Centre for International Health

Searching for effective HIV-prevention and care in sub-Saharan Africa

After 20 years of experience with HIV prevention, the number of people infected with HIV continues to rise, and there are still few examples of declining epidemics. Why have we not done better? This proposal is a response to the urgent need to document what works in community.

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Full project title:
Searching for effective HIV-prevention and care in sub-Saharan Africa: focusing on local contexts

Funding: RCN
Coordinator: Knut Fylkesnes, Karen Marie Molandand Astrid Blystad responsible for two work packages
Duration:  2004-2008 w/extension 2008-2012
Project page at RCN

HIV research data base relaunched

HIV prevention and care programs. Effective HIV prevention will have to be guided by appropriate knowledge on the local epidemiological, cultural and socio-economic contexts, and many countries have restrained access to this type of knowledge. Moreover, the complexities involved in HIV prevention call for much stronger multidisciplinary efforts in research and development.

The common focus is on the generation of appropriate knowledge on local contexts. The sharp differentials in the dynamics and trends of HIV transmission within the region make it important to cover different research sites (Zambia, South Africa, Malawi, Eritrea and Tanzania). Besides having a general population approach, the project includes components targeting young people and the family, prevention of mother-to-child transmission, and interventions related to the community approaches to support orphans.

Finally, with a new partner, the focus is extended to issues that relate to institutional and financial structures at national and local levels. The project consists of an interdisciplinary group of researchers with longstanding experience from HIV-related research (several NUFU- and EU-funded projects). Through these projects, an extensive network of researchers and institutions in sub-Saharan Africa and Europe has been established. The projects have a strong capacity building focus, and a substantial number of students from the South partners are already enrolled in research training.