Addressing social drivers of HIV/AIDS for the long-term response: conceptual and methodological considerations

Glob Public Health. 2011:6 Suppl 3:S293-309. doi: 10.1080/17441692.2011.594451. Epub 2011 Jul 11.


A key component of the shift from an emergency to a long-term response to AIDS is a change in focus from HIV prevention interventions focused on individuals to a comprehensive strategy in which social/structural approaches are core elements. Such approaches aim to modify social conditions by addressing key drivers of HIV vulnerability that affect the ability of individuals to protect themselves and others from HIV. The development and implementation of evidence-based social/structural interventions have been hampered by both scientific and political obstacles that have not been fully explored or redressed. This paper provides a framework, examples, and some guidance for how to conceptualise, operationalise, measure, and evaluate complex social/structural approaches to HIV prevention to help situate them more concretely in a long-term strategy to end AIDS.

Publication types

  • Review

MeSH terms

  • Acquired Immunodeficiency Syndrome / prevention & control*
  • Global Health
  • HIV Infections / prevention & control*
  • Health Promotion / methods*
  • Humans
  • Risk Factors
  • Sex Work
  • Sexual Behavior
  • Social Class
  • Social Environment*