ArticleJournal of the International AIDS Society2020
From general to specific: moving past the general population in the HIV response across sub-Saharan Africa.
Article in Journal of the International AIDS Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of Linkage-to-Care and Antiretroviral Initiation Implementation Strategies in Low- and Middle-Income Countries Across Sub-Saharan Africa.AIDS and behavior · 2022Pooled it
- Pooled it
- Impact of family networks on uptake of health interventions: evidence from a community-randomized control trial aimed at increasing HIV testing in South Africa.Journal of the International AIDS Society · 2023Trial
- Educational attainment and chronic HIV treatment adherence in southern and eastern Africa.PloS one · 2026Article
- Challenges and Opportunities in Big Data Science to Address Health Inequities and Focus the HIV Response.Current HIV/AIDS reports · 2024Review
- Using a Programme Science approach to substantially reduce the risk of HIV transmission and acquisition in sex transactions among female sex workers in Zimbabwe.Journal of the International AIDS Society · 2024Article
- Low engagement of key populations in HIV health services in Tanzania: analysis of community, legal and policy factors.The Pan African medical journal · 2023Review
- Quantifying rates of HIV-1 flow between risk groups and geographic locations in Kenya: A country-wide phylogenetic study.Virus evolution · 2022Article
- HIV Is a Story First Written on the Bodies of Gay and Bisexual Men.American journal of public health · 2021Article
- Estimating the epidemic consequences of HIV prevention gaps among key populations.Journal of the International AIDS Society · 2021Article
- Bringing HIV services to key populations and their communities in Tanzania: from pilot to scale.Journal of the International AIDS Society · 2021Article
- Understanding community as a basis for targeting and shaping service delivery.Journal of the International AIDS Society · 2021Article
- Reductions in HIV incidence are likely to increase the importance of key population programmes for HIV control in sub-Saharan Africa.Journal of the International AIDS Society · 2021Article
- From general to specific: moving past the general population in the HIV response across sub-Saharan Africa.Journal of the International AIDS Society · 2020Article
- Involvement of African men and transgender women who have sex with men in HIV research: progress, but much more must be done.Journal of the International AIDS Society · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionAs the HIV field evolves to better serve populations which are diverse in risk and access to services, it is crucial to understand and adapt the conceptual tools used to make sense of the HIV pandemic. In this commentary, we discuss the concept of general population. Using a synthetic and historical review, we reflect on the genesis and usage of the general population in HIV research and programme literature, pointing to its moral connotations and its impact on epidemiologic reasoning. DISCUSSION: From the early days of the HIV pandemic, the category of general population has carried implicit normative meanings. General population represented those people considered to be undeserving of HIV acquisition, and therefore deserving of a response. Framing the HIV epidemic in sub-Saharan Africa as a generalized epidemic primarily affecting the general population has contributed to the exclusion of men who have sex with men from epidemic responses. The usage of this category has also masked heterogeneity among those it includes; the increasing focus on the use of interventions such as circumcision and HIV treatment as general population HIV prevention approaches has been marked by a lack of attention to heterogeneity among beneficiaries.
conclusionsWe recommend that the term general population be retired from the field's lexicon. HIV programmes should strengthen their capacity to describe the heterogeneity of those they serve and plan their interventions accordingly. To increase the efficiency and impact of the HIV response, it is urgent to stratify the category of general population by risk. Sexual networks are a promising basis for this stratification.
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