American Journal of Community Psychology

, Volume 43, Issue 3, pp 277–291

Multilevel Perspectives on Community Intervention: An Example from an Indo-US HIV Prevention Project in Mumbai, India


    • Department of Community Medicine & Health CareUniversity of Connecticut School of Medicine
  • Niranjan Saggurti
    • Population Council
  • Rajendra Singh
    • International Center for Research on Women
  • Ravi K. Verma
    • International Center for Research on Women
  • Bonnie K. Nastasi
    • Department of PsychologyTulane University
  • Papiya Guha Mazumder
    • International Institute for Population Sciences
Original paper

DOI: 10.1007/s10464-009-9241-0

Cite this article as:
Schensul, S.L., Saggurti, N., Singh, R. et al. Am J Community Psychol (2009) 43: 277. doi:10.1007/s10464-009-9241-0


This paper explores the meaning and applicability of multilevel interventions and the role of ethnography in identifying intervention opportunities and accounting for research design limitations. It utilizes as a case example the data and experiences from a 6-year, NIMH-funded, intervention to prevent HIV/STI among married men in urban poor communities in Mumbai, India. The experiences generated by this project illustrate the need for multilevel interventions to include: (1) ethnographically driven formative research to delineate appropriate levels, stakeholders and collaborators; (2) identification of ways to link interventions to the local culture and community context; (3) the development of a model of intervention that is sufficiently flexible to be consistently applied to different intervention levels using comparable culturally congruent concepts and approaches; (4) mechanisms to involve community residents, community based organizations and community-based institutions; and (5) approaches to data collection that can evaluate the impact of the project on multiple intersecting levels.


HIV/STI preventionIndiaMulti-levelUrban poorCulturally-based

Copyright information

© Springer Science+Business Media, LLC 2009