Family Wellness, Not HIV Prevention

HIV exceptionalism (and disease-specific programs generally) garner both unbalanced funding and the most talented personnel, distorting local health priorities. In support of HIV exceptionalism, the successful mobilization of significant global health sector resources was not possible prior to HIV. Both sides of the debate have merits; rather than perpetuating polarization, we suggest that sustained improvements in global health require creating a prevention infrastructure to meet multiple health challenges experienced by local communities. We propose four fundamental shifts in HIV and disease prevention: (1) horizontally integrating prevention at one site locally, with priorities tailored to local health challenges and managed by local community leaders; (2) using a family wellness metaphor for services, not disease prevention; (3) implementing evidence-based prevention programs (EBPP) based on common principles, factors, and processes, rather than replication of specific programs; and (4) utilizing the expertise of private enterprise to re-design EBPP into highly attractive, engaging, and accessible experiences

Exceptionalism · Family medicine · Health psychology · Human immunodeficiency virus (HIV · Political science · Public health · Public relations · Adolescent Sexual and Reproductive Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Law · Medicine · Nursing

• Lessons learned from a decade implementing Comprehensive Sexuality Education in resource poor settings

  Ine Vanwesenbeeck, Judith Westeneng et al.•Sex Education•2016

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• An Agenda for Advancing the Science of Implementation of Evidence-Based HIV Prevention Interventions

  Open Access•Wynne E Norton, K Rivet Amico et al.•AIDS and Behavior•2009

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• High roads and low roads in HIV/Aids programming

  Open Access•Ine Vanwesenbeeck•Critical Public Health•2011

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• Operational Fidelity to an Evidence-Based HIV Prevention Intervention for People Living with HIV/Aids

  Open Access•Seth C Kalichman, Katie Hudd et al.•The Journal of Primary Prevention•2010

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• Teen pregnancy in rural western Kenya

  Open Access•Tereza Omoro, Simone C Gray et al.•International Journal of…•2017

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• Impact of Religiosity on the Sexual Risk Behaviors of Young Men Who Have Sex With Men

  Reebee Garofalo, Robert Garofalo et al.•The Journal of Sex Research•2014

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• Empowering sex workers in India to reduce vulnerability to HIV and sexually transmitted diseases

  Open Access•Dallas Swendeman, Ishika Basu et al.•Social Science & Medicine•2009

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• We Have Taken Care of our Children according to an African-Swedish Method

  Ann-Sofie Åsander, Ann‐Sofie Åsander et al.•New Community•2013

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• World Trade Report 2006

  World Trade Organization•World Trade Report 2006•2006

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• Standards of Evidence

  Open Access•Brian R Flay, Anthony Biglan et al.•Prevention Science•2005

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• Separate Neural Systems Value Immediate and Delayed Monetary Rewards

  Open Access•Samuel M McClure, David Laibson et al.•Science•2004

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• Actual Causes of Death in the United States

  J Michael McGinnis•JAMA•1993

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• The power of positive deviance

  Open Access•D Marsh, David R Marsh et al.•BMJ•2004

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• Effects of 2 Prevention Programs on High-Risk Behaviors Among African American Youth

  Brian R Flay, Sally Graumlich et al.•Archives of Pediatrics and…•2004

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• Home Visiting by Paraprofessionals and by Nurses

  David L Olds, JoAnn Robinson et al.•PEDIATRICS•2002

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• HIV prevention in sub-Saharan Africa

  Open Access•Christopher E Beaudoin•Health Promotion International•2007

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• Ecocultural Understanding of Children's Developmental Pathways

  Open Access•Thomas S Weisner•Human Development•2002

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• Families living with HIV

  Mary Jane Rotheram–Borus, M J Rotheram-Borus et al.•AIDS Care•2005

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• Common Factors in Effective HIV Prevention Programs

  Open Access•Mary J Rotheram-Borus, Dallas Swendeman et al.•AIDS and Behavior•2008

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• Fast food nation

  Open Access•José A Tapia Granados, José A Tapia-Granados•Revista Panamericana de Salud…•2002

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• Community-Based Trial to Prevent Drug Use Among Youths in Yunnan, China

  Zunyou Wu, Roger Detels et al.•American Journal of Public Health•2002

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• Dying Twice

  Open Access•Catherine Campbell, Yugi Nair et al.•Journal of Health Psychology•2007

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• Syndemics and Public Health

  Open Access•M Singer, Scott Clair•Medical Anthropology Quarterly•2003

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