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Updated: May 30, 2026

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
Conflict transformation, stigma, and HIV-preventive structural change.
Robin Lin Miller1, Sarah J Reed, Vincent T Francisco
1Department of Psychology, Michigan State University, East Lansing, 48824, USA. mill1493@msu.edu
Community coalitions face challenges achieving structural change for HIV prevention, especially when targeting stigmatized groups. Successful coalitions transform opposition and conflict into opportunities, while less successful ones struggle with resistance.
Area of Science:
- Public Health
- Social Sciences
- Community Health
Background:
- Structural change is crucial for community-based HIV prevention.
- Political resistance and value conflicts can hinder structural change efforts.
- These challenges are amplified when initiatives benefit stigmatized populations.
Purpose of the Study:
- To examine how target population stigma impacts community coalitions' ability to achieve structural change objectives.
- To identify factors contributing to the success or failure of these initiatives.
Main Methods:
- The study analyzed 13 community coalitions.
- It assessed the relationship between target population stigma and the achievement of structural change goals.
- Qualitative analysis explored how coalitions responded to external opposition and internal conflict.
Main Results:
- Coalitions serving highly stigmatized populations abandoned objectives more frequently due to external opposition and internal conflict.
- Successful coalitions actively managed opposition by neutralizing or allying with opposing groups.
- Less successful coalitions struggled to formulate effective responses to opposition.
Conclusions:
- Target population stigma significantly impedes structural change in HIV prevention.
- Conflict transformation strategies are vital for coalitions working with stigmatized groups.
- Effective management of opposition and conflict is key to achieving public health goals for marginalized communities.
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