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A Tailored Approach to Launch Community Coalitions Focused on Achieving Structural Changes: Lessons Learned From a HIV Prevention Mobilization Study

机译:量身定制的方法来发起专注于实现结构变化的社区联盟:从艾滋病预防动员研究中吸取的教训

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摘要

Public health HIV prevention efforts have begun to focus on addressing social and structural factors contributing to HIV risk, such as unstable housing, unemployment, and access to health care. With a limited body of evidence-based structural interventions for HIV, communities tasked with developing structural changes need a defined process to clarify their purpose and goals. This article describes the adaptations made to a coalition development model with the purpose of improving the start-up phase for a second group of coalitions. Modifications focused on preparing coalitions to more efficiently apply structural change concepts to their strategic planning activities, create more objectives that met study goals, and enhance coalition procedures such as building distributed coalition leadership to better support the mobilization process. We report on primary modifications to the process, findings for the coalitions, and recommendations for public health practitioners who are seeking to start a similar coalition.
机译:预防艾滋病毒的公共卫生工作已开始集中于解决导致艾滋病毒风险的社会和结构性因素,例如不稳定的住房,失业和获得医疗保健的机会。艾滋病毒的基于证据的结构性干预措施有限,负责进行结构性变革的社区需要有一个明确的流程来阐明其目的和目标。本文介绍了对联盟发展模型所做的调整,目的是改进第二组联盟的启动阶段。修改的重点是准备联盟,以便更有效地将结构更改概念应用于其战略规划活动,创建更多满足研究目标的目标,并增强联盟程序,例如建立分布式联盟领导层以更好地支持动员过程。我们报告了对流程的主要修改,联盟的调查结果以及对寻求建立类似联盟的公共卫生从业人员的建议。

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