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A critical analysis of the Brazilian response to HIV/AIDS: Lessons learned for controlling and mitigating the epidemic in developing countries

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  • Berkman, A.
  • Garcia, J.
  • Muñoz-Laboy, M.
  • Paiva, V.
  • Parker, R.

Abstract

The Brazilian National AIDS Program is widely recognized as the leading example of an integrated HIV/AIDS prevention, care, and treatment program in a developing country. We critically analyze the Brazilian experience, distinguishing those elements that are unique to Brazil from the programmatic and policy decisions that can aid the development of similar programs in other low- and middle-income and developing countries. Among the critical issues that are discussed are human rights and solidarity, the interface of politics and public health, sexuality and culture, the integration of prevention and treatment, the transition from an epidemic rooted among men who have sex with men to one that increasingly affects women, and special prevention and treatment programs for injection drug users.

Suggested Citation

  • Berkman, A. & Garcia, J. & Muñoz-Laboy, M. & Paiva, V. & Parker, R., 2005. "A critical analysis of the Brazilian response to HIV/AIDS: Lessons learned for controlling and mitigating the epidemic in developing countries," American Journal of Public Health, American Public Health Association, vol. 95(7), pages 1162-1172.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.054593_8
    DOI: 10.2105/AJPH.2004.054593
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    Cited by:

    1. Angela R. Ghesquiere & Rogerio M. Pinto & Rahbel Rahman & Anya Y. Spector, 2015. "Factors Associated with Providers’ Perceptions of Mental Health Care in Santa Luzia’s Family Health Strategy, Brazil," IJERPH, MDPI, vol. 13(1), pages 1-10, December.
    2. Djellouli, Nehla & Quevedo-Gómez, María Cristina, 2015. "Challenges to successful implementation of HIV and AIDS-related health policies in Cartagena, Colombia," Social Science & Medicine, Elsevier, vol. 133(C), pages 36-44.
    3. Murray, Laura R. & Garcia, Jonathan & Muñoz-Laboy, Miguel & Parker, Richard G., 2011. "Strange bedfellows: The Catholic Church and Brazilian National AIDS Program in the response to HIV/AIDS in Brazil," Social Science & Medicine, Elsevier, vol. 72(6), pages 945-952, March.
    4. Lippman, Sheri A & Kerrigan, Deanna & Chinaglia, Magda & Díaz, Juan, 2007. "Chaos, co-existence, and the potential for collective action: HIV-related vulnerability in Brazil's international borders," Social Science & Medicine, Elsevier, vol. 64(12), pages 2464-2475, June.
    5. Garcia, Jonathan & Parker, Richard G., 2011. "Resource mobilization for health advocacy: Afro-Brazilian religious organizations and HIV prevention and control," Social Science & Medicine, Elsevier, vol. 72(12), pages 1930-1938, June.
    6. Quah, Stella R., 2007. "Public image and governance of epidemics: Comparing HIV/AIDS and SARS," Health Policy, Elsevier, vol. 80(2), pages 253-272, February.

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