Positive Prevention

Abstract

Since HIV made its debut on the international stage over 25 years ago, much has been learnt about prevention. Knowledge about HIV transmission and the role of key interventions to prevent HIV transmission from mother-to-child and harm reduction initiatives for injecting drug users have dramatically altered the prevention landscape. However, in the face of increased treatment and the key to sustained behaviour change(s) remaining largely elusive, HIV prevention fatigue is a reality which has not been adequately addressed. The weariness of both the "post-AIDS" generation for whom past hard won battles have little meaning as they explore their sexuality and for those who have reaped the rewards of antiretroviral therapy are realities that our prevention efforts need to address more boldly. (excerpt)