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APHA Scientific Session and Event Listing

Utilizing the Precede-Proceed Model as a theoretical framework for HIV/AIDS prevention programs in India

Priya Banerjee, PhD, Department of Health Science, State University of New York, College at Brockport, 17A Hartwell Hall, Brockport, NY 14420 and Courtney Marie Cora Jones, Department of Community and Preventive Medicine, University of Rochester, Box # 644, Rochester, NY 14623, (585)354-4772, Courtney_Mattle@urmc.rochester.edu.

The HIV/AIDS pandemic is steadily increasing in severity throughout much of the world. India has continued to be an area of rising concern, due to the surging incidence and prevalence rates of HIV infection, and in 2002, the World Health Organization ranked HIV/AIDS as the primary disease burden in India. India's large population, which has surpassed one billion, further exacerbates the problematic scenario of increasing HIV prevalence rates. Twenty years since the first case of HIV was reported in India, there is still an alarming lack of knowledge among Indian citizens regarding HIV transmission and prevention methodologies. Additionally, many youths in India harbor dangerous misconceptions about HIV, and many also harbor negative attitudes towards those who are HIV-positive. The situation in India is unique due to socio-cultural beliefs and practices which may impede HIV prevention efforts and public health education.

Because the situation in India is so unique and difficult to analyze, there is a need for a multi-dimensional, systematic approach to decrease the spread of HIV in India. The Precede-Proceed model developed by Green et al (1980) and Green & Kreuter (1991), can be readily applied to ameliorate various community health problems. The model recognizes that health behaviors are intricate, multifaceted, and are the result of a complex confluence of factors. Through both a comprehensive analysis of the epidemic in India, and detailed application of the model, this presentation demonstrates that the Precede-Proceed model can be used as a theoretical framework for designing HIV/AIDS prevention and programs in India.

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