Using Organizational Policy to Create a Positive and Supportive Environment: An Example of Women and HIV Prevention

Nicole Britten and Andrew Papadopoulos^,

Cite this paper

Nicole Britten and Andrew Papadopoulos. Using Organizational Policy to Create a Positive and Supportive Environment: An Example of Women and HIV Prevention. American Journal of Public Health Research. 2013; 1(2):53-58. doi: 10.12691/AJPHR-1-2-3

Abstract

Making meaningful contact with marginalized populations is a challenge that public health practitioners continually face. Vulnerable populations that are targeted in health promotion initiatives are frequent users of community-based organizations, making these agencies an important point of contact. The relationships community-based organizations have with vulnerable populations are under-utilized for developing and disseminating health messages. Using the example of women and HIV prevention, this paper argues that amending policy within community organizations can be an effective method to improve access to health information and resources, and elicit positive change. Furthermore, greater collaboration and knowledge exchange between public health agencies and community service providers will ensure organizations have the capacity to implement evidence-based policies that foster an environment where long-term positive change can occur.

Keywords

organizational policy, policy networks, cross-sector collaboration, women and HIV, marginalized populations, community organizations

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Edberg, M., Essentials of Health Behaviour: Social and Behavioural Theory in Public Health, Jones and Bartlett Publishers, Sudbury, 2007.
[2]	Leonard, L. Women and HIV prevention: A scoping review, HIV Prevention Research Team, 2007. [E-document] Available: http://www.medicine.uottawa.ca/epid/assets/documents/women_hivprevention.pdf.
[3]	McWilliam, S., Ontario Women and HIV/AIDS Working Group Literature Review: HIV Prevention and Women, Ministry of Health and Long Term Care, 2006. [E-book] Available: http://www.health.gov.on.ca/english/providers/pub/aids/reports/ontario_women_hivaids_working_group_literature_review_hi.pdf.
[4]	Public Health Agency of Canada, Population-specific HIV/AIDS status report: Women, Public Health Agency of Canada, 2012. [E-document] Available: http://library.catie.ca/pdf/ATI-20000s/26407.pdf
[5]	Ministry of Health and Long Term Care, Ontario HIV/AIDS Infection Rates, Ministry of Health and Long Term Care, 2010. [E-document] Available: http://www.health.gov.on.ca/english/public/program/hivaids/general/charact_epidemic.html
[6]	Remis, R.S., Swantee, C. and Liu, J, Report on HIV/AIDS in Ontario: 2009, Ministry of Health and Long Term Care, 2011. [E-docucment] Available: http://www.ohemu.utoronto.ca/doc/PHERO2009_report_final.pdf
[7]	AIDS Committee of Guelph and Wellington County, Women and HIV/AIDS Prevention Inititiative, AIDS Committee of Guelph and Wellington County, 2012. [E-document] Available: http://www.aidsguelph.org/women-and-hiv-prevention.
[8]	Mikkonen, J. & Raphael, D., Social Determinants of Health: The Canadian Facts, York University School of Health Policy and Management, 2010. [E-document] Available: http://www.thecanadianfacts.org/The_Canadian_Facts.pdf
[9]	Logie, C.H., James, I.J., Tharao, W. & Loufty, M.R., “HIV, gender, race, sexual orientation, and sex work: a qualitative study of intersectional stigma experienced by HIV-positive women in Ontario, Canada,” PLoS Med, 8(11), e1001124. November 2011.
[10]	UNAIDS, Stigma and Discrimination Fact Sheet, 2003. [E-document] Available: http://data.unaids.org/publications/Fact-Sheets03/fs_stigma_discrimination_en.pdf
[11]	Sandelowski, M., Lambe, C., & Barroso, J., “Stigma in HIV-positive women,” Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau, 36(2), 122-128. 2004.
[12]	Loutfy, M. R., Logie, C. H., Zhang, Y., Blitz, S. L., Margolese, S. L., Tharao, W. E., et al. “Gender and ethnicity differences in HIV-related stigma experienced by people living with HIV in Ontario, Canada,” PloS one, 7(12), e48168. December 2012.
[13]	Beeker, C., Guenther-Grey, C. & Raj, A., “Community Empowerment Paradigm Drift and the Primary Prevention of HIV/AIDS,” Social Science & Medicine, 46(7): 831-842. 1998.
[14]	Smith, B. Public Policy and Public Participation Engaging Citizens and Community in the Development of Public Policy, Population and Public Health Branch Atlantic Region, Health Canada, 2003. [E-book] Available: http://www.phac-aspc.gc.ca/canada/regions/atlantic/pdf/pub_policy_partic_e.pdf.
[15]	Jones, J.E. & Sargeant, S., Literature Review: The Impact of Community-Based HIV Prevention Interventions in Canada, Commonwealth Nations and the US, Public Health Agency of Canada, BC/Yukon Regional Office, 2009. [E-document] Available: http://library.catie.ca/PDF/P48/24919.pdf.
[16]	Liberato, S.C., Brimblecombe, J., Ritchie, J., Ferguson, M. & Conveney, J., “Measuring capacity building in communities: a review of the literature,” BMC Public Health, 11:850-859. 2011.
[17]	Zakus, J.D.L., “Resource Dependency and Community Participation in Primary Health Care,” Social Science & Medicine, 46(4-5), 475-494. 1998.
[18]	Brinkerhoff, D.W., Capacity Development in Fragile States, ECDPM Masstricht, 2007, Discussion Paper 58D.
[19]	Boyce, W.F., “Disadvantaged persons’ participation in health promotion projects: some structural dimensions,” Social Science & Medicine, 52, 1551-1564. 2001.
[20]	Pal, L. (2010) Beyond Policy Analysis: Public Issue Management in Turbulent Times, Nelson Education, Toronto, 2006.
[21]	Rhodes, R.A.W., “Understanding Governance: Ten Years On,” Organization Studies, 28 (8). 1243- 1264. August 2007.
[22]	United Nations Development Programme, Capacity Development: A UNDP Primer, United Nations Development Programme, 2009. [E-document] Available:
[23]	http://www.scor-int.org/CB_Summit/CDG_PrimerReport_final_web.pdf
[24]	Wilson, M.G., Rourke, S.B., Lavis, J.N., Bacon, J. and Travers, R., “Community capacity to acquire, assess, adapt, and apply research evidence: a survey of Ontario’s HIV/AIDS sector,” Implementation Science (6). 54-60. May.2011.
[25]	Wilson, M.G, Lavis, J.N., Travers, R. and Rourke, S.B., “Community-based knowledge transfer and exchange: Helping community-based organizations link research to action,” Implementation Science, 5(33), April 2010.
[26]	Lavis, J.N., Oxman, A.D., Lewin, S and Fretheim, A., “Support Tools for evidence-informed health Policymaking (STP),” Health Research Policy and Systems, 7(Suppl 1), Dec 2009.
[27]	Gleeson, D., Legge, D. O’Neill, D. and Pfeffer, M., “Negotiating Tensions in Developing Organizational Policy Capacity: Comparative lessons to be drawn,” Journal of Comparative Policy Analysis, 13 (3). 237-263. 2011.