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Broadening our vision of and Broadening our vision of and for HIV/AIDS programming and for HIV/AIDS programming and

researchresearchDarrell P. Wheeler, Ph.D., M.P.H.Darrell P. Wheeler, Ph.D., M.P.H.

Hunter College Hunter College School of Social WorkSchool of Social Work

Fourth Annual CAPS Conference:Fourth Annual CAPS Conference:

Broadening the HIV Prevention LandscapeBroadening the HIV Prevention Landscape

April 16, 2004April 16, 2004

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The historical path of The historical path of HIV/AIDS programming and HIV/AIDS programming and

researchresearch TraumaTrauma AdvocacyAdvocacy ActivismActivism ActionAction ResearchResearch EvaluationEvaluation EfficacyEfficacy Translation and dissemination Translation and dissemination Addressing new needs and traumas Addressing new needs and traumas

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The context of research in The context of research in HIVHIV

Expert in it’s orientation.Expert in it’s orientation. Historically excluded participation Historically excluded participation

by “certain” community members.by “certain” community members. Compartmentalizes the subject Compartmentalizes the subject

into units of analyses.into units of analyses. Focuses on pathologies.Focuses on pathologies. Paternalistic.Paternalistic.

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The context of programming The context of programming in HIVin HIV

It’s professional.It’s professional. It’s conditional (ie., you may have It’s conditional (ie., you may have

the resources to do the program the resources to do the program if…).if…).

Often uses foreign concepts, tools Often uses foreign concepts, tools and methods.and methods.

““Front’s” community members.Front’s” community members.

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HIV/AIDS and programming HIV/AIDS and programming have brought us many have brought us many

important lessons.important lessons.

Understanding modes of transmission Understanding modes of transmission and infection.and infection.

Understanding elements of behavior in Understanding elements of behavior in relation to transmission and infection.relation to transmission and infection.

Produced numerous service provider Produced numerous service provider systems.systems.

Produced thousands of papers, articles Produced thousands of papers, articles and reports.and reports.

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……it hasn’t brought us an end it hasn’t brought us an end to the epidemic!to the epidemic!

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Thinking outside of the Thinking outside of the historical context to broaden historical context to broaden the HIV prevention landscapethe HIV prevention landscape

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Elements of a research Elements of a research agenda forgottenagenda forgotten

Social justice.Social justice. Community stabilization.Community stabilization. Economic justice.Economic justice. Context and time.Context and time. Diversifying the body of researchers.Diversifying the body of researchers.

– Examining how and why the body of Examining how and why the body of researchers looks as it does.researchers looks as it does.

Political justice and advocacy Political justice and advocacy – Our time in the BushesOur time in the Bushes

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Elements of a research Elements of a research agenda forgotten agenda forgotten (continued)(continued)

Identifying values and variables of Identifying values and variables of interest to the target population.interest to the target population.

Keeping research in the context of Keeping research in the context of the person’s life.the person’s life.

Holding research and researchers Holding research and researchers accountable to providing accountable to providing meaningful results for community meaningful results for community members.members.

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And if we do this???And if we do this???

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We can produce desired We can produce desired changechange

Housing Works the example.Housing Works the example.

Opportunities for self-actualization.Opportunities for self-actualization. Employment and employment Employment and employment

opportunities.opportunities. Greater sense of mutuality and Greater sense of mutuality and

connectedness.connectedness. Structural challenges and structural Structural challenges and structural

changes.changes. Stabilized lives and stabilized Stabilized lives and stabilized

communities.communities.