UNIVERSITAS AIRLANGGA



Detail Article

Jurnal Global dan Strategis

ISSN 1907-9729

Vol. 4 / No. 1 / Published : 2010-01

Order : 2, and page :15 - 28

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Original Article :

Structural intervention, a strategy to tackle the global challenge of the dual epidemics of hiv and injecting drug use

Author :

  1. Sudirman Nasir*1

Abstract :

The dual epidemics of human immune deficiency virus (HIV) and injecting drug use are threatening many countries and causing social sufferings worldwide, particularly among poor and marginalized people in developing countries in Eastern Europe, Central, South and Southeast Asia. In many countries in these regions most HIV infections are transmitted through unsafe or risky drugs injecting practices such as the sharing of needles and other injecting equipment. By critically reviewing the existing literatures, this article describes that the dual epidemics of HIV and injecting drug use (IDU) is a global challenge and should be best tackled through structural intervention. HIV structural intervention focuses not merely on biomedical determinant of HIV but also addresses its social determinants i.e. the underlying factors that increase people’s vulnerability for HIV infections such as economic inequality, poverty, social exclusion, stigma and discrimination. The existing HIV prevention programs in developing countries, including Indonesia, should be more cognizant to the structural and cultural context hindering people’s capabilities to apply safer practices. Additionally, HIV and AIDS prevention programs should be complemented with broader community development to create enabling environment for vulnerable people to protect themselves and others from HIV infection.

Keyword :

HIV, IDU, dual epidemics, vulnerabilities, harm reduction, HIV structural intervention,


References :

Blankenship, K.M . et al.,(2006) Structural I nterventions: Concepts, Challenges and Opportunities for Research 83 (1): 59 - 72 : Journal of Urban Health

Bravo, M.J. et al.,(2007) More Free Syringes, Fewer Drug Injectors in The Case of Spain 65 : 1773 - 1778 : Social Science & Medicine

Burris, S. et al.,(2004) Addressing “Risk E nvironemnet” for Injecting Drug Users: the Mysterious Case of the Missing C op 82 : 125 - 156 : Milbaink Qtly

Ciccarone, D.,(2009) Heroin in Brow, Black, and White: Structural Factors and Medical Consequences in The US Heroin Market 20 (3) : 277 - 282 : International Journal of Drug Policy

Des Jarlais, D.,(2000) Structural Intervent ion to Reduce HIV Transmission a mong Injecting Drug Users 14 : 41 - 46 : AIDS





Archive Article

Cover Media Content

Volume : 4 / No. : 1 / Pub. : 2010-01
  1. Globalization And International Relations: Actors Move From Non-cooperative To Cooperative Games
  2. Structural Intervention, A Strategy To Tackle The Global Challenge Of The Dual Epidemics Of Hiv And Injecting Drug Use
  3. Environmental Movement Di Republik Ceko:dinamika Tantangan Ngo Lingkungan Pasca-revolusi Beludru
  4. Dampak Globalisasi Terhadap Penguatan Pemerintah Lokal Berbasis Keamanan Manusia Di Papua
  5. Diskursus Identitas Dalam Politik Luar Negeri: Persepsi Rusia Dan Cina Terhadap Pengembangan Kerjasama Shanghai Cooperation Organization
  6. Kosmopolitanisme Dan Nasionalisme Prancisdalam Proses Integrasi Eropa
  7. Pengaruh Kapabilitas Information Communication Technology Jepang Terhadap Dominasi Budaya Populer Jepang Di Indonesia
  8. Public Relations Dalam Politik Luar Negeri Indonesia

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