Drug Lessons and Education Programs in Developing Countries

"This publication does not offer a pre-packaged programme of education for drug abuse prevention that can be picked up and implemented. It is rather an attempt to provide a conceptual basis upon which teachers, policy makers and school administrators can make decisions about school based drug prevention programmes in order to achieve greater success in education terms" -- p. 6.

This book presents the social ecological approach to the comparison and evaluation of treatment environments. Social ecology is concerned with the environment and how people adapt to it. The field deals with both the physical and the social environment. It combines basic research approaches with a dedication to resolving common human problems. The procedures developed in this classic volume have been used to monitor and improve treatment programs, to assess the adequacy of program implementation, and to understand the determinants and outcomes of specific aspects of treatment environments.

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At the beginning of the twenty-first century, Brazil ranked second only to the United States in the number of reported cases of AIDS. Because Brazil's extensive poverty and inequality, its fragile economic situation, and its limited network of health services, the scarce prevention/intervention resources targeted only the most visible at risk populations -- gay men, sailors, prostitutes, and street children. Virtually forgotten were Brazil's hidden drug users, as well as the tens of millions of individuals living in the country's thousands of favelas, or shantytowns, which are a characteristic part of almost every Brazilian city. In Sex, Drugs, and HIV/AIDS in Brazil the authors examine the emergence of AIDS in Brazil, its linkages to drug use and the sexual culture, and its epidemiology in such populations as cocaine users, "street children," and male transvestite prostitutes. Special attention is focused on an HIV/AIDS community outreach program established in Rio de Janeiro, which represented the first such prevention/intervention program in all of Brazil targeting indigent cocaine users. This 6-year initiative was funded by the U.S. National Institute on Drug Abuse, and carried out by the authors of this book. The research combines anthropological, sociological, and biological perspectives; all data were gathered through empirical and ethnographic techniques.

' Awarded the Annual Award for Distinguished Scholarly Book in Applied Communication, by the National Communication Association, USA? `This gripping narrative not only documents the history of humankind's interaction with a clever virus, it brings to the forefront the much and understated and underused role of communication in HIV and AIDS prevention, care and treatment. Singhal and Rogers remind us that our global environment is shaped by powerful communication means and methods that, if properly harnessed, can help defeat the plague of the 21st century' - Neil McKee, Senior Technical Advisor for HIV/AIDS and Adolescent Health, Johns Hopkins University `This book is an important contribution to AIDS education globally. The rich and diverse cases analyze, humanize and contextualize the continuum of HIV/AIDS prevention, care and support. Researchers and practitioners will find this book most useful' - Collins Airhihenbuwa, Professor of Bio-Behavioural Health, Penn State University `Educating people about AIDS is one of the biggest communication challenges that we face today. This remarkable book is a must-read for anyone who wants to understand the challenges and ways to overcome it. Thorough and hopeful, this is one of those books that can actually make a difference in this world' - Emanuel Rosen, author of 'The Anatomy of Buzz' `A thoroughly readable and inspiring book by two of the world's foremost health communication experts. Accessible and personalised, it is a "must-read" for all those interested in AIDS prevention, care and support' - Shereen Usdin, Co-Founder of the Soul City Institute of Health and Development Communication, South Africa `This book provides a comprehensive analysis of the strategies related to HIV/AIDS communications. It is published at a critical moment as the world increasingly realizes the role of communication in the fight against HIV/AIDS' - Rafael Obregon, Social Communication Advisor, Pan American Health Organization `Combating AIDS is slickly written using commicators' theories, taking the reader step-by-step through various arguments, and using repitition to ingrain them in the reader's mind' - Ritu Priya, Nature HIV/AIDS is a matter of global concern. The world is now more than 20 years into the HIV/AIDS crisis with no vaccine in sight, and relatively few effective and sustainable prevention programs. Although the rate of HIV infection and AIDS deaths has declined in the richer nations of the developed world, infection rates are soaring in developing countries. AIDS is now the leading cause of death in Africa, and the fourth leading cause of death globally. The purpose of this book is to synthesize critical lessons about effective HIV/AIDS prevention programmes, with a major emphasis on communication strategies. The authors feel that despite the growing AIDS crisis, the world is making poor use of behaviour change and communication strategies for HIV/AIDS prevention. To begin with, the role of communication strategies in HIV prevention, care and support has been grossly underestimated. Prevention is shortchanged, despite the fact that no cure for AIDS has been found, and the cost of anti-retroviral therapy is out of reach for most who need it. Many communication strategies are culturally inappropriate, so they may offend public sensitivities, which is easy to do when dealing with a sensitive topic that involves sex, stigma and death. Combating AIDS: Communicaton Strategies in Action focuses on communication strategies that could mobilize political action, target high-risk groups, and overcome stigma. The authors have also described and analyzed the value of entertainment-education strategy in HIV prevention

First Published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.