Geographical targeting to improve progression through the sexually transmitted infection/HIV treatment continua in different populations

Current Opinion in HIV and AIDS
S O AralKyle Bernstein

Abstract

The purpose of this study is to review and synthesize the recent literature on the use of geographical targeting to improve progression through HIV and sexually transmitted disease (STD) prevention and treatment continua in different populations. Geographical targeting can help identify obstacles to progression through prevention and treatment continua for each stage and in specific geographic locations. Macro-level geographical targeting can help maximize allocative efficiency, while micro-level targeting of hot spots increases effectiveness of interventions. Migration into and out of geographical areas of interest constitutes a challenge to geographical targeting in that stage-specific monitoring strategies tend to yield inaccurate results when people leave the area. Despite these issues, it is possible to identify failures in each stage of the continuum by specific spatial location such as census tracts and focus improvement efforts accordingly. Vulnerabilities, risk behaviours and infections all cluster across age, race-ethnicity, socioeconomic status, key populations, risk networks and geographic space. Spatial concentration may be the most important in this context, as it allows prevention programmes to identify and reach...Continue Reading

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Citations

Jul 13, 2018·International Journal of Health Geographics·Diego F CuadrosFrank Tanser
Feb 6, 2020·Bulletin of the World Health Organization·Charles B HolmesPeter Ehrenkranz
Aug 3, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Amy R BoardAnne Marie France
Aug 2, 2021·BMC Medical Research Methodology·Charles K MutaiEdouard Musabanganji

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