Bridging the gap between individual-level risk for HIV and structural determinants: using root cause analysis in strategic planning.

TitleBridging the gap between individual-level risk for HIV and structural determinants: using root cause analysis in strategic planning.
Publication TypePublication
Year of Publication2012
AuthorsWillard N, Chutuape K, Stines S, Ellen JM
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalJ Prev Interv Community
Volume40
Issue2
Pagination103-17
Date Published2012
ISSN1540-7330
KeywordsAdolescent, Community Networks, Community-Based Participatory Research, Female, HIV Infections, Humans, Male, Planning Techniques, Puerto Rico, Risk Factors, Root Cause Analysis, United States
Abstract

<p>HIV prevention efforts have expanded beyond individual-level interventions to address structural determinants of risk. Coalitions have been an important vehicle for addressing similar intractable and deeply rooted health-related issues. A root cause analysis process may aid coalitions in identifying fundamental, structural-level contributors to risk and in identifying appropriate solutions. For this article, strategic plans for 13 coalitions were analyzed both before and after a root cause analysis approach was applied to determine the coalitions' strategic plans potential impact and comprehensiveness. After root cause analysis, strategic plans trended toward targeting policies and practices rather than on single agency programmatic changes. Plans expanded to target multiple sectors and several changes within sectors to penetrate deeply into a sector or system. Findings suggest that root cause analysis may be a viable tool to assist coalitions in identifying structural determinants and possible solutions for HIV risk. </p>

DOI10.1080/10852352.2012.660122
Alternate JournalJ Prev Interv Community
PubMed ID24188352
PubMed Central IDPMC3818729
Grant ListU01 HD040584 / HD / NICHD NIH HHS / United States
U01 HD040476 / HD / NICHD NIH HHS / United States
U01 HD040463 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040497 / HD / NICHD NIH HHS / United States
U01 HD040506 / HD / NICHD NIH HHS / United States
U01 HD040562 / HD / NICHD NIH HHS / United States
U01 HD040490 / HD / NICHD NIH HHS / United States
U01 HD040505 / HD / NICHD NIH HHS / United States
U01 HD040515 / HD / NICHD NIH HHS / United States
U01 HD040481 / HD / NICHD NIH HHS / United States
U01 HD040494 / HD / NICHD NIH HHS / United States
U01 HD040499 / HD / NICHD NIH HHS / United States
U01 HD040470 / HD / NICHD NIH HHS / United States