TY - JOUR
T1 - Bridging the gap between individual-level risk for HIV and structural determinants
T2 - Using root cause analysis in strategic planning
AU - Willard, Nancy
AU - Chutuape, Kate
AU - Stines, Stephanie
AU - Ellen, Jonathan M.
PY - 2012/4/1
Y1 - 2012/4/1
N2 - HIV prevention efforts have expanded beyond individual-level interventions to address structural determinants of risk. Coalitions have been an important vehicle for addressing similar intractable and deeply rooted health-related issues. A root cause analysis process may aid coalitions in identifying fundamental, structural-level contributors to risk and in identifying appropriate solutions. For this article, strategic plans for 13 coalitions were analyzed both before and after a root cause analysis approach was applied to determine the coalitions' strategic plans potential impact and comprehensiveness. After root cause analysis, strategic plans trended toward targeting policies and practices rather than on single agency programmatic changes. Plans expanded to target multiple sectors and several changes within sectors to penetrate deeply into a sector or system. Findings suggest that root cause analysis may be a viable tool to assist coalitions in identifying structural determinants and possible solutions for HIV risk.
AB - HIV prevention efforts have expanded beyond individual-level interventions to address structural determinants of risk. Coalitions have been an important vehicle for addressing similar intractable and deeply rooted health-related issues. A root cause analysis process may aid coalitions in identifying fundamental, structural-level contributors to risk and in identifying appropriate solutions. For this article, strategic plans for 13 coalitions were analyzed both before and after a root cause analysis approach was applied to determine the coalitions' strategic plans potential impact and comprehensiveness. After root cause analysis, strategic plans trended toward targeting policies and practices rather than on single agency programmatic changes. Plans expanded to target multiple sectors and several changes within sectors to penetrate deeply into a sector or system. Findings suggest that root cause analysis may be a viable tool to assist coalitions in identifying structural determinants and possible solutions for HIV risk.
KW - HIV prevention
KW - HIV risk factors
KW - structural factors
KW - structural interventions
UR - http://www.scopus.com/inward/record.url?scp=84859797569&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84859797569&partnerID=8YFLogxK
U2 - 10.1080/10852352.2012.660122
DO - 10.1080/10852352.2012.660122
M3 - Review article
C2 - 24188352
AN - SCOPUS:84859797569
SN - 1085-2352
VL - 40
SP - 103
EP - 117
JO - Journal of Prevention and Intervention in the Community
JF - Journal of Prevention and Intervention in the Community
IS - 2
ER -