REVIEW PAPER
ABC complementary approaches for HIV/AIDS prevention: a literature review
 
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1
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
 
2
Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran
 
3
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
 
 
Submission date: 2021-01-17
 
 
Final revision date: 2021-05-23
 
 
Acceptance date: 2021-05-26
 
 
Publication date: 2022-04-26
 
 
HIV & AIDS Review 2022;21(2):89-90
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Decades of research on human immunodeficiency virus (HIV) prevention have created new challenges in behavior change that require new approaches of communication. Scholars suggest that these new approaches should go beyond the simplicity of ABC. This study aimed to review the evidence related to ABC complementary approaches for prevention of HIV/acquired immunodeficiency syndrome (AIDS).

Material and methods:
A narrative review was carried out based on Scale for the Assessment of Narrative Review Articles (SANRA) in order to get a comprehensive perspective on HIV/AIDS preventive approaches. Literature search was performed through English databases of PubMed, Web of Science, and Scopus as well as Persian databases, including Magiran and SID. In addition, UNAIDS, CDC, and WHO reports were examined. This search was conducted until May 11, 2021. Publication year and type of study design were not restricted. All studies, guidelines, and documents providing evidence regarding preventive approaches in HIV/AIDS were included in the review.

Results:
We obtained information about various approaches in five guidelines, one policy analysis, and one policy brief. Also, out of 92 articles retrieved from the databases, six articles met eligible criteria for using these approaches. Findings obtained from approaches were categorized into six approaches including ABCDE, ABCDs, two types of ABCD, SAVE, and GEM.

Conclusions:
GEM approach that goes beyond ABC, provides a stronger central platform for advancing national and regional efforts to reduce the risks of HIV transmission. Also, it can be considered a comprehensive approach to fighting AIDS in women, because it reflects women's challenges regarding gender and inequality in the process of prevention.

 
REFERENCES (76)
1.
Global HIV & AIDS statistics – fact sheet. 2020. Available at: https://www.unaids.org/en/reso... [Accessed: 10.09.2020].
 
2.
Girum T, Wasie A, Worku A. Trend of HIV/AIDS for the last 26 years and predicting achievement of the 90-90-90 HIV prevention targets by 2020 in Ethiopia: a time series analysis. BMC Infect Dis 2018; 18: 320.
 
3.
UNAIDS. Strategic Guidance for Evaluating HIV Prevention Programmes. Geneva: UNAIDS; 2010.
 
4.
Lindskog A, Durevall D. Education and HIV: evidence from Botswana. 2018. Available at: https://ieb.ub.edu/wp-content/....
 
5.
2018/09/WSEE18_Lindskog.pdf.
 
6.
Costa FM, Jessor R, Donovan JE, Fortenberry JD. Understanding early initiation of sexual intercourse in adolescence. In: Problem Behavior Theory and Adolescent Health. Springer; 2017. p. 325-349.
 
7.
Kabirian M, Abdollahpour S, Sharifi F, Mirzaii Najmabadi K. A in “ABC” approach: systematic review of sexual abstinence education in adolescents. Journal of Kerman University of Medical Sciences 2020; 27: 456-467.
 
8.
Santelli JS, Kantor LM, Grilo SA, et al. Abstinence-only-until-marriage: an updated review of US policies and programs and their impact. J Adolesc Health 2017; 61: 273-280.
 
9.
Rombo D, Njue JRM. Family impact analysis of section 6 (sexual transmission) of the Kenya HIV and AIDS prevention and control Act no. 14 of 2006. J Child Fam Studies 2012; 21: 14-24.
 
10.
McKee N, Bertrand J, Becker-Benton A, Becker BL. Strategic communication in the HIV/AIDS epidemic. Sage; 2004.
 
11.
Kerwin JT, Foley SM, Thornton RL, Basinga P, Chinkhumba J. Missing safer sex strategies in HIV prevention: a call for further research. African Population Studies 2011; 25: 286.
 
12.
Linnney C. Abstinence-only program approach to reducing the prevalence of HIV. 2007. Available at: http://wakeuppune.org/site/upl....
 
13.
UNAIDS. Fast‐tracking combination prevention. Geneva: UNAIDS;.
 
14.
UNAIDS. Combination HIV prevention: tailoring and coordinating biomedical, behavioural and structural strategies to reduce new HIV infections. Geneva: UNAIDS; 2010.
 
15.
Baethge C, Goldbeck-Wood S, Mertens S. SANRA – a scale for the quality assessment of narrative review articles. Research Integrity and Peer Review 2019; 4: 1-7.
 
16.
Moher D, Shamseer L, Clarke M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 2015; 4: 1.
 
17.
National Guidelines for Community and Home Based Care (CHBC). [Internet]. 2015. Available at: maternalnutritionsouthasia.com/wp-content/uploads/CHBC-Guideline.pdf (Accessed: 17.05.2021).
 
18.
Vitillo RJ. A faith-based response to HIV in Southern Africa: the choose to care initiative. Geneva: UNAIDS; 2006.
 
19.
Guidelines on Managing HIV/AIDS at the workplace [Internet]. 2012. Available at: https://snef.org.sg/wp-content... (Accessed: 17.05.2020).
 
20.
National home based care policy guidlines for HIV/AIDS [Internet]. 2010. Available at: https://docsbay.net/home-based...-.
 
21.
guidelines-for-hiv-aids (Accessed: 22.05.2021).
 
22.
Consolidated Guidelines for Prevention and Treatment of HIV in Uganda. [Internet]. 2020. Available at: https://uac.go.ug/sites/.
 
23.
default/files/Consolidated%20HIV%20Guidelines%202020.pdf (Accessed: 21.05.2021).
 
24.
The ABC Approach to HIV Prevention: A Policy Analysis [Internet]. 2003. Available at: https://www.guttmacher.org/sit....
 
25.
files/pdfs/pubs/compilations/agionabc.pdf (Accessed: 21.05.2021).
 
26.
Policy Brief: Access Challenges for HIV Treatment among People Living with HIV and Key Populations in Middle-Income Countries [Internet]. 2013. Available at: https://msmgf.org/wp-content/u... (Accessed: 21.05.2021).
 
27.
Aloni M, Mbago MC, Sichona FJ. Understanding the combined effects of the knowledge of HIV/AIDS prevention methods on condom use: a case of Njombe and Tanga regions of mainland Tanzania. HIV AIDS (Auckl) 2019; 11: 265.
 
28.
Yazdanbakhsh K, Akbari M, Vafapoor H, Dehghan F, Nooripour R,.
 
29.
Mahmoudi S. The effectiveness of cognitive-behavioral group therapy on craving and relapse in addicts with HIV. J Res Health 2019; 9: 581-587.
 
30.
Coffman DL, Smith EA, Flisher AJ, Caldwell LL. Effects of HealthWise South Africa on condom use self-efficacy. Prev Sci 2011; 12: 162-172.
 
31.
Bangirana AB, Nadar S, Reddy S. Sexual surveillance and student sexual agency: catholic moral teaching and HIV prevention in a higher education context. Journal for the Study of Religion 2017; 30: 105-121.
 
32.
Eriksson E, Lindmark G, Axemo P, Haddad B, Ahlberg BM. Faith, premarital sex and relationships: are church messages in accordance with the perceived realities of the youth? A qualitative study in Kwazulu-.
 
33.
Natal, South Africa. Journal of religion and health 2013; 52: 454-466.
 
34.
Liem A, Adiyanti MG. “Bidan cantik”: Psychoeducation on HIV and AIDS to improve the service quality of midwives at Yogyakarta public health center. HIV AIDS Rev 2013; 12: 14-22.
 
35.
Green EC, Halperin DT, Nantulya V, Hogle JA. Uganda’s HIV prevention success: the role of sexual behavior change and the national response. AIDS Behav 2006; 10: 335-346.
 
36.
Okware S, Kinsman J, Onyango S, Opio A, Kaggwa P. Revisiting the ABC strategy: HIV prevention in Uganda in the era of antiretroviral therapy. Postgraduate Med J 2005; 81: 625-628.
 
37.
Cadavos MRG. Use ABCDE to prevent HIV/AIDS transmission, says rural health physician. https://pia.gov.ph/news/articl....
 
38.
2018.
 
39.
Allen C, Mbonye M, Seeley J, et al. ABC for people with HIV: responses to sexual behaviour recommendations among people receiving antiretroviral therapy in Jinja, Uganda. Cult Health Sex 2011;.
 
40.
13: 529-543.
 
41.
Collins C, Alagiri P, Summers T, Morin SF. Abstinence only vs. comprehensive sex education: What are the arguments? What is the evidence? Center for AIDS Prevention Studies (CAPS); 2002.
 
42.
Gavey N, McPhillips K, Doherty M. “If it’s not on, it’s not on” – or is it? Discursive constraints on women’s condom use. Gender Soc 2001; 15: 917-934.
 
43.
United Nations Office on Drugs and Crime. HIV Prevention, Treatment, Care and Support for People Who Use Stimulant Drugs. Technical Guide. 2019.
 
44.
Home based care policy guidlines for HIV/AIDS. 2011.
 
45.
Evaluation of the impact of Christian Aid’s support of faith-based responses to HIV. Christian Aid. [Internet]. 2014. Available at: https://jliflc.com/resources/e... (Accessed: 29.04.2022).
 
46.
Heath JP. The need for comprehensive multi-faceted interventions. In: HIV Prevention: a Global Theological Conversation. Geneva: Ecumenical Advocacy Alliance; 2009.
 
47.
Khan AD, Magee E, Grant G; National Center for HIV, Viral Hepatitis, STD, and TB Prevention. CDC Health Disparities and Inequalities Report – United States, 2013; 2013; 62: 149.
 
48.
Atenchong N, Omisakin FD. Descriptive study of students’ knowledge, attitudes, and practices toward safe sex in Niger Delta University in, Bayelsa State, Nigeria. J Midwifery Reprod Health 2020; 8: 2168-2173.
 
49.
Schaecher KL. The importance of treatment adherence in HIV. Am J Manag Care 2013; 19 (12 Suppl): S231.
 
50.
Duflo E, Dupas P, Ginn T, et al. HIV prevention among youth: a randomized controlled trial of voluntary counseling and testing for HIV and male condom distribution in rural Kenya. PLoS One 2019; 14: e0219535.
 
51.
Marks G, Crepaz N, Senterfitt JW, Janssen RS. Meta-analysis of high-.
 
52.
risk sexual behavior in persons aware and unaware they are infected with HIV in the United States: implications for HIV prevention programs. J Acquir Immune Def Syndr 2005; 39: 446-453.
 
53.
Centers for Disease Control (US), Centers for Disease Control, Prevention (US). Morbidity and mortality weekly report: MMWR. US Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control; 2004.
 
54.
Dworkin SL, Kambou SD, Sutherland C, Moalla K, Kapoor A. Gendered empowerment and HIV prevention: policy and programmatic pathways to success in the MENA region. J Acquir Immune Def Syndr (1999) 2009; 51 (Suppl 3): S111.
 
55.
Dworkin SL, Ehrhardt AA. Going beyond “ABC” to include “GEM”: critical reflections on progress in the HIV/AIDS epidemic. Am J Public Health 2007; 97: 13-18.
 
56.
Murphy EM, Greene ME, Mihailovic A, Olupot-Olupot P. Was the “ABC” approach (abstinence, being faithful, using condoms) responsible for Uganda’s decline in HIV? PLoS Med 2006; 3: e379.
 
57.
Karim QA, Havlir D, Phanuphak N. Putting women in the centre of the global HIV response is key to achieving epidemic control!.
 
58.
J Int AIDS Soc 2020; 23.
 
59.
UNAIDS. We’ve got the power – women, adolescent girls and the HIV response. 2020. Available at: https://www.unaids.org/en/reso....
 
60.
documents/2020/2020_women-adolescent-girls-and-hiv.
 
61.
Austin KF, Choi MM, Berndt V. Trading sex for security: unemployment and the unequal HIV burden among young women in developing nations. Int Soc 2017; 32: 343-368.
 
62.
Kim Y. Economic sanctions and HIV/AIDS in women. J Public Health Policy 2019; 40: 351-366.
 
63.
Larki M, Roudsari RL. Home-based care, the missing link in caring of patients living with HIV/AIDS and their family members: a narrative review. Int J Commun Based Nurs Midwifery 2020; 8: 190.
 
64.
Nicholas PK, Mfono N, Corless IB, et al. HIV vulnerability in migrant populations in southern Africa: sociological, cultural, health-.
 
65.
related, and human-rights perspectives. Int J Afr Nurs Sci 2016; 5: 1-8.
 
66.
Connell J, Negin J. Migration, mobility and HIV: a rapid assessment of risks and vulnerabilities in the Pacific. United Nations Development Programme Pacific Centre; 2010.
 
67.
Kurth AE, Celum C, Baeten JM, Vermund SH, Wasserheit JN. Combination HIV prevention: significance, challenges, and opportunities. Curr HIV/AIDS Rep 2011; 8: 62-72.
 
68.
Collins PY, von Unger H, Armbrister A. Church ladies, good girls, and locas: stigma and the intersection of gender, ethnicity, mental illness, and sexuality in relation to HIV risk. Soc Sci Med 2008; 67: 389-397.
 
69.
Kvasny L, Chong J. The ABC approach and the feminization of HIV/AIDS in the sub-Saharan Africa. Encyclopedia of healthcare information systems. IGI Global; 2008. p. 10-15.
 
70.
UNAIDS. Prevention gap report. Geneva: UNAIDS; 2016.
 
71.
UNAIDS. HIV prevention 2020 road map. Accelerating HIV prevention to reduce new infections by 75. Geneva: UNAIDS; 2017.
 
72.
Abramsky T, Devries K, Kiss L, et al. Findings from the SASA! Study: a cluster randomized controlled trial to assess the impact of a community mobilization intervention to prevent violence against women and reduce HIV risk in Kampala, Uganda. BMC Med 2014; 12: 122.
 
73.
Wagman JA, Gray RH, Campbell JC, et al. Effectiveness of an integrated intimate partner violence and HIV prevention intervention in Rakai, Uganda: analysis of an intervention in an existing cluster randomised cohort. Lancet Global Health 2015; 3: e23-e33.
 
74.
UNAIDS. Guidelines for Gender Mainstreaming in the National HIV/AIDS Response and Training Manual for Capacity Building for Gender Mainstreaming in the National HIV/AIDS Response. Geneva: UNAIDS; 2015.
 
75.
Gebrekristos HT, Resch SC, Zuma K, Lurie MN. Estimating the impact of establishing family housing on the annual risk of HIV infection in South African mining communities. Sex Transm Dis 2005; 32: 333-340.
 
76.
Blankenship KM, Friedman SR, Dworkin S, Mantell JE. Structural interventions: concepts, challenges and opportunities for research. J Urban Health 2006; 83: 59-72.
 
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