Fighting for PrEP: The Politics of Recognition and Redistribution to Access AIDS Medicines in Brazil

Fonseca, Felipe de Carvalho Borges da; Villardi, Pedro; TertoJr, Veriano

doi:10.1007/978-3-030-69819-5_6

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…HIV/AIDS represents a hard test of participatory health governance hypotheses relative to other health outcomes, such as infant mortality, that fall under the category of "protecting innocent lives" and, as a result, are less controversial than efforts to combat HIV/AIDS. Despite legal protections, carriers of HIV/AIDS still face social stigma; it is possible that institutions shown to work well in some areas might meet with religious objections, bigotry, contested budgets, political opposition, or other barriers that could limit participatory institutions' efficacy (Valle 2015;Malta 2018;da Fonseca et al 2021).…”

Section: Participatory Institutions For Participatory Health Governancementioning

confidence: 99%

Participatory Health Governance and HIV/AIDS in Brazil

Touchton¹,

Sugiyama²,

Wampler

2023

Lat Am Polit Soc

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This research note assesses participatory health governance practices for HIV and AIDS in Brazil. By extension, we also evaluate municipal democratic governance to public health outcomes. We draw from a unique dataset on municipal HIV/AIDS prevalence and participatory health governance from 2006–17 for all 5,570 Brazilian municipalities. We use negative binomial regression and coarsened exact matching with treatment effects to estimate the influence of community health governance institutions on HIV/AIDS prevalence. Municipalities with participatory health councils experience 14% lower HIV/AIDS prevalence than other municipalities, all else equal. Family Health Program coverage, municipal state capacity, and municipal per capita health spending are also associated with systematically lower HIV/AIDS prevalence. We conclude that participatory health governance may combat HIV and AIDS through municipal spending, education, and community mobilization. Municipal health councils can facilitate these strategies and offer opportunities for improving well-being around the world.

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Section: Participatory Institutions For Participatory Health Governancementioning

confidence: 99%

Participatory Health Governance and HIV/AIDS in Brazil

Touchton¹,

Sugiyama²,

Wampler

2023

Lat Am Polit Soc

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Human rights and HIV: rhetoric or determinants?

Hinman,

Amon

2023

BMJ Glob Health

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International donors and UN agencies emphasise the importance of human rights as a key determinant of HIV vulnerability and of access, uptake and retention in HIV prevention and treatment services. Yet, the extent to which HIV researchers are incorporating rights into their research, the specific rights being examined and the frequency of research assessing rights-based approaches, is unknown.MethodsWe examined all articles published in the five highest impact-factor HIV journals: (1) Lancet HIV; (2) AIDS and Behavior; (3) AIDS; (4) Journal of the International AIDS Society (JIAS); and (5) Journal of Acquired Immune Deficiency Syndromes (JAIDS), between 1 January 2017 and 31 December 2022, for reference to ‘human right(s)’ or ‘right(s)’. We analysed articles to assess: (1) what populations were identified in relation to specific human rights concerns; (2) what specific rights were mentioned; (3) whether researchers cited specific legal frameworks; and (4) if and what types of rights-based interventions were examined.ResultsOverall, 2.8% (n=224) of the 8080 articles reviewed included a mention of ‘human right(s)’ or ‘right(s)’. Forty-two per cent of these (n=94) were original research articles. The most common key population discussed was men who have sex with men (33 articles), followed by sex workers (21 articles) and transgender people (14 articles). Of the 94 articles, 11 mentioned the right to health and nine referenced reproductive rights. Few articles identified a specific authority—whether in national, regional or international law—for the basis of the rights cited. Fourteen articles discussed rights-based interventions.ConclusionDespite global recognition of the importance of human rights to HIV outcomes, few HIV researchers publishing in the top five cited HIV journals include attention to human rights, or rights-based interventions, in their research. When rights are mentioned, it is often without specificity or recognition of the legal basis for human rights.

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Fighting for PrEP: The Politics of Recognition and Redistribution to Access AIDS Medicines in Brazil

Cited by 2 publications

References 11 publications

Participatory Health Governance and HIV/AIDS in Brazil

Participatory Health Governance and HIV/AIDS in Brazil

Human rights and HIV: rhetoric or determinants?

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