The Sonagachi Project: A sustainable community intervention program

The Sonagachi Project: A sustainable community intervention program
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DOI:
10.1521/aeap.16.5.405.48734
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发表时间:
2004-10-01
影响因子:
1.8
通讯作者:
Newman, PA
Newman, PA
中科院分区:
医学4区
文献类型:
--
作者:
Jana, S;Basu, I;Newman, PA

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印度性工作者中艾滋病毒感染率很高,这表明了解建立可持续社区干预计划的过程非常重要。位于印度加尔各答的Sonagachi项目与印度其他城市中心相比,性工作者的艾滋病毒感染率较低。该方案将艾滋病毒定义为一种职业健康问题,并包括多方面、多层次的干预措施,涉及社区(有一位地位较高的倡导者;解决环境障碍和资源问题)、群体(改变社会关系)和个人因素(提高与艾滋病毒预防和治疗有关的技能和能力)。Sonagachi项目的核心概念和战略随着社区需求的表达和定义而演变。特别是,该计划最初并没有被概念化为社区赋权项目,而是随着时间的推移而出现,允许项目的可持续性。项目的组成部分似乎可以在印度和世界各地的环境中推广。
High rates of HIV infection among sex workers in India indicate the importance of understanding the process of establishing a sustainable community intervention program. The Sonagachi Project, based in Calcutta, India, has been associated with lower HIV rates among sex workers as compared to other urban centers in India. The program defined HIV as an occupational health problem and included multifaceted, multilevel interventions addressing community (having a high-status advocate; addressing environmental barriers and resources), group (changing social relationships), and individual factors (improving skills and competencies related to HIV prevention and treatment). The Sonagachi Project's core concepts and strategies evolved as community needs were expressed and defined. In particular, the program was not initially conceptualized as a community empowerment project but emerged over time, allowing for project sustainability. Project components appear to be replicable across settings within India and worldwide.