Multilevel Perspectives on Community Intervention: An Example from an Indo-US HIV Prevention Project in Mumbai, India
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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.
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- Multilevel Perspectives on Community Intervention: An Example from an Indo-US HIV Prevention Project in Mumbai, India
American Journal of Community Psychology
Volume 43, Issue 3-4 , pp 277-291
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- HIV/STI prevention
- Urban poor
- Author Affiliations
- 1. Department of Community Medicine & Health Care, University of Connecticut School of Medicine, 263 Farmington Avenue, Farmington, CT, 06030-6325, USA
- 2. Population Council, New Delhi, India
- 3. International Center for Research on Women, Mumbai, India
- 4. International Center for Research on Women, New Delhi, India
- 5. Department of Psychology, Tulane University, New Orleans, LA, USA
- 6. International Institute for Population Sciences, Mumbai, India