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dc.contributor.authorde Assis, Andreia
dc.contributor.authorCosta-Couto, Maria-Helena
dc.contributor.authorLe Loup, Guillaume
dc.contributor.authorThoenig, Jean-Claude
dc.contributor.authorFleury, Sonia
dc.contributor.authorLarouzé, Bernard
dc.date.accessioned2009-06-15T14:46:33Z
dc.date.available2009-06-15T14:46:33Z
dc.date.issued2009-04
dc.identifier.urihttps://basepub.dauphine.fr/handle/123456789/289
dc.language.isoenen
dc.subjectsanté publique, lutte contre le sidaen
dc.subject.ddc334en
dc.subject.classificationjelH51en
dc.subject.classificationjelI18en
dc.titleA Public Policy Approach to Local Models of HIV/AIDS Control in Brazilen
dc.typeArticle accepté pour publication ou publié
dc.contributor.editoruniversityotherinstitut de médecine sociale, université d'état de Rio de Janeiro;Brésil
dc.contributor.editoruniversityotherFondation Getulio Vargas, Rio de Janeiro;Brésil
dc.contributor.editoruniversityotherINSERM et université Pierre et Marie Curie;France
dc.contributor.editoruniversityotherINSERM et université Pierre et Marie Curie;France
dc.contributor.editoruniversityotherFondation Getulio Vargas, Rio de Janeiro;Brésil
dc.description.abstractenObjectives. We investigated involvement and cooperation patterns of local Brazilian AIDS program actors and the consequences of these patterns for program implementation and sustainability. Methods. We performed a public policy analysis (documentary analysis, direct observation, semistructured interviews of health service and nongovernmental organization [NGO] actors) in 5 towns in 2 states, Sao Paulo and Para ́ . Results. Patterns suggested 3 models. In model 1, local government, NGOs, and primary health care services were involved in AIDS programs with satisfactory response to new epidemiological trends but a risk that HIV/AIDS would become low priority. In model 2, mainly because of NGO activism, HIV/AIDS remained an exceptional issue, with limited responses to new epidemiological trends and program sustainability undermined by political instability. In model 3, involvement of public agencies and NGOs was limited, with inadequate response to epidemiological trends and poor mobilization threatening program sustainability. Conclusions. Within a common national AIDS policy framework, the degree of involvement and cooperation between public and NGO actors deeply impacts population coverage and program sustainability. Specific processes are required to maintain actor mobilization without isolating AIDS programs.en
dc.relation.isversionofjnlnameAmerican Journal of Public Health
dc.relation.isversionofjnlvol99en
dc.relation.isversionofjnlissue6en
dc.relation.isversionofjnldate2009-06
dc.relation.isversionofjnlpages1108-1115en
dc.relation.isversionofdoihttp://dx.doi.org/10.2105/AJPH.2008.138123en
dc.description.sponsorshipprivateouien
dc.relation.isversionofjnlpublisherAmerican Public Health Associationen
dc.subject.ddclabelEconomie socialeen


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