Por favor, use este identificador para citar o enlazar este ítem: http://cris.unibe.edu.do/handle/123456789/250
Título : Examining the policy climate for HIV prevention in the Caribbean tourism sector: a qualitative study of policy makers in the Dominican Republic
Autores: Padilla, M. B.
Matiz Reyes, A.
Connolly, M.
Natsui, S.
Puello, A.
Chapman, Helena
Investigadores (UNIBE): Chapman, Helena 
Afiliaciones : Facultad de Ciencias de la Salud 
Área de investigación : Ciencias de la Salud; Ciencias Sociales
Palabras clave: Caribbean; Dominican Republic; Tourism; HIV/AIDS; Public–private partnership
Fecha de publicación : 2012
Editorial : Oxford University Press
Publicado en: Health Policy and Planning, 27 (3), 245–255
Revista: Health Policy and Planning 
Volumen : 27
Número : 3
Página de inicio : 245
Página final : 255
Resumen : 
Background The Caribbean has the highest prevalence rates of HIV/AIDS outside sub-Saharan Africa, and a broad literature suggests an ecological association between tourism areas and sexual vulnerability. Tourism employees have been shown to engage in high rates of sexual risk behaviours. Nevertheless, no large-scale or sustained HIV prevention interventions have been conducted within the tourism industry. Policy barriers and resources are under-studied.

Methods In order to identify the policy barriers and resources for HIV prevention in the tourism sector, our research used a participatory approach involving a multisectoral coalition of representatives from the tourism industry, government, public health and civil society in the Dominican Republic. We conducted 39 in-depth semi-structured interviews with policy makers throughout the country focusing on: prior experiences with HIV prevention policies and programmes in the tourism sector; barriers and resources for such policies and programmes; and future priorities and recommendations.

Results Findings suggest perceptions among policy makers of barriers related to the mobile nature of tourism employees; the lack of centralized funding; fear of the ‘image problem’ associated with HIV; and the lack of multisectoral policy dialogue and collaboration. Nevertheless, prior short-term experiences and changing attitudes among some private sector tourism representatives suggest emerging opportunities for policy change.

Conclusion We argue that the time is ripe for dialogue across the public–private divide in order to develop regulatory mechanisms, joint responsibilities and centralized funding sources to ensure a sustainable response to the HIV-tourism linkage. Policy priorities should focus on incorporating HIV prevention as a component of occupational health; reinforcing workers’ health care rights as guaranteed by existing law; using private sector tourism representatives who support HIV prevention as positive role models for national campaigns; and disseminating a notion of ‘investment’ in safer tourism environments as a means to positively influence tourist demand.
URI : http://cris.unibe.edu.do/handle/123456789/250
DOI : 10.1093/heapol/czr021
Aparece en las colecciones: Publicaciones del Área de Salud - Medicina
Publicaciones indexadas en Scopus / Web of Science

Ficheros en este ítem:
Fichero Descripción Tamaño Formato
examining-policy-climate-HIV.pdfFull text [open access]143.82 kBAdobe PDFVisualizar/Abrir
Mostrar el registro Dublin Core completo del ítem Recomiende este ítem

Google ScholarTM

Citas

Altmetric

Menciones

Dimensions

Citas


Los ítems de DSpace están protegidos por copyright, con todos los derechos reservados, a menos que se indique lo contrario.