653.8Kb)
    Date
    2010
    Author
    Cornish, Flora
    Campbell, Catherine
    Metadata
    Show full item record
    Impact
    Abstract
    Many biomedical and behavioural HIV/AIDS programmes aimed at prevention, care and treatment have disappointing outcomes because of a lack of effective community mobilisation. But community mobilisation is notoriously difficult to bring about. We present a conceptual framework that maps out those dimensions of social context that are likely to support or undermine community mobilisation efforts, proposing that attention should be given to three dimensions of social context: the material, symbolic and relational. This paper has four parts. We begin by outlining why community mobilisation is regarded as a core dimension of effective HIV/AIDS management: it increases the "reach" and sustainability of programmes; it is a vital component of the wider "task shifting" agenda given the scarcity of health professionals in many HIV/AIDS-vulnerable contexts. Most importantly it facilitates those social psychological processes that we argue are vital preconditions for effective prevention, care and treatment. Secondly we map out three generations of approaches to behaviour change within the HIV/AIDS field: HIV-awareness, peer education and community mobilisation. We critically evaluate each approach's underlying assumptions about the drivers of behaviour change, to frame our understandings of the pathways between mobilisation and health, drawing on the concepts of social capital, dialogue and empowerment. Thirdly we refer to two well-documented case studies of community mobilisation in India and South Africa to illustrate our claim that community mobilisation is unlikely to succeed in the absence of supportive material, symbolic and relational contexts. Fourthly we provide a brief overview of how the papers in this special issue help us flesh out our conceptualisation of the "health enabling social environment". We conclude by arguing for the urgent need for a 'fourth generation' of approaches in the theory and practice of HIV/AIDS management, one which pays far greater attention to the wider contextual influences on programme success.
    URI
    https://opendocs.ids.ac.uk/opendocs/handle/20.500.12413/12764
    Citation
    Campbell, C. and Cornish, F. (2010) Towards a “fourth generation” of approaches to HIV/AIDS management: creating contexts for effective community mobilisation, AIDS Care, 22 (1), pp. 1569-1579.
    DOI
    10.1080/09540121.2010.525812
    More details
    http://dx.doi.org/10.1080/09540121.2010.525812
    Rights details
    http://www.ids.ac.uk/files/dmfile/IDSOpenDocsStandardTermsOfUse.pdf
    Collections
    • Gender [86]

    About OpenDocs | OpenDocs Policy | Help | Contact Us | Send Feedback | Disclaimer and Cookies
     

     

    Browse

    All of OpenDocsCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    About OpenDocs | OpenDocs Policy | Help | Contact Us | Send Feedback | Disclaimer and Cookies