PowerPoint Presentation

Social Determinants and Structural Interventions: Keys to turning the tide of HIV in the EECA region

Barbara de Zalduondo, MSc, PhD Senior Advisor to the Deputy Executive Director for Programme, UNAIDSChris Beyrer, MD, MPHProfessor and Director, Johns Hopkins Center for Health and Human Rights, and Michel Kazatchkine, MDProfessor, and UN Secretary General Special Envoy on HIV/AIDS in Eastern Europe and Central Asiawww.ias2013.org1OverviewBasics what are social determinants and structural interventions?Illustration through recap of structural barriers to HIV prevention and treatment in the EECA region and examples of positive changeTools and strategies from the social sciences to address structural barriers social, economic, and politicalSome implications for the science agenda and the global HIV community

www.ias2013.org2BasicsThe social determinants of health are the circumstances in which people are born, grow up, live, work and age, and the systems put in place to deal with illness.(WHO Commission on the Social Determinants of Health, 2008)

Structural interventions refer to public health interventions that promote health by altering the structural context within which health is produced and reproduced. (Blankenship et al. 2000 et seq; Des Jarlais, 2000; Sumartojo, 2000)Structural interventions seek to improve the risk environment (Barnett and Whiteside, 1999; Rhodes et al., 2005) to create an enabling environment (Tawil, Verster and OReilly, 1997) for HIV programmes and for human development.

www.ias2013.org