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Bridging the gap between individual-level risk for HIV and structural determinants: using root cause analysis in
Nancy Willard1, Kate Chutuape, Stephanie Stines
1Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Journal of Prevention & Intervention in the Community
|November 6, 2013
Summary
Root cause analysis helps HIV prevention coalitions identify structural risk factors. This approach shifts strategic plans towards policy and multi-sector changes for more comprehensive HIV risk reduction.
Area of Science:
- Public Health
- Health Equity
- Community Health Interventions
Background:
- HIV prevention has evolved to address structural determinants of risk.
- Coalitions are crucial for tackling complex, deeply rooted health issues.
- Root cause analysis (RCA) can identify fundamental contributors to health risks.
Purpose of the Study:
- To evaluate the impact of RCA on HIV prevention coalitions' strategic plans.
- To determine if RCA enhances the comprehensiveness of coalition strategies.
- To assess if RCA aids in identifying structural-level solutions for HIV risk.
Main Methods:
- Analysis of strategic plans from 13 HIV prevention coalitions.
- Comparison of plans before and after the application of RCA.
- Qualitative assessment of plan content and scope.
Main Results:
- Post-RCA plans increasingly targeted policies and practices.
- Strategic plans expanded to address multiple sectors and systemic changes.
- RCA facilitated a shift from single-agency programs to broader, structural interventions.
Conclusions:
- RCA is a viable tool for HIV prevention coalitions.
- RCA assists in identifying structural determinants of HIV risk.
- RCA supports the development of more comprehensive and impactful HIV prevention strategies.
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