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Prevention with Positives

Prevention with Positives: A Critical Need

Prevention with positives - BotswanaIn generalized HIV epidemics, much of HIV transmission takes place within stable, long-term relationships. Fortunately, research has shown that once serodiscordant couples become aware of their discordance, their HIV transmission risk falls by 60–70%. Thus, as ART programs work to extend their reach in favor of a more holistic view of the illness, it is time to have them begin addressing disclosure, partner testing, and behavioral risk reduction, to prevent transmission of the virus to others.

Patients enrolled in HIV care and treatment programs are a logical focus for "prevention with positives" (PWP) programs. Supporting these patients to disclose their HIV status supports broader public health prevention goals, while also building psychosocial support systems to reduce feelings of
isolation and discrimination.

Prevention with Positives at I-TECH

I-TECH has demonstrated its strong capacity for PWP, as evidenced by the numerous PWP-related curricula that have been developed and adapted; the health care provider trainings on PWP that have been created for diverse cadres of workers; its ongoing clinical mentorship programs for PWP interventions; and its evaluations of PWP interventions. Additionally, through partnership with the Center for AIDS Prevention Studies (CAPS) at the University of California at San Francisco (UCSF)—a global leader in design and evaluation of evidence-based PWP programs—I-TECH also brings strong capacity for operations research on PWP initiatives.

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