Ayres JRC. Praticas educativas e prevenção de HIV/AIDS: lições aprendidas e desafios atuais. [Educational practices and the prevention of HIV/AIDS: lessons learned and present challenges.] Interface: Comunicação, Saúde, Educação [Interface_Communication, Health, Education.] ( Botucatu , Brazil ) 2002 August; 6(11):11-24.
Objectives: To systematize lessons learned about prevention in two decades of the AIDS epidemic, based on the Brazilian experience.
Methodology: Analytical and interpretive.
Results: Prevention has been a crucial question for programs devised to control AIDS. The enormous progress made in knowledge and technical intervention concerning prevention does not substantially alter the basic determinants of the infection or the manner in which significant groups in the population become sick.
The author synthesizes what has been learned up to the present in the area of prevention as follows: a) conceiving strategies less in terms of population groups and more according to contexts of inter-subjectivity -- the spheres (social, cultural, etc.) of interaction which produce vulnerability and the interpersonal contexts that would reduce these vulnerabilities; b) substituting in our educational practices a liberating attitude for an attitude that prescribes; c) centering policies, programs, and actions not in risk groups or on risky behaviors, but in the relationships among different subjects and their interdependent and changing identities.
Conclusions: No prevention strategy can be based on terror. The most effective strategies are found in proposals tied to educational campaigns focused on games, on the erotic, and on grappling with the varying circumstances of daily life.
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