Evidence and the Politics of Deimplementation: The Rise andDecline of the Counseling and Testing Paradigm for HIV Prevention at the US Centersfor Disease Control and Prevention

摘要

>Policy Points: class="unordered" style="list-style-type:disc" id="milq12183-list-0001">In situations of scientific uncertainty, public health interventions, such as counseling for HIV infection, sometimes must be implemented before obtaining evidence of efficacy.The history of HIV counseling and testing, which served as the cornerstone of HIV prevention efforts at the US Centers for Disease Control and Prevention (CDC) for a quarter of a century, illustrates the influence of institutional resistance on public health decision making and the challenge of de‐implementing well‐established programs.