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Structural Interventions for HIV PreventionOptimizing Strategies for Reducing New Infections and Improving Care$
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Richard A. Crosby and Ralph J. DiClemente

Print publication date: 2018

Print ISBN-13: 9780190675486

Published to Oxford Scholarship Online: December 2018

DOI: 10.1093/oso/9780190675486.001.0001

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Evaluating Structural Interventions

Evaluating Structural Interventions

(p.311) 12 Evaluating Structural Interventions
Structural Interventions for HIV Prevention

B Hensen

S Dringus

R Eakle

M Remme

J Hargreaves

Oxford University Press

Evaluating structural interventions to understand whether they are effective, for whom, and in what context is critical to determining whether, where, and how to deliver structural interventions at scale. This chapter provides a comprehensive evaluation framework comprising three main components: impact of the intervention, process evaluation, and an economic evaluation. Featured within this chapter is the point that structural-level interventions are amenable to evaluation using adaptation of the gold-standard randomized controlled trial design. Where randomization is not feasible, however, the chapter provides alternative designs to evaluate effectiveness, including those that use the stepped-wedge cluster randomized trial, interrupted time series, and nonequivalent comparison group. Four types of economic evaluation techniques are also described.

Keywords:   economic evaluation, randomized trials, quasi-experimental designs, impact evaluation, process evaluation

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