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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2005.072777v1 97/7/1184    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Westerhaus, M. J. Articles by Mukherjee, J. S. Search for Related Content PubMed PubMed Citation Articles by Westerhaus, M. J. Articles by Mukherjee, J. S. Related Collections Social Science HIV/AIDS Injury/Emergency Care/Violence Socioeconomic Factors Human Rights

Michael J. Westerhaus, MD, MA, Amy C. Finnegan, MALD, Yoti Zabulon, MD, MPH, DTMH and Joia S. Mukherjee, MD, MPH

Michael J. Westerhaus is with Brigham and Women’s Hospital, Boston, Mass. At the time of the study, Amy C. Finnegan was with the Africa Division of World Education, Boston. Yoti Zabulon is with the Department of HIV/AIDS, Lacor Hospital, Gulu, Uganda. Joia Mukherjee is with Partners in Health, Boston.

Correspondence: Requests for reprints should be sent to Michael J. Westerhaus, Brigham and Women’s Hospital, Department of Medicine, 75 Francis St, Boston, MA 02115 (e-mail: mwesterhaus{at}partners.org).

ABSTRACT

In northern Uganda, physical and structural violence (political repression, economic inequality, and gender-based discrimination) increase vulnerability to HIV infection. In settings of war, traditional HIV prevention that solely promotes risk avoidance and risk reduction and assumes the existence of personal choice inadequately addresses the realities of HIV transmission.

The design of HIV prevention strategies in northern Uganda must recognize how HIV transmission occurs and the factors that put people at risk for infection. A human rights approach provides a viable model for achieving this aim.

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