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AJPH First Look, published online ahead of print May 30, 2007
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AJPH.2005.072777v1
97/7/1184    most recent
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American Journal of Public Health, 10.2105/AJPH.2005.072777


Analytic Essay Forum

Framing HIV Prevention Discourse to Encompass the Complexities of War in Northern Uganda

Michael J. Westerhaus 1*, Amy C. Finnegan 2, Yoti Zabulon 3, Joia S. Mukherjee 4

1 Brigham & Women's Hospital
2 World Education, Inc.
3 St. Mary's Lacor Hospital (Gulu, Uganda)
4 Harvard Medical School

* To whom correspondence should be addressed. E-mail: mwesterhaus{at}partners.org.


   Abstract

In northern Uganda, physical and structural violence (political repression, economic inequality, and gender-based discrimination) increase vulnerability to HIV infection. In settings of war, traditional HIV prevention that solely promotes risk avoidance and risk reduction and assumes the existence of personal choice inadequately addresses the realities of HIV transmission.

The design of HIV prevention strategies in northern Uganda must recognize how HIV transmission occurs and the factors that put people at risk for infection. A human rights approach provides a viable model for achieving this aim.

Key Words: HIV/AIDS, Human Rights, Injury/Emergency Care/Violence, Social Science, Socioeconomic Factors







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