Demedicalisation of HIV interventions to end HIV in the Asia-Pacific

Despite the challenges to the HIV response in the Asia-Pacific, a demedicalisation of HIV intervention has been demonstrated to be an important strategy to maximise the uptake of HIV prevention tools among key populations in this region. Demedicalisation of HIV interventions translates medical disco...

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Published inSexual health Vol. 18; no. 1; pp. 13 - 20
Main Authors Janamnuaysook, Rena, Green, Kimberly Elizabeth, Seekaew, Pich, Ngoc Vu, Bao, Van Ngo, Huu, Anh Doan, Hong, Pengnonyang, Supabhorn, Vannakit, Ravipa, Phanuphak, Praphan, Phanuphak, Nittaya, Ramautarsing, Reshmie Ashmanie
Format Journal Article
LanguageEnglish
Published Australia CSIRO 01.03.2021
Subjects
Acquired immune deficiency syndrome
AIDS
Certification
Criminalization
Decentralization
Disease prevention
Drug interaction
Drug interactions
Endocrine therapy
Epidemics
Gender identity
Health care
Health services
HIV
Hormones
Human immunodeficiency virus
Infections
Intervention
Life experiences
Nurses
Prevention programs
Preventive medicine
Prophylaxis
Sex industry
Stigma
Transgender persons
Uptake
Women
Womens health
Bangladesh
Vietnam
Pakistan
Thailand
Australia
Asia
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Summary:Despite the challenges to the HIV response in the Asia-Pacific, a demedicalisation of HIV intervention has been demonstrated to be an important strategy to maximise the uptake of HIV prevention tools among key populations in this region. Demedicalisation of HIV interventions translates medical discourse and shifts the paradigm from a disease-focused to a people-centred approach. It also recognises real-life experiences of key populations in the HIV response by empowering them to voice their needs and be at the forefront of the epidemic control. We further categorise a demedicalisation approach into three frameworks: (1) the demystification of clinical or medical concerns; (2) the destigmatisation of people living with HIV; and (3) the decentralisation of healthcare services. This article reviewed the demedicalisation framework by looking at the HIV intervention examples from countries in the Asia-Pacific, which included: (1) a study on drug-drug interaction between pre-exposure prophylaxis and feminising hormone treatment for transgender women; (2) the roles of key population-led health services; and (3) certification of key population lay providers.
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ISSN:1448-5028
1449-8987
DOI:10.1071/SH20172