The impact of community mobilisation on HIV prevention in middle and low income countries: a systematic review and critique

Flora Cornish, Jacqueline Priego-Hernandez, Catherine Campbell, Gitau Mburu and Susie McLean

LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library

Abstract: While community mobilisation (CM) is increasingly advocated for HIV prevention, its impact on measurable outcomes has not been established. We performed a systematic review of the impact of CM within HIV prevention interventions (N = 20), on biomedical, behavioural and social outcomes. Among most at risk groups (particularly sex workers), the evidence is somewhat consistent, indicating a tendency for positive impact, with stronger results for behavioural and social outcomes than for biomedical ones. Among youth and general communities, the evidence remains inconclusive. Success appears to be enhanced by engaging groups with a strong collective identity and by simultaneously addressing the socio-political context. We suggest that the inconclusiveness of the findings reflects problems with the evidence, rather than indicating that CM is ineffective. We discuss weaknesses in the operationalization of CM, neglect of social context, and incompatibility between context-specific CM processes and the aspiration of review methodologies to provide simple, context-transcending answers.

Keywords: community mobilisation; community participation; HIV prevention; HIV/AIDS; systematic review (search for similar items in EconPapers)
JEL-codes: N0 (search for similar items in EconPapers)
Date: 2014
New Economics Papers: this item is included in nep-hea and nep-soc
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Citations: View citations in EconPapers (6)

Published in AIDS and Behavior, 2014, 18(11), pp. 2110-2134. ISSN: 1090-7165

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