Impure policies

Controversy in HIV prevention and the making of evidence

Bibliographic Data

ID12985253
AuthorsTony Sandset (0000-0001-6813-9322, University of Oslo, corresponding author), Saskia Wieringa (0000-0002-7758-8493, University of Oslo)
Year2019
Volume15
Issue1
Pages21-36
Publication date2019-08-31
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCritical Policy Studies (JOURNAL)
Journal identifiersISSN: 1946-0171 • E-ISSN: 1946-018X
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/19460171.2019.1661865
OpenAlexW2970049002
LanguageEN
Citations received2
References cited33

Controversies are part and parcel of the process of evidence-based interventions represent a problem for any notion of a ‘pure’ evidence-based intervention outside the purview of issues such as social norms, economic boundaries and moral dilemmas. This paper provides a detailed case-study of the recent debate and controversy regarding the roll out of HIV prophylaxis (PrEP) by the NHS in England. We describe and analyze the legal, scientific and social battles that followed when the NHS first refused to commission PrEP. In many ways they mirror the controversy that emerged during the early access to HIV treatment in the US in the nineties as published in previous research. We add to this body of research by detailing the particularities of the controversy in the UK, the specific role of a discourse on resource use, how opponents morally framed and used the evidence and the productive aspects of certainty and uncertainty

Alternative medicine · Certainty · Commission · Criminology · Epistemology · Evidence-based policy · Human immunodeficiency virus (HIV · Intervention (counseling · Law and economics · Political science · Psychological intervention · Public relations · Resource (disambiguation · Sociology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Law · Medicine

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