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A review of HIV/AIDS system-level interventions
José A Bauermeister1, Susan Tross, Anke A Ehrhardt
1HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, and Columbia University, Unit 15, 1051 Riverside Drive, New York, NY 10032, USA. jb2855@columbia.edu
AIDS and Behavior
|March 29, 2008
Summary
System-level interventions show promise for enhancing HIV/AIDS prevention and treatment programs by strengthening agency infrastructure and community-centered services. These strategies improve evidence-based program adoption and long-term sustainability.
Area of Science:
- Public Health
- Health Services Research
- Epidemiology
Background:
- The global HIV/AIDS epidemic requires enhanced prevention and care strategies.
- System-level interventions can optimize agency functioning and community service delivery.
Purpose of the Study:
- To review and synthesize evidence on system-level interventions for HIV/AIDS prevention and care.
- To identify effective strategies for strengthening HIV/AIDS programs.
Main Methods:
- Systematic review of 624 peer-reviewed studies published between January 1985 and February 2007.
- Searches conducted across PsycInfo, PubMed, and ProQuest databases.
- Inclusion criteria focused on studies evaluating system-level interventions for HIV/AIDS.
Main Results:
- Twenty-three studies met the inclusion criteria.
- Interventions primarily focused on strengthening agency infrastructure.
- Other key components included collaborative partnerships and technical assistance.
Conclusions:
- System-level interventions are a promising approach to bolster HIV/AIDS prevention and treatment efforts.
- Recommendations are proposed for future development and evaluation of these interventions.
- Strengthening infrastructure and fostering collaboration are crucial for program success.
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