Landmark studies find evidence for the efficacy of a microbicide gel and antiretroviral medication as pre-exposure prophylaxis. But can individualized biomedical efforts really influence the HIV epidemic at the population level? And does a successful efficacy trial justify implementation and scale up? This Learning Lab offers an alternative theory of health behaviour to advocate for structural interventions that target fundamental causes of disease and health, as these influence the very context in which chemoprophylactic interventions operate.
Roberts, E.T.; Matthews, D.D. STRIVE Learning Lab 19. The Need to Incorporate Structural Change. (2013) [54 min. 07 sec.]