This article proposes a shift in HIV prevention and intervention strategy from focusing on immediate, individual care to developing a more comprehensive and long-term response. The authors argue that the current dominant model for HIV prevention relies on biomedical and behavioral explanations of individual practices without fully acknowledging the social and structural conditions that inform HIV transmission. A more robust program for HIV prevention, the authors suggest, must account for the economic, interpersonal, political, and social arrangements that influence individuals' health practices and the complex ways these conditions vary within different communities. The authors provide their ideal design for a structural - rather than individual - HIV intervention strategy to address the combination of factors that contribute to HIV transmission risk.
The Center for HIV Law and Policy challenges barriers to the rights and health of people affected by HIV through legal advocacy, high-impact policy initiatives, and creation of cross-issue partnerships, networks and resources. We support movement building that amplifies the power of individuals and communities to mobilize for change that is rooted in racial, gender and economic justice.