       Document 1962
 DOCN  M94A1962
 TI    Sustainability of the local response to HIV/AIDS.
 DT    9412
 AU    Heckert K; Bandcroft S; Rogers G; Johns Hopkins Univ. Center for
       Communication Progs.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):411 (abstract no. PD0250). Unique
       Identifier : AIDSLINE ICA10/94370613
 AB    OBJECTIVE: To investigate factors perceived to contribute to the
       sustainability of the local response to HIV/AIDS and sexual health in
       Bristol and District (B&D), a case study in the South West of England.
       METHODS: The method of inquiry was derived from the worldview of
       qualitative research and the emerging socioecological paradigm of
       health. Forty-eight key informants participated in face-to-face
       interviews and an organizational and community inventory. RESULTS:
       Qualitative analyses revealed leadership, healthy alliances, resource
       allocation, participation by the affected population, wider involvement
       and local targets for The Health of the Nation strategy to be among the
       perceived sustainability factors. The relationship between
       organizational variables and the importance of different factors for
       maintaining health, the priority of health in one's life and selected
       attitudinal statements was statistically analyzed. CONCLUSIONS: This
       case study generated an intergrated and interactive framework called
       Reorienting Organizations and Community to Sustain the AIDS Response.
       The framework suggests the need to combine behavioral and organizational
       interventions that involve community to sustain HIV/AIDS prevention and
       care efforts. The potential for this framework to assess and, or predict
       the sustainability of a local response to HIV/AIDS and sexual health
       should be tested in other environments.
 DE    Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL  Attitude to
       Health  Community Health Services/*ORGANIZATION & ADMIN  England  Health
       Behavior  Health Care Rationing  Human  HIV Infections/*PREVENTION &
       CONTROL  Leadership  Organizations/*ORGANIZATION & ADMIN  Regional
       Health Planning  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

