Healthy Living: HIV Prevention
Healthy Living’s four-city project implementation decreased the likelihood of secondary HIV transmission by reducing risk behaviors among HIV positive men and women. Dr. Rotheram designed the study to use individual counseling sessions around the themed phases of “Stress, Coping, and Adjustment,” “Risk Behaviors,” and “Health Behavior.” These modules help give clients the power they need to live healthier lives. The successes documented in Los Angeles, San Francisco, Milwaukee, and New York City led the CDC to award Dr. Rotheram’s design with recognition of Healthy Living as a “best evidence” intervention for preventing HIV.
Living in Good Health Together (LIGHT) is a small-group risk-reduction program that uses goal-setting and -review to motivate behavior change. Funded by a NIMH multi-site HIV prevention trial group, Dr. Rotheram’s team found significant reduction in risky behaviors and an increase in health-promoting choices as a result of this program. The CDC has included both LIGHT and Adolescent LIGHT into its Replicating Effective Programs project as best-evidence interventions in the Compendium of Evidence-Based HIV Prevention Interventions.
C-POL (Community Popular Opinion Leader)
In the late 1990s when HIV/AIDS was a looming threat for China, the government needed help designing and implementing programs that would work quickly. Dr. Rotheram recruited marketplace employees in Fuzhou to teach their communities about HIV and how to prevent infection. This groundbreaking, skills-based learning strategy was enormously successful. The Chinese Centers for Disease Control scaled up the program and implemented it in every Chinese province. Its use of community opinion leaders is the inspiration behind five successful programs operated by UCLA-based CHIPTS.
The Songachi Project
Dr. Rotheram has also worked on the groundbreaking Sonagachi HIV-prevention program in Calcutta. The Sonagachi Project is a science-informed community revolution that represents one of the most influential innovations in science-based community building. Over the last decade the Sonagachi Project has helped to enable sex workers in Calcutta’s Sonagachi red-light district to protect their health through addressing other more pressing problems they faced in their lives, such as violence and other basic human rights and child welfare issues. Community-led structural interventions such as this one are the type of game-changing work that brings together Dr. Rotheram’s strengths: advocacy for disruptive innovations in prevention science and designing programs that empower vulnerable populations. The Sonagachi program in Calcutta has been oft cited as the beginning of community-led structural interventions in HIV prevention, and has become a Bill and Melinda Gates Foundation program named Avahan.
- HIV Prevention
- Family Well-Being
- Mental Health
- Scientific Leadership