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Cited by 331HIV/AIDS Research and InterventionsHIV/AIDS Impact and ResponsesHIV, Drug Use, Sexual Risk

A critical analysis of the Brazilian response to HIV/AIDS: lessons learned for controlling and mitigating the epidemic in developing countries

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Berkman, Alan, Garcia, Jonathan, Muñoz-Laboy, Miguel, Paiva, Vera, Parker, Richard·2005·American Journal of Public Health
DOI 10.2105/ajph.2004.054593PMC PMC1449335
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Abstract

The Brazilian National AIDS Program is widely recognized as the leading example of an integrated HIV/AIDS prevention, care, and treatment program in a developing country. We critically analyze the Brazilian experience, distinguishing those elements that are unique to Brazil from the programmatic and policy decisions that can aid the development of similar programs in other low- and middle-income and developing countries.Among the critical issues that are discussed are human rights and solidarity, the interface of politics and public health, sexuality and culture, the integration of prevention and treatment, the transition from an epidemic rooted among men who have sex with men to one that increasingly affects women, and special prevention and treatment programs for injection drug users.

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  • The urgency of the HIV/AIDS pandemic has been an indelible force in placing previously unquestioned sexual and gender norms under the looking glass, revealing that the transmission of a microscopic biological entity is in fact driven by social, cultural, political and economic forces.

    “The urgency of the HIV/AIDS pandemic has been an indelible force in placing previously unquestioned sexual and gender norms under the looking glass, revealing that the transmission of a microscopic biological entity is in fact driven by social, cultural, political and economic forces (Berkman et al., 2005;Ford;Odallo;Chorlton, 2003;Gamson, 1989;Parker, 1996Parker, , 2000)).”

    From From global discourse to local action: the makings of a sexual rights movement? (2006) · cites this paper as Berkman et al., 2005

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Authors
Berkman, A., Garcia, J., Muñoz-Laboy, M., Paiva, V., & Parker, R.
Affiliations
  • New York State Psychiatric Institute (US)
  • The authors are with the Department of Sociomedical Sciences and the Center for Gender, Sexuality and Health, Mailman School of Public Health, Columbia University, and the International Core of the HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY. Alan Berkman is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University. Vera Paiva is also with NEPAIDS, the Nucleus for AIDS Prevention Studies,...
ORCID
Venue
American Journal of Public Health
Publisher
American Public Health Association
Published
2005-07
Volume
95
Issue
7
Pages
1162-1172
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
DOI
10.2105/ajph.2004.054593
PMC
PMC1449335
OpenAlex
W2144737883
Cited by
331
References
29
Citations by year
2026: 7 · 2025: 4 · 2024: 4 · 2023: 10 · 2022: 7 · 2021: 13 · 2020: 10 · 2019: 9 · 2018: 12 · 2017: 15 · 2016: 17 · 2015: 17 · 2014: 23 · 2013: 38 · 2012: 28
FWCI
10.45
Type
journal article
Language
en
Open access
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Funders
National Institute of Mental Health (P30-MH43520, P30MH043520)
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › HIV/AIDS Impact and Responses
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
HIV/AIDS, HIV prevention, HIV/AIDS treatment, HIV care, public health policy, human rights, sexuality and culture, men who have sex with men, women and HIV, people who inject drugs, low- and middle-income countries, epidemic control
MeSH terms
Acquired Immunodeficiency Syndrome, Adult, Brazil, Developing Countries, Educational Status, Female, Humans, Human Rights, Male, Public Health, Incidence, Sex Distribution, Anti-Retroviral Agents

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